Entry Level Claims Representative

Claims Representative

As an Entry Level Claims Representative, you will work in a fast-paced, ever-changing environment where claim information must be processed quickly, accurately, and efficiently. You will be responsible for the investigation, evaluation, and settlement of claims. This includes analyzing and determining coverage, conducting thorough claim investigations, evaluating the overall claim, and communicating promptly with internal and external parties. Adjusters are required to understand and comply with insurance regulations, state statutes, policy provisions, and case law accordingly.

What You'll Do

• Manage claims from various books of business, including RealPage, GAP, & Collateral Protection
• Manage a high volume of claims while maintaining appropriate documentation of all claim files and, at the same time, adhering to established quality standards and turnaround performance guarantees
• Evaluate investigation results and handle claims to finality within designated settlement authority and claims management guidelines
• Conduct research by email and phone with a variety of people (internal and external) to gather information necessary to continue or complete the review of a claim
• Draft professionally written correspondence regarding various aspects of the claim
• Maintain current claim diary, workplan, and activities via the claims systems
• Document and communicate claim status and decisions in a clear and organized manner to all interested parties, to include providing appropriate explanations for claim denials
• Recognize and properly address coverage issues and potential fraud, and determine when to escalate concerns to the appropriate level of management
• Demonstrate in-depth understanding of coverage issues, policy forms, contracts, privacy regulations, and regulatory requirements to include the Unfair Claims Practices Act
• Handle incoming calls to assist claimants, financial institutions, and agents
• Exercise an innovative mind-set; look for ways to improve claim efficiencies and outcomes

What You’ll Need

American National offers eligible employees and their families medical, dental, vision, and basic life insurance. Employees are able to enroll in our company’s 401k plan. Employees also receive annually a bank of paid time off and paid holidays. We aspire to see people for what they bring to our corporate culture by supporting an inclusive work environment, including an emphasis on a healthy work-life balance, development opportunities, and a casual dress code.

American National is an established, stable, and successful multi-line insurance corporation that has provided financial strength and a sense of security to employees, customers and business partners since 1905. With focus on our organization’s values and cultural richness :  Financial Strength, Integrity, Respect, Service and Teamwork (FIRST) and Agility, Collaboration, and Engagement (ACE) we continue to pursue our vision to be a leading provider of financial products and services for current and future generations.