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Insurance Claims Adjuster
American Express. Investigate policy and product information using available tools .
About the role
Key responsibilities & impact- Investigate policy and product information using available tools
- Maintain state compliance for reporting, Medicare, insurance claims, and audit functions related to claims adjudication
- Make claims decisions for AAC Embedded NAC and fee-based products
- Interact directly by phone with customers and vendors to ensure timely decisions and claim progression
- Research claims for proper disposition through phone or written correspondence with customers, businesses, and others
- Adjudicate claims according to state and local laws, compliance requirements, and internal processes
- Develop and maintain department training for claims colleagues in partnership with leaders and other business areas
- Deliver training materials to individuals and groups on claims processes, investigation, adjudication, and decision-making
- Maintain and monitor training materials for the AAC Claims team
- Provide leaders with insights on training needs and trainee learning and development trends
Requirements
What you’ll need- 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, time management, and organizational skills
- Superior accuracy and attention to detail
- Strong proficiency in PC skills, including MS Word and Excel
- Employment eligibility to work with American Express in the United States; the company will not pursue visa sponsorship
- A current Claims Adjuster License is a plus
- If not currently licensed, ability to obtain the necessary license before training; upon hiring, candidate has three attempts to pass the Arizona Licensing exam
Benefits
Comp & perks- 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