Claims Examiner

Continental General; Austin (TX); Hybrid; USD 40,000 - 60,000; Full time

Benefits offered by this job

401(k) with company match

Comprehensive medical insurance

20 days of PTO

Paid volunteer time off

Flexible work options

Weekly paid lunch for onsite staff

Job summary

A renowned insurance provider in Austin is seeking a motivated Claims Examiner I to manage and investigate basic insurance claims. This role involves ensuring timely resolution in compliance with company standards and evaluating coverage and liability. Candidates should have an Associate's Degree and over 3 years of related experience. The position offers a competitive salary, benefits, and a hybrid work environment with opportunities for professional development and work-life balance.

Qualifications

• 3+ years of related experience in claims examination.
• Ability to gather and analyze documentation for claims.
• Knowledge of insurance coverage and liability.

Responsibilities

• Manage and investigate basic insurance claims.
• Evaluate coverage and liability for claims resolutions.
• Ensure compliance with legal and company standards.

Skills

Detail-oriented

Analytical skills

Time management

Communication skills

Education

Associate's Degree or equivalent experience

Job description

Looking to join a growing company dedicated to helping others? We offer that, plus competitive salaries, a culture of learning, and a fast-paced environment. This is a hybrid position with 3 days in-office. Join our team to help make a difference in the lives of others!

About Continental General

The Continental General family of companies has provided insurance, including life and long-term care policies, to individuals and groups for over 30 years, and currently supports over 100,000 policyholders. Both our insurance company, Continental General Insurance Company, and our third-party administrator, Continental General Services, are committed to the continuous development of our infrastructure, processes, and people. The group is actively growing through expansion of both its insurance portfolio and its administrative services. With each opportunity, we take a collaborative approach to address challenges and provide unique solutions.

Position Summary:

We are seeking a detail-oriented and motivated individual to join our team as a Claims Examiner I. In this role, you will be responsible for managing and investigating basic insurance claims, ensuring timely and accurate resolution in compliance with legal and company standards. You will evaluate coverage and liability, gather and analyze relevant documentation, and make recommendations on settlements within your authority.

Essential Job Functions and Responsibilities

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

• Associate's Degree or equivalent experience
• 3+ years of related experience
• Performs standard duties utilizing routine procedures on assignments of low complexity or of a repetitive nature.
• Possesses procedural knowledge and skills that enable task accomplishment.
• Performs work under close supervision.

Why Join Us?

• Competitive salary and benefits, including 401(k), health insurance, and performance-based bonuses.
• Collaborative and fast-paced work environment.
• Professional development and growth opportunities within the finance and investment space.
• Competitive Salary & Target Bonus Program
• Retirement Savings – 401(k) with a company match
• Comprehensive Medical insurance through BlueCross BlueShield of Texas. Company-paid dental, vision, short-term & long-term disability, and life insurance.
• Work-Life Balance – This role offers 20 days of PTO, 10 paid holidays, and paid volunteer time off.
• Flexible Work Options & Perks – Hybrid opportunity, wellness programs, and weekly paid lunch for onsite staff.
• Health Savings Accounts (HSA) & Flexible Spending Accounts (FSAs) – Includes a company match for HSAs.