Claims Resolution Specialist Bilingual

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.

• 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.

• 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.