Claims Associate - Consumer



BCforward is currently seeking a highly motivated Claims Associate - Consumer for an opportunity in Remote!




Position Title: Claims Associate - Consumer




Location: Remote




Expected Duration: 3 months




Job Type: FULL TIME (>=30 HRS WEEKLY, [CONTRACT], [REMOTE]




Pay Range:$17.00




Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).




Requirements:




Claims industry experience




Manage a high volume of claims and phone calls.




Job Description:




PRIMARY PURPOSE:



To process claims and determine benefits due under credit card or other financial program benefits plans. This includes making timely payments and adjustments for specified program claims while providing superior customer service.



**ESSENTIAL FUNCTIONS and RESPONSIBILITIES:**
**Claims Processing:** Process first-party property claims based on coverage as defined by client-specific programs.
**Coverage Determinations:** Evaluate and make coverage determinations based on investigation and assessment of claims.
**Adjudication:** Adjudicate claims by determining proper settlement or denial in accordance with designated authority levels.
**High-Volume Claim Management:** Handle a high volume of claims, phone calls, and correspondence, ensuring accurate and timely processing. Maintain proper documentation for each claim file in compliance with company guidelines.
**Quality and Production Standards:** Meet established quality and production goals, adhering to customer guidelines and deadlines to ensure timely and efficient claims processing.


**ADDITIONAL FUNCTIONS and RESPONSIBILITIES:**
**Other Duties:** Perform other duties as assigned by management, as necessary
**Quality Support:** Actively support and participate in the organization's quality programs, ensuring consistency and excellence in claims handling.



**Education/Experience:**



High school diploma or equivalent required. Some college or related coursework preferred.


Prior claims processing experience in a financial services or insurance environment is a plus.



**Skills/Abilities:**



- Strong attention to detail and organizational skills.


- Ability to handle high-volume workloads and maintain accuracy.


- Strong communication skills, both written and verbal, with a customer-centric attitude.


- Ability to make decisions based on investigation and data analysis.


- Basic understanding of credit card or financial benefit programs is an advantage.




Benefits:




BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.





About BC
forward
:




Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.




BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.




BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.




To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.




This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.








Interested candidates please send resume in Word format Please reference job code 231682 when responding to this ad.


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Job Snapshot




Employee Type

Contractor



Location

Seven Hills, OH (Onsite)



Job Type

Insurance



Experience

Not Specified



Date Posted

11/20/2024