• Job Description

  Req#: 24-05439
  
  
  Description:
  PRIMARY PURPOSE: To process claims and determine benefits due pursuant to credit card or other financial program benefits plans; to make timely payments and adjustments for specified program claims; and to provide superior customer service.
  ESSENTIAL FUNCTIONS and RESPONSIBILITIES
  Processes first party property claims based on basic coverage as defined by client-specific program.
  Makes coverage determinations based on investigation/evaluation.
  Adjudicates proper settlement or denials up to designated authority level.
  Handles high volume of claims, phone calls and correspondence ensuring claim files are properly documented; meets quality and production goals; and meets customer guidelines and deadlines.
  ADDITIONAL FUNCTIONS and RESPONSIBILITIES
  Performs other duties as assigned.
  Supports the organization's quality program(s).
  
  Requirements:
  **PRESCREEN QUESTIONS REQUIRED AT THE TOP OF RESUME**
  Do you have experience in claims adjudication?
  In your most recent claims experience, how many claims have you had in your inventory? (looking understand how much volume they are used to...preferably above 400 claims)
  Have you managed a claim inventory before?
  Have you had a daily productivity goal you had to achieve? If so, what was that and please explain if you hit that goal or exceeded?
  What other metrics did you have in a claim’s role? Looking for if they talk about productivity, quality/accuracy of claims handling, phone skills?
  What experience do you have working from home?
  How comfortable are you using the elements of Microsoft office and using multiple systems at once? If yes, can you give an example from your experience?
  What do you like/dislike about your current work environment?
  What company is your current internet Provider? Telecommunication 5G home internet is not compatible with our equipment.
  **THERE IS A FIRM START DATE FOR TRAINING**
  Training Schedule Info
  We are going to have a hire class of Consumer Claims Associates to start training on 2/19/2024. Training will last approximately 2 weeks. We are planning to have a class of 7.
  Training will last for approximately 2 weeks.
  Training Time . Training will be 830am – 5:30pm EST (hour lunch break). Monday – Friday.
  BGC needs to be cleared before they are deployed on production (possibilities post 2 weeks of training).
  likely needing people to work overtime on a short term basis.
  WORK SCHEDULE
  After training the contractor can pick the schedule below. we have some flexibility with them having a start time between 8:00am EST-9:30am EST but would prefer the schedules below. The time is fixed once they decide.
  Monday through Friday 8:00am – 5:00PM (1 hour lunch break)
  Monday through Friday 8:00am – 4:30PM (30-minute lunch break)
  Equipment will be provided (desktop, monitors, keyboard, mouse, phone/headset) but they may need to use a personal device to attend at the start of training. This will depend on arrival of equipment. They are required to be on camera during our remote training classes. It is their responsibility to have a home internet provider. We will need to confirm the Company of their internet supplier as well since Telecommunication 5G home internet is not compatible with our equipment.
  Criminal screens must be completed prior to starting.
  QUALIFICATIONS
  Education & Licensing High school diploma or GED required. They do not need to be licensed.
  One (1) year of general office experience or equivalent combination of education and experience required. Claims industry experience preferred. Candidates need to be quick decision makers and be able to work in fast paced environment.
  Skills & Knowledge
  Knowledge of first party property and casualty claim adjudication as applicable to line of business
  Good oral and written communication, including presentation skills
  PC literate, including Microsoft Office products
  Analytical and interpretive skills
  Good organizational skills
  Good interpersonal skills
  Ability to work in a team environment
  Ability to meet or exceed Performance Competencies
  WORK ENVIRONMENT - When applicable and appropriate, consideration will be given to reasonable accommodations.
  Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
  Physical: Computer keyboarding, travel as required
  Auditory/Visual: Hearing, vision and talking
  
  EEO:
  
  “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.”

• About the company

  Mindlance is one of the largest diversity-owned staffing firms in the US . As a recruitment centric talent acquisition company, Mindlance provides Technology, Engineering, Digital / Creative / Marketing, Clinical Research, Scientific, Finance, Professional and Payroll Management staffing services to Global 1000 companies across the US, Canada and India.

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