Claim Resolution Specialist-Bilingual English/Spanish

2 months ago


Chicago, United States Robert Half Full time
Job DescriptionJob DescriptionWe are offering a long term contract employment opportunity for a Claim Resolution Specialist. The role is situated in Chicago, Illinois, and involves providing top-notch customer service in a high-volume contact center environment. As a Claim Resolution Specialist, you will be resolving customer inquiries and escalations, ensuring that all interactions are documented accurately and efficiently. The role is primarily in the insurance industry and requires fluency in both English and Spanish.

Responsibilities:

• Handle customer escalations via phone calls, emails, and text chats, providing accurate information in a timely manner.
• Conduct thorough research and analysis to resolve customer requests, inquiries and concerns.
• Maintain high levels of productivity, service and quality standards.
• Demonstrate the ability to make appropriate decisions and solve problems while providing a pleasant phone experience for the caller.
• Navigate multiple system applications effectively to ensure efficient customer service.
• Take ownership and accountability in handling customer requests professionally.
• Learn and comply with corporate policies, regulatory standards, business processes and procedures.
• Provide status updates and other necessary information to customers regarding their Voluntary Benefits claims.
• Work collaboratively with team members to streamline processes and improve customer experience.
• Handle additional tasks and projects as assigned by the team lead or manager.• Proficiency in both English and Spanish languages is required
• Excellent customer service skills and prior experience in a customer-facing role
• Strong communication skills, both written and verbal
• Familiarity with Microsoft suite including Excel, Word, and Outlook
• Ability to manage inbound and outbound calls professionally and efficiently
• Experience with email correspondence in a professional setting
• Knowledge of claim administration and resolution procedures
• Understanding of policy, practices, and benefit functions
• Ability to research and gather information effectively
• Experience with cloud technologies and web apps
• Training experience or ability to train others
• Demonstrated ability to build strong relationships with partners and maintain client relations
• Ability to close claims effectively and in a timely manner
• High level of productivity and ability to manage time effectively
• Understanding of Microsoft's 'About Time' software is considered an asset.

  • Chicago, United States Robert Half Full time

    Job DescriptionJob DescriptionWe are offering an opportunity for a Claim Resolution Specialist-Bilingual English/Spanish in the industry of customer service located in Chicago, Illinois, United States. This role provides a chance to work in a hybrid work environment, giving you the flexibility to work remotely if necessary. As a Claim Resolution Specialist,...


  • Chicago, Illinois, United States DWF Full time

    Claims Resolution SpecialistAt DWF, we are seeking a skilled Claims Resolution Specialist to join our team. As a Claims Resolution Specialist, you will be responsible for investigating, evaluating, and resolving liability insurance claims. This role requires strong problem-solving skills and the ability to analyze liability, damages, coverage, and develop...


  • Chicago, Illinois, United States Elite Dental Partners Full time

    Job Title: Insurance Claims Resolution SpecialistAt Elite Dental Partners, we are seeking a highly skilled Insurance Claims Resolution Specialist to join our Revenue Cycle Team. As a key member of our team, you will be responsible for ensuring timely and accurate claims submission and resolution in accordance with government regulations and payor...


  • Chicago, Illinois, United States ISMIE Mutual Insurance Company Full time

    Job Summary:As a Claims Resolution Specialist at ISMIE Mutual Insurance Company, you will play a critical role in providing exceptional service to our insureds by analyzing, evaluating, and managing claims. Your primary objective will be to bring cases to a timely and reasonable resolution while maintaining compliance with our claims philosophy and...


  • Chicago, Illinois, United States Elite Dental Partners Full time

    Job SummaryElite Dental Partners is seeking a highly skilled Dental Claims Resolution Specialist to join our Revenue Cycle Team. As a key member of our team, you will be responsible for ensuring timely and accurate claims submission and resolution in accordance with government regulations and payor guidelines.Key ResponsibilitiesAccurately and efficiently...


  • Chicago, Illinois, United States Elite Dental Partners Full time

    Job SummaryWe are seeking a highly skilled Dental Claims Resolution Specialist to join our team at Elite Dental Partners. In this role, you will be responsible for ensuring timely and accurate claims submission and resolution in accordance with government regulations and payor guidelines.Key ResponsibilitiesAccurately and timely follow up on claims to ensure...


  • Chicago, Illinois, United States CNA Full time

    Job SummaryWe are seeking a highly skilled Senior Claims Resolution Specialist to join our team at CNA. This individual contributor position plays a critical role in managing commercial claims with high complexity and exposure for a specific line of business.Key ResponsibilitiesCoordinate all claim resolution activities under both occurrence-based CGL...

  • Care Coordinator

    4 weeks ago


    Chicago, United States Esperanza Health Centers Full time

    Day to Day: Communicating with care team, reviewing patient charts, identifying gaps in care, identify areas of need, scheduling appointments, participating in the establishment of the care plan, ensuring fidelity to the care plan. Facilitate communi Care Coordinator, Bilingual, English, Spanish, Coordinator, Healthcare, Education, Patient


  • Chicago, Illinois, United States Vodastra Full time

    Job DescriptionAre you a problem solver with excellent communication skills? Do you enjoy helping others and resolving conflicts? We're looking for a Claims Resolution Specialist to join our team at Vodastra.Key Responsibilities:Respond to customer escalations via phone, email, and chatManage customer inquiries and provide accurate informationAssume...

  • Call Center Agent

    2 months ago


    Chicago, United States The Chicago Lighthouse Full time

    Call Center Agent will be responsible for providing high quality customer service assistance when responding to inquiries pertaining to I-PASS electronic tolling accounts, violations notices, billing issues, technical issues or general map questions. Call Center, Agent, English, Spanish, Bilingual, Customer Service, Education


  • Chicago, Illinois, United States Chicago Public Schools Full time

    Job Summary:The Chicago Public Schools (CPS) is seeking a highly skilled English Learner Specialist to join its team. As an English Learner Specialist, you will play a critical role in enhancing and improving the learning experience of English learners across the district.Key Responsibilities:Collaborate with district staff, administrators, and EL Program...


  • Chicago, United States Optum Full time

    Cuando se trata de salir adelante y tienes la voluntad de ganar, vamos a llamarlo gran potencial de carrera! Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At UnitedHealth Group, we want our customers to get those answers by speaking to...


  • Chicago, Illinois, United States CNA Full time

    JOB DESCRIPTION Essential Duties & Responsibilities: Manage an inventory of moderate to high complexity of Director & Officers claims for Community Associations by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Provide exceptional...


  • Chicago, United States Esperanza Health Centers Full time

    The Medical Assistant (MA) is a vital member of the care team within our Patient-Centered Medical Home (PCMH) model, contributing to the provision of high-quality, patient-centered healthcare. The MA supports clinical operations and patient care thro Medical Assistant, Medical, English, Spanish, Bilingual, Healthcare

  • Customer Advocate I

    4 months ago


    Chicago, United States HCSC Full time

    At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Under supervision, this position is responsible for...


  • Chicago, Illinois, United States Metropolitan Water Reclamation District of Greater Chicago Full time

    About the JobThis is an exciting opportunity to join the Metropolitan Water Reclamation District of Greater Chicago as a Bilingual Communications Specialist. In this role, you will play a key part in developing and implementing public information campaigns to engage with Spanish-speaking residents of the service area.Key ResponsibilitiesDevelop and write...


  • Chicago, Illinois, United States Chicago Public Schools Full time

    Job Summary:The English Learner (EL) Instructional Specialist, Biliteracy will play a pivotal role in enhancing and improving the learning experience of English learners across the district. This position will focus on building capacity among various stakeholders, providing instructional support and professional learning, co-developing and refining...


  • Chicago, Illinois, United States Harris & Harris Full time

    Job OverviewHarris & Harris is a leading revenue recovery firm with over 50 years of experience in customer care and revenue recovery. We're seeking a skilled Spanish Bilingual Collections Specialist to join our team.The ideal candidate will possess excellent customer service and negotiation skills, with the ability to work in a fast-paced call center...


  • Chicago, IL, United States Optum Full time

    Cuando se trata de salir adelante y tienes la voluntad de ganar, vamos a llamarlo gran potencial de carrera! Imagine being able to get answers to your health plan questions from someone who speaks the same language as you do. Or, the opposite, not being able to get the answers. At UnitedHealth Group, we want our customers to get those answers by speaking to...

  • Medical Scheduler

    2 weeks ago


    Chicago, United States The Chicago Lighthouse Full time

    Medical Scheduler (Bilingual English/Spanish) Job Details Job Location Chicago, IL Remote Type Hybrid Position Type Full Time Education Level High School/GED Salary Range $18.50 - $19.00 Hourly Travel Percentage None Job Shift Day Job Category Customer Service Job Description STATEMENT OF PURPOSE : The Medical Scheduler will be responsible for providing a...