Job Description

American Amicable is seeking a Claims Analyst to join our Claims team! The Claims Analyst processes life disability and waiver of premium claims; answers questions and provides customer assistance to all policyholders/agents and funeral homes regarding policy and claim status via telephone e-mail or fax.

Your Day to Day

• Processes and pays claims within established guidelines. Includes determination of in-force coverage obtaining the necessary requirements through telephone and written contacts verifying completeness calculation of the actual benefits payable to include calculations of death benefits interest dividends premium variances fund interest etc.
• Prepares letters and updates claims system for ready to process claims.
• Conducts research on beneficiaries physicians records medical facilities legal documents and other important data needed to make claims decisions.
• Processes paid incontestable claims including correspondence accounting and file maintenance.
• Approves claims with a payout of $20000 or less during a probationary period then release for higher claim amounts based on performance.
• Files and processes reinsurance when applicable.
• Prepares and mails IRS Form 712.
• Monitors suspense accounts
• Records and maintains information for year-end tax reporting.
• Cross-trains with Claims Analysts to be able to support various tasks and duties in the absence of coworkers.
• Communicates with customers through inbound and outbound phone calls written correspondence and e-mail to ensure successful claim processing.
• Keeps records of customer interactions recording details of inquiries complaints and comments as well as actions taken.
• Maintains a familiarity with the details of Company products and policies and a working knowledge of where to get assistance in responding to inquiries. Participates in special projects and assignments.
• Assists with incoming telephone calls and work overflow for various Claims functions.

What You Have

• High school diploma or general education degree (GED).
• Proficiency as a Senior Claims Specialist; normally demonstrated though 2 years of Claims experience.
• Life claims experience preferred but not required.
• Ability to type a minimum of 35 wpm.

We Offer

• Competitive Benefits (Medical Dental Vision Short- and Long-Term Disability 401K w/ match PTO and more!)
• A Human Approach
• Career Advancement
• Professional Development Opportunities

#LI-BW

Applicants must be authorized to work for any employer in the U.S. We are unable to support or take over sponsorship of employment visas at this time including H-1B visas and participation in STEM OPT work authorizations.

Company

Posting End Date

About us

American Amicable is a part of iA Financial Group one of the largest insurance and wealth management groups in North America. Our headquarters is in Waco TX. Tracing its roots back to 1910 the American-Amicable Life Insurance Company of Texas is a progressive special markets insurer. The Company offers innovative life insurance and annuity products developed to target the individual needs of protection wealth creation and estate preservation.

iA Financial Group is the fourth largest life and health insurance company in Canada and offers a wide range of products for all stages of life and to meet the needs of clients across its vast sales network. Founded in 1892 iA Financial Groups stability and solidity make it an employer of choice that invests in its employees and their development over the long term. Our CEO Denis Ricard won #1 Insurance CEO in Canada from Glassdoor!

Our Commitment to Diversity and Inclusion

At iA American we support and celebrate diversity. We strive to provide a workplace that is recognized as inclusive for all regardless of ethnic origin nationality language religious beliefs gender sexual orientation age marital status family situation or physical or mental disability.

Please note that if you need help or assistance to make the recruitment process more accessible for you please contact us. Someone from our team will be happy to assist you.