Claims Associate, Bilingual

Sedgwick

. Process claims and determine benefits due pursuant to credit card or other financial program benefits plans .

Posted 10/14/2026full-timeRemote • Florida • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in processing first party property claims and adjudicating settlements or denials while providing superior customer service. Proficient in meeting quality and production goals, with strong analytical, organizational, and communication skills.

Highest-signal resume keywords

Claims ProcessingFirst Party Property ClaimsAdjudication SkillsCustomer ServiceBilingual in Spanish

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims AdjudicationCoverage DeterminationDocumentation SkillsAnalytical SkillsPC LiteracyMicrosoft Office Proficiency

Soft Skills

Good Communication SkillsOrganizational SkillsInterpersonal SkillsTeam Collaboration

Certifications & Qualifications

High School DiplomaGEDLicenses as Required

Industry Keywords

Claims Industry ExperienceCredit Card BenefitsFinancial Program BenefitsQuality Programs

About the role

Key responsibilities & impact

Process claims and determine benefits due pursuant to credit card or other financial program benefits plans
Make timely payments and adjustments for specified program claims
Provide superior customer service
Process first party property claims based on basic coverage as defined by client-specific program
Make coverage determinations based on investigation/evaluation
Adjudicate proper settlement or denials up to designated authority level
Handle high volume of claims, phone calls and correspondence
Properly document claim files
Meet quality and production goals, customer guidelines, and deadlines
Perform other duties as assigned
Support the organization's quality programs

Requirements

What you’ll need

High school diploma or GED required
Licenses as required or willingness/ability to move toward obtaining appropriate licensing as required
One (1) year of general office experience or equivalent combination of education and experience required
Claims industry experience preferred
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
Ability to read, write and converse with fluency in professional Spanish
Credit security clearance, confirmed via a background credit check, is required

Benefits

Comp & perks

Work-life balance
Caring culture
Reasonable accommodations when applicable and appropriate
Equal Opportunity Employer
Drug-Free Workplace