Generali Global Assistance · 14 hours ago
Claims Representative
Pembroke Pines, FL
Full-time
Hybrid
New Grad, Entry LevelGenerali Global Assistance is a company that offers a diverse and inclusive work environment focused on making a real difference in clients' lives. The Claims Representative role is responsible for analyzing and processing insurance claims, ensuring compliance with regulations, and providing customer service to insureds and other parties involved in the claims process.
Elder CareIdentity ManagementInsurance
Responsibilities
Process all claims assigned in a timely, efficient, and accurate manner ensuring that all appropriate policies, procedures, and standard best practices are being followed
Review information on claim forms, Physician Statements, and other documentation to ascertain completeness and validity of claims
Correspond with insureds, physicians, agents, and other appropriate parties to obtain proper documentation and to finalize claims
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
Answer questions and respond to inquiries from internal and external customers regarding coverage issues and general policy information
Assist in the mentoring and training of other employees as directed
Perform other duties or special projects as assigned by the management team
Qualification
Required
High School Diploma or Equivalent (GED) required
Exceptional communication, problem-solving, and organizational skills
Strong reading, writing, comprehension, and proofreading skills
Preferred
Knowledge of standard concepts, practices, regulations, and laws within insurance field preferred
Bilingual English/Spanish language fluency – verbal, reading, and writing skills, is a plus
Previous claims and customer service experience are highly preferred
Benefits
A diverse, inclusive, professional work environment
Flexible work schedules
Company match on 401(k)
Competitive Paid Time Off policy
Generous Employer contribution for health, dental and vision insurance
Company paid short term and long term disability insurance
Paid Maternity and Paternity Leave
Tuition reimbursement
Company paid life insurance
Employee Assistance program
Wellness programs
Fun employee and company events
Discounts on travel insurance
Company
Generali Global Assistance
Generali Global Assistance is a provider of travel insurance and other assistance services.
Founded in 1963
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Chris Carnicelli
Chief Executive Officer, USA
Benoît Kéruzoré
CFO Generali Global Assistance - North America Service & Insurance Industries
Recent News
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