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Our client in the insurance industry is seeking a Bilingual Claims Adjuster to join their team. This role is ideal for a detail-oriented professional with strong investigative skills, excellent customer service, and the ability to communicate effectively in both Spanish and English. The Claims Adjuster will be responsible for reviewing, investigating, and resolving insurance claims while ensuring compliance with company policies and regulatory requirements.
Job Responsibility
Investigate, evaluate, and process insurance claims from initial report through resolution
Review documentation, interview claimants and witnesses, and gather facts to determine claim validity
Communicate with policyholders, attorneys, medical providers, repair vendors, and internal teams in both Spanish and English
Assess coverage, determine liability, and calculate appropriate settlement amounts
Maintain accurate claim files, notes, and supporting documentation in the claims management system
Negotiate settlements within authority limits and escalate complex claims as needed
Ensure timely handling of claims in accordance with service standards and regulatory requirements
Provide professional, empathetic customer service during potentially sensitive situations
Requirements
Fluency in both Spanish and English required
2+ years of claims adjusting experience in the insurance industry preferred
Knowledge of claims investigation, coverage analysis, liability determination, and settlement practices
Strong written and verbal communication skills
Excellent organizational skills and attention to detail
Ability to manage a high volume of claims and meet deadlines
Proficiency with claims management software and Microsoft Office Suite
Adjuster’s license preferred if required by state
Nice to have
2+ years of claims adjusting experience in the insurance industry preferred
Adjuster’s license preferred if required by state
What we offer
medical, vision, dental, and life and disability insurance