Claims Resolution Specialist Bilingual

Primary Services; Lindon (UT); On-site; USD 45,000 - 65,000; Full time

Job summary

A leading service provider in the energy industry is seeking a Bilingual Claims Resolution Specialist in Utah. This hybrid role involves managing high volumes of claims while ensuring accurate resolutions through effective contract interpretation and customer communication. Candidates should have at least a high school diploma, with a preference for a bachelor's degree, alongside 2-4 years of relevant experience. The organization offers long-term stability and structured career progression within a dynamic, collaborative environment.

Qualifications

• Experience in claims authorization or adjudication is preferred.
• Ability to interpret complex contractual terms is required.
• Proficiency in handling high-volume workloads is essential.

Responsibilities

• Respond to claim authorization requests professionally.
• Analyze claim eligibility based on multiple factors.
• Communicate coverage outcomes clearly to homeowners.
• Provide escalation support for complex claims.

Skills

Claims handling

Contract interpretation

Customer communication

Problem-solving

Bilingual proficiency

Education

High school diploma or equivalent

Bachelor's degree

Tools

Microsoft Excel

Microsoft Word

Microsoft PowerPoint

Job description

Build your career with Vivint— a Fortune 200 organization powering innovation in smart home technology and energy solutions. This hybrid opportunity in Utah offers the stability of a national enterprise combined with the collaborative, high-growth culture of the Silicon Slopes market. Join a team committed to operational excellence, employee experience, and scalable people processes that directly support business performance across multiple regions.

Bi-lingual Professionals Highly Preferred

Primary Services is excited to announce the Bilingual Claims Resolution Specialist role with a large, nationally recognized energy industry organization that serves thousands of customers nationwide and offers structured career progression, operational excellence, and a performance-driven culture. The Bilingual Claims Resolution Specialist will play a critical role in the claims adjudication lifecycle by interpreting contract language, validating coverage obligations, and ensuring accurate and timely claim resolution.

Responsibilities

• Respond to a high volume of claim authorization requests professionally and efficiently.
• Analyze claim eligibility by evaluating diagnoses, product details, service history, tenure, and applicable terms and conditions.
• Interpret and apply contract language to determine coverage qualification and liability.
• Capture product failures and document recommendations to support adjudication decisions.
• Process cash settlement offers and contractor dispatch requests in alignment with established guidelines.
• Enforce contractor pricing agreements and ensure cost compliance.
• Communicate claim determinations and coverage outcomes clearly to homeowners.
• Adhere to call center performance standards and quality assurance metrics.
• Execute timely follow-ups to ensure claims progress to resolution.
• Partner with cross-functional departments to support accurate claim closure.
• Provide escalation support and subject matter expertise on complex or sensitive claims.
• Analyze existing coverage and identify opportunities for appropriate add-on plans to maximize customer benefits.

Qualifications

• High school diploma or equivalent required; bachelor’s degree preferred.
• 2–4 years of experience in claims authorization, claims adjudication, insurance operations, or high-volume contact center environments.
• Demonstrated experience interpreting contractual terms and conditions.
• Working knowledge of claims processing systems and case management platforms.
• Proficiency in Microsoft Excel, Word, and PowerPoint.
• Experience handling high-volume workloads within defined service level agreements.
• Familiarity with contractor dispatch coordination and pricing agreement enforcement preferred.
• Experience processing settlements and coverage determinations.
• Background in upselling or cross-selling service plans within regulated environments preferred.

This role offers long-term stability, exposure to complex claims scenarios, and the opportunity to influence customer outcomes within a structured, growth-oriented organization.