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Claims Examiner II

Galveston, TX, US, 77550


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.  We’ve been recognized by Forbes as one of America’s most trustworthy financial companies and best mid-sized employers. 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.

 

What’s in it for you?

American National supports a comfortable, diverse, and inclusive work environment, following a casual dress code and focus on healthy work-life balance. We understand that comprehensive benefits are important which is why we offer a generous package that includes: medical, dental, vision, short and long-term disability, life insurance, flexible spending accounts, matching 401(k), paid time off, paid holidays, tuition reimbursement, health-wellness initiatives, and a volunteer program where employees are provided PTO for giving their time to a charity of choice, and referral bonuses! We also offer a comprehensive wellness program that includes onsite fitness centers and classes or discounted gym memberships, free health screenings, free flu shots, and more.

<span style="font-family:"Georgia",serif">Claims Examiner II

<span style="font-family:"Georgia",serif">American National is seeking a full-time team member to join our Health Claims team in Galveston, Texas! The Claims Examiner II is responsible for the evaluation and settlement of Medicare supplement and low-level complexity claims. The ideal candidate should be a strong communicator who is comfortable in a fast-paced work environment, an effective multi-tasker, an efficient time manager, goal-oriented, and could work both autonomously and as a team. If your qualifications and interest align with this opportunity, we invite you to apply today! 

 

<span style="font-family:"Georgia",serif">Responsibilities

  • <span style="font-family:"Georgia",serif">Processes a Disability claim  by reviewing the eligibility, diagnosis, services rendered, employer’s statement and medical records under the plan’s benefits, limitations and exclusions
  • <span style="font-family:"Georgia",serif"><span style="font-family:"Georgia",serif">Process a Life claim by reviewing the  Death certificate, eligibility, cause of death, Request for payment form under the plan’s benefits, limitations and  exclusions
  • <span style="font-family:"Georgia",serif"><span style="font-family:"Georgia",serif">Update and distribute reporting for this area
  • <span style="font-family:"Georgia",serif"><span style="font-family:"Georgia",serif">The individual claim authority limit equals up to $12,500
  • <span style="font-family:"Georgia",serif"><span style="font-family:"Georgia",serif">Handles all lines of business with a low to high level, depending on  complexity and stage of training
  • <span style="font-family:"Georgia",serif"><span style="font-family:"Georgia",serif">Demonstrates responsibility for investigating coverage issues and/or liability, as needed
  • <span style="font-family:"Georgia",serif"><span style="font-family:"Georgia",serif">Ensures compliance with state regulations and requirements
  • <span style="font-family:"Georgia",serif"><span style="font-family:"Georgia",serif"> Focuses primarily on proper fact-finding, investigation and resolution of all claims of low-level complexity
     

<span style="font-family:"Georgia",serif"><span style="font-family:"Georgia",serif">Qualifications

  • <span style="font-family:"Georgia",serif">High School diploma required: 2-year completed degree preferred or equivalent industry work experience may be considered
  • <span style="font-family:"Georgia",serif"><span style="font-family:"Georgia",serif">Insurance industry or medical field experience, preferred
  • <span style="font-family:"Georgia",serif"><span style="font-family:"Georgia",serif">Completion of America's Health Insurance Plans (AHIP) or LOMA introductory courses, preferred
  • <span style="font-family:"Georgia",serif"><span style="font-family:"Georgia",serif">Basic knowledge of Microsoft Office Products (Word, Excel)
  • <span style="font-family:"Georgia",serif"><span style="font-family:"Georgia",serif">Basic knowledge of claims payment system and document routing software, preferred
  • <span style="font-family:"Georgia",serif"><span style="font-family:"Georgia",serif">Ability to work in a fast-paced environment
  • <span style="font-family:"Georgia",serif"><span style="font-family:"Georgia",serif">Excellent written and verbal communication 

 

 

Hiring Practices

The preceding job posting was designed to indicate the general nature and level of work performed by employees assigned to this position. It is not intended to be interpreted as a comprehensive list of all duties, responsibilities, and qualifications.

 

American National’s recruitment policies help us place individuals in a timely and efficient manner. Only the most qualified candidates will be contacted by our recruiting team. Candidates may check the status of their application(s) by logging into our Career Portal.

 

Learn more about our company, by following us on social media: LinkedIn, Facebook, Instagram, Twitter: @CareerswithAN

 

American National is an equal opportunity employer, committed to enhancing a diverse and inclusive environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, gender, gender expression, national origin, veteran status, disability or any other legally protected categories.

 


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“If you believe you can make a difference in the lives of our clients, if you’re willing to work hard, if you want a fulfilling career, and if your values match ours, then I want you to work for American National. ” – James Pozzi, President and CEO.

 

 

 


Nearest Major Market: Galveston
Nearest Secondary Market: Houston

Job Segment: Claims, Social Media, Liability, Insurance, Marketing

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