Claims Examiner jobs in Austin, TX

Description

Claims Examiner II

Continental General Insurance Company - Austin, TX 78717

Looking to join a growing company dedicated to helping others? We offer that, plus competitive salaries, great culture, and a relaxed environment. This position allows for a fully remote or hybrid work environment which consists of 2 days per week in the office and 3 days per week remote, if desired. Join our team to help make a difference in the lives of others.

About Continental General

The Continental Insurance family of companies has provided Long Term Care Insurance to individuals and groups for over 30 years and currently provides Long Term Care coverage to approximately 55,000 lives. Continental Insurance, Inc. is primarily focused on managing the Long Term Care Insurance portfolio of its insurance company subsidiaries and pursuing opportunities to expand its Long Term Care Insurance portfolio through acquisitions and strategic partnerships.

The Position:

Investigates and maintains basic claims:
Reviews and evaluates coverage and / or liability.
Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records or other documents) to assist in the investigation of claims.

May affect settlements / reserves within prescribed limits; submits recommendations to supervisor on cases exceeding personal authority.

Conveys simple to moderately complex information (coverage, decisions, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations

Ensures that claims payments are issued in a timely and accurate manner.

Ensures claims handling is conducted in compliance with applicable statues, regulations and other legal requirements, and that all applicable company procedures and policies are followed.

Performs other duties as assigned.

Qualifications

JOB PROFILE

High School Diploma

3 -5 years of related experience

Works within significant limits and authority on assignments of higher complexity and coordination.
Handles claims of high frequency and low severity
Possesses demonstrated technical knowledge and skills, including product and industry knowledge, reflective of successful progression through various job family levels
Performs work under general supervision.