Are you looking for the next step in your insurance career? American National is hiring a Claims Specialist in our MedPay/PIP division. You will represent the American National property and casualty auto claims division, as you elevate the client experience and adjuster moderate to more complex level MedPay and personal injury protection (PIP) auto claims. To thrive in this role, you must have strong customer service skills, enjoy investigation, research, follow-up, and providing support to others in their time of need.
What You'll Do
• Promptly adjust personal and commercial lines MedPay/PIP auto claims across the U.S. while adhering to company best practices and state Fair Claim Practice Guidelines
• Complete thorough coverage investigations, assess/apply the appropriate order of priority, send reservations of rights, and coverage disclaimers when appropriate
• Communicate directly with injured parties and/or their attorneys and medical providers on coverage, treatment, and payment status
• Obtain and review necessary medical documentation to set appropriate reserves and subsequently monitor for accuracy
• Identify potential fraud indicators and subrogation opportunities throughout the life cycle of the file.
• Review and recognize complex issues that require presentation to management, in-house counsel, defense counsel, and internal committee
• Navigate PIP arbitrations via phone and email
• Provide backup assistance to team members when necessary
• Complete ongoing continuing education to maintain active adjuster license(s)
What You'll Need
• Auto claims adjusting and/or relevant work experience considered: (Medical, Legal, Insurance, Law enforcement, Customer Service background(s)
• Currently hold an appropriate state adjuster license or obtain following date of hire (American National will incur fees associated / No out of pocket expenses)
• Experience handling NY/NJ/CT PIP claims
• Ability to prioritize, work independently, and make sound decisions
What Will Set You Apart
• Four-year degree in relevant field
• Understanding of statutes, case laws, and policy contracts
• Experience with Mitchell & Guidewire preferred, or similar billing and claims management vendors
Salary for this position can range from $50914.50 for candidates who are minimally qualified through $76362.00 for more highly qualified candidates. Candidates outside of the range are encouraged to apply, and will be considered based on experience, skill and education.
American National offers eligible employees and their families medical, dental, vision, and basic life insurance. Employees are able to enroll in our company’s 401k plan. Employees also receive annually a bank of paid time off and paid holidays. We aspire to see people for what they bring to our corporate culture by supporting an inclusive work environment, including an emphasis on a healthy work-life balance, development opportunities, and a casual dress code.
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. 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.
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. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role, but your past experience doesn’t align perfectly with the job qualifications, we still encourage you to apply. You may be just the right candidate for this position or other opportunities at American National.
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
American National is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, genetic information or any other legally protected categories. American National is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities.