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Claims Representative

Are you a natural problem solver? Do you possess excellent analytical and communications skills? Are you looking for more than just a job, but also a rewarding career opportunity with potential for growth? If so, you may be the perfect candidate to join our award-winning claims department that offers hands-on training, a positive team environment, and performance awards and incentives.

Build your career at CSA Travel Protection and experience the advantages that come with working for one of the most respected names in the Travel industry.

SALARY & BENEFITS

In addition to a competitive salary, CSA offers a complete benefits package which includes: medical, dental and vision insurance; prescription drug coverage; 401(k) plan with company matching; disability benefits; confidential employee assistance programs; pre-tax accounts for health and dependent care reimbursement; and company-paid life insurance. Plus, you will enjoy a defined career path with promotional opportunities, a casual work environment; flexible hours; paid company holidays; paid sick time; and 14 days of paid vacation annually.

Hourly Rate: $18.00 per hour with bonus potential per month up to $250.00

POSITION SUMMARY

The claims representative employs a high degree of critical thinking and sound judgment to analyze insurance claims, determine the extent of the insurance carrier’s liability and settle claims with insureds in accordance with policy provisions. This position reports to a Claims Lead, Claims Supervisor or Director of Claims.

EDUCATION AND EXPERIENCE

  • High School Diploma or equivalent required; Bachelor's degree (B.A.) from an accredited institution preferred;
  • Previous customer service experience is preferred.

KNOWLEDGE AND SKILLS

  • Exceptional communication, problem-solving, and organizational skills;
  • Strong reading, writing, comprehension and proofreading skills;
  • Knowledge of standard concepts, practices, regulations, and laws within insurance field preferred;
  • Bilingual English/Spanish language fluency – verbal, reading, and writing skills, a plus.

KEY POSITION RESPONSIBILITIES (other duties may be assigned): 

Claims Processing and Coordination

  • Process all claims assigned in a timely, efficient and accurate manner ensuring that appropriate all policies, procedures and standard best practices are being followed;
  • Review information on claim forms, Physician Statement and other documentation to ascertain completeness and validity of claim;
  • Correspond with insureds, physicians, agents and other appropriate parties in order to obtain proper documentation and to finalize claim;
  • Maintain proper reserves on each claim file;
  • Ensure that proper file documentation is collected and maintained, including all records of correspondence and telephone conversations;
  • Investigate claims and direct the activities of outside adjusters and investigators;
  • Issue denial of benefits letters when appropriate;
  • Process attorney represented claims files;
  • Review and respond to Department of Insurance complaint letters;
  • Respond to written and phone inquiries regarding claims status; 
  • Issue payments in a timely and accurate manner;
  • Ensure that current Federal and State insurance claims regulations, laws, and best practices are being employed consistently for all jurisdictions.

Customer Service

  • Answer questions and respond to inquiries from internal and external customers regarding coverage issues and general policy information.
  • Teamwork and Department Support:
  • Assist in the mentoring and training of other employees as directed;
  • Perform other duties or special projects as assigned by management team.

ABOUT THE COMPANY

Travel insurance is a $2B industry in the United States and that figure continues to rise as more and more travelers become aware of the valuable benefits a travel insurance plan can provide for unexpected mishaps that can occur during a trip.

A member of the worldwide Generali Global Assistance Group, CSA Travel Protection is dedicated to providing affordable travel insurance and emergency assistance services to protect travelers' valuable investments and provide the peace of mind they deserve while traveling. Since its inception in 1991, CSA has developed a reputation for standing behind its customers and evolving products and services to meet their needs. Through superior customer service, extensive experience and industry-leading innovation, we're with our traveling customers every step of the way, whenever and wherever they need us.

*CSA Travel Protection is an Equal Opportunity Employer. M/F/D/V encouraged to apply. Employment contingent upon successful completion of background investigation. No recruiters or agencies without a previously signed contract. Relocation costs not covered by employer. Must be eligible to work in this country.

 

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