Representative-Insurance Claims (Phoenix, AZ or Sunrise, FL Hybrid)
About the position AMEX Assurance Co. (AAC) provides insurance protection for American Express Card Members through implicit card benefits, and fee/add-on insurance products to both Card Members and non-Card Members. This role provides an exciting opportunity to handle claims for the Retail products with growth into specialty lines products in the AMEX Assurance Co. Insurance portfolio over time. Your duties may include but are not limited to: Investigation of policy and product information by using tools available. Maintaining state compliance for reporting, Medicare, insurance claims and audit functions relative to the AAC claims team related to claims adjudication. Decision making of claims for these products, as well as direct phone interaction with the customer to ensure timely decisions Researching claims for proper disposition which may include communication via phone and/or written correspondence with customers, businesses and others. Adjudication of claims relative to all state and local laws and compliance as well as internal processes and procedures. This position is based in Phoenix, AZ or Sunrise, FL and the ideal candidate will work a minimum of 3 days onsite / 2 days remotely. The ideal candidate will work a flexible schedule between the hours of operation: Monday - Friday - 6:00am - 5:00pm MST and may be asked to work rotational weekends.
Responsibilities
- Investigation of policy and product information by using tools available.
- Maintaining state compliance for reporting, Medicare, insurance claims and audit functions relative to the AAC claims team related to claims adjudication.
- Decision making of claims for these products, as well as direct phone interaction with the customer to ensure timely decisions
- Researching claims for proper disposition which may include communication via phone and/or written correspondence with customers, businesses and others.
- Adjudication of claims relative to all state and local laws and compliance as well as internal processes and procedures.
Requirements
- Customer First Principles demonstrated through excellent verbal, written and interpersonal communication skills
- High School Diploma or Higher-level education.
- Passion for exceptional service
- Strong phone skills
- Ability to adapt to multiple demands, shifting priorities and rapid changes in workflow
- Ability to demonstrate initiative with minimal supervision to drive results
- Strong problem-solving skills, time management and organizational skills
- Superior level of accuracy and attention to detail.
- Strong proficiency in PC skills, including MS Word and Excel
- 1 year of Insurance or Customer Service industry experience
- A current Claims Adjuster License is a plus
- If a license is not currently held, the applicant must be able to obtain the necessary license during the time frame allowed prior to training. Upon hiring, candidate will have 2 attempts to pass the 1336-Arizona Property and Casualty Adjuster Licensing Exam.
- If the exam to obtain your license cannot be passed, within 2 attempts, employment will be terminated
- For FL Candidates: If a license is not currently held, the applicant must be able to obtain the necessary license during the time frame allowed prior to training. Upon hiring, candidate will have 2 attempts to pass the InsFL- ALJ16:FLA All Lines Adjuster (0620,0720,7020 ) Licensing Exam.
- If the exam to obtain your license cannot be passed, within 2 attempts, employment will be terminated
Nice-to-haves
- A current Claims Adjuster License is a plus
Benefits
- Competitive base salaries
- Bonus incentives
- 6% Company Match on retirement savings plan
- Free financial coaching and financial well-being support
- Comprehensive medical, dental, vision, life insurance, and disability benefits
- Flexible working model with hybrid, onsite or virtual arrangements depending on role and business need
- 20+ weeks paid parental leave for all parents, regardless of gender, offered for pregnancy, adoption or surrogacy
- Free access to global on-site wellness centers staffed with nurses and doctors (depending on location)
- Free and confidential counseling support through our Healthy Minds program
- Career development and training opportunities
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