Claims Examiner

OneMain Financial; Fort Worth (TX); On-site; USD 42,000 - 58,000; Full time

Job summary

OneMain Financial in Fort Worth, TX is seeking a Claims Examiner to evaluate and process claims, ensuring they are payable, deferred, or declined in accordance with policy provisions and regulatory guidelines. You will enter data, gather information, perform benefit calculations, and communicate with customers by phone and written correspondence, delivering timely, professional service.

Join a team focused on accuracy, customer care, and continuous improvement in a company with a long history of

Qualifications

• High School diploma or equivalent required.
• Minimum 2+ years of general work experience.
• Strong analytical and problem-solving skills with attention to detail.
• Ability to evaluate claims against eligibility requirements and interpret policy language.
• Effective verbal and written communication skills.
• Basic math skills and proficiency in a PC environment, including Microsoft Office.
• Ability to build and maintain positive customer relationships.

Responsibilities

• Evaluate claims against eligibility requirements, provisions and processes.
• Enter and maintain accurate data in claims processing systems.
• Research and gather information to support claim decisions.
• Perform benefit calculations and conduct investigations.
• Communicate with internal and external customers via phone and written correspondence.
• Maintain positive customer relationships through professional interactions.
• Participate in departmental meetings, training activities, and continuous improvement initiatives.
• Support occasional special projects and other duties as assigned.

Skills

Analytical thinking

Problem solving

Attention to detail

Verbal communication

Written communication

Customer relations

Education

High School diploma or equivalent

Tools

Microsoft Office

Job description

The Claims Examiner position is responsible for evaluating and processing claims by performing all functions required to determine whether a claim is payable, deferred, or declined. This position ensures claims are handled in accordance with policy provisions, regulatory requirements, and company guidelines, while providing timely and professional correspondence to internal and external customers.

In the Role

• Evaluate claims against eligibility requirements, provisions and applicable processes
• Enter and maintain accurate data in claims processing systems, including written correspondence
• Research and gather additional information to support claim decisions
• Perform benefit calculations and conduct claim investigations
• Communicate with internal and external customers via phone and written correspondence
• Maintain positive customer relationships through professional and empathetic interactions
• Participate in departmental meetings, training activities, and continuous improvement initiatives
• Support occasional special projects and other duties as assigned

Requirements

• High School diploma or equivalent required
• Minimum 2+ year of general work experience
• Strong analytical and problem-solving skills with attention to detail
• Ability to evaluate claims against eligibility requirements and interpret policy language
• Effective verbal and written communication skills
• Basic math skills and proficiency in a PC environment, including Microsoft Office
• Ability to build and maintain positive customer relationships

OneMain Holdings, Inc. is an Equal Employment Opportunity (EEO) employer.

Qualified applicants will receive consideration for employment without regard to age, ancestry, citizenship status, color, creed, culture, disability, ethnicity, gender, gender identity or expression, genetic information or history, marital status, military status, national origin, nationality, pregnancy, race, religion, sex, sexual orientation, socioeconomic status, transgender or on any other basis protected by law.

OneMain Financial (NYSE: OMF) is the leader in offering nonprime customers responsible access to credit and is dedicated to improving the financial well-being of hardworking Americans.

Since 1912, we've looked beyond credit scores to help people get the money they need today and reach their goals for tomorrow.

Our growing suite of personal loans, credit cards and other products help people borrow better and work toward a brighter future.

In our more than 1300 community branches and across the U.S., team members help millions of customers solve critical financial needs, including debt consolidation, home and auto repairs, medical procedures and extending household budgets.

We meet customers where they want to be - in person, by phone and online.

At every level, we're committed to an inclusive culture, career development and impacting the communities where we live and work.

Getting people to a better place has made us a better company for over a century.

There's never been a better time to shine with OneMain.