Insurance Claims Representative

Posted 10 Days Ago
Be an Early Applicant
2 Locations
Hybrid
Junior
Fintech • Financial Services
The Role
Investigate and adjudicate retail insurance claims using internal tools, ensure state compliance (including Medicare), communicate with customers and businesses by phone and written correspondence, make timely claim decisions, and obtain required adjuster licensing. Hybrid role based in Phoenix, AZ or Sunrise, FL.
Summary Generated by Built In

AMEX Assurance Co. (AAC) provides insurance protection for American Express Card Members through implicit card benefits, and fee/add-on insurance products to both Card Members and non-Card Members. This role provides an exciting opportunity to handle claims for the Retail products with growth into specialty lines products in the AMEX Assurance Co. Insurance portfolio over time.

Responsibilities
  • Investigation of policy and product information by using tools available.
  • Maintaining state compliance for reporting, Medicare, insurance claims and audit functions relative to the AAC claims team related to claims adjudication.
  • Decision making of claims for these products, as well as direct phone interaction with the customer to ensure timely decisions
  • Researching claims for proper disposition which may include communication via phone and/or written correspondence with customers, businesses and others.
  • Adjudication of claims relative to all state and local laws and compliance as well as internal processes and procedures. 
  • This position is based in Phoenix, AZ or Sunrise, FL and the ideal candidate will work a minimum of 3 days onsite / 2 days remotely. The ideal candidate will work a flexible schedule between the hours of operation: Monday - Friday - 6:00am - 5:00pm MST and may be asked to work rotational weekends.
Qualifications

Minimum Qualifications:

  • 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 skills, time management and organizational skills
  • Superior level of accuracy and attention to detail.
  • Strong proficiency in PC skills, including MS Word and Excel
  • 1 year of Insurance or Customer Service industry experience
  • A current Claims Adjuster License is a plus.
    Additional Requirements:
  • If a license is not currently held, the applicant must be able to obtain the necessary license during the time frame allowed prior to training. Upon hiring, candidates will have 3 attempts to pass the 1336-Arizona Property and Casualty Adjuster Licensing Exam.   If the exam to obtain your license cannot be passed, within 3 attempts, employment will be terminated
  • For FL Candidates: If a license is not currently held, the applicant must be able to obtain the necessary license during the time frame allowed prior to training. Upon hiring, candidates will have 3 attempts to pass the Ins FL- ALJ16:FLA All Lines Adjuster (0620,0720,7020) Licensing Exam.   If the exam to obtain your license cannot be passed, within 3 attempts, employment will be terminated.
    Employment eligibility to work with American Express in the United States is required as the company will not pursue visa sponsorship for these positions.
     
About Us

At American Express, our culture is built on a 175-year history of innovation, shared values and Leadership Behaviors, and an unwavering commitment to back our customers, communities, and colleagues. From delivering differentiated products to providing world-class customer service, we operate with a strong risk mindset, ensuring we continue to uphold our brand promise of trust, security, and service.

As part of Team Amex, you’ll experience our powerful backing with comprehensive support for your holistic well-being and many opportunities to learn new skills, develop as a leader, and grow your career. Here, your voice and ideas matter, your work makes an impact, and together, you will help us define the future of American Express.

About the Team

We back you with benefits that support your holistic well-being so you can be and deliver your best. This means caring for you and your loved ones' physical, financial, and mental health, as well as providing the flexibility you need to thrive personally and professionally:

  • 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

For a full list of Team Amex benefits, visit our Colleague Benefits Site.

American Express is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law. American Express will consider for employment all qualified applicants, including those with arrest or conviction records, in accordance with the requirements of applicable state and local laws, including the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance for Employers, and the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. For positions covered by federal and/or state banking regulations, American Express will comply with such regulations as it relates to the consideration of applicants with criminal convictions.

We back our colleagues with the support they need to thrive, professionally and personally. That's why we have Amex Flex, our enterprise working model that provides greater flexibility to colleagues while ensuring we preserve the important aspects of our unique in-person culture. Depending on role and business needs, colleagues will either work onsite, in a hybrid model (combination of in-office and virtual days) or fully virtually.

US Job Seekers - Click to view the “Know Your Rights” poster. If the link does not work, you may access the poster by copying and pasting the following URL in a new browser window: https://www.eeoc.gov/poster.


The below represents the expected salary range for this job requisition. Ultimately, in determining your pay, we’ll consider your location, experience, and other job-related factors.​

Skills Required

  • Excellent verbal, written and interpersonal communication skills
  • High School Diploma or higher
  • Passion for exceptional service
  • Strong phone skills
  • Ability to adapt to multiple demands, shifting priorities and rapid workflow changes
  • Demonstrate initiative with minimal supervision to drive results
  • Strong problem-solving, time management, and organizational skills
  • Superior accuracy and attention to detail
  • Proficiency in PC skills, including Microsoft Word and Microsoft Excel
  • 1 year of Insurance or Customer Service industry experience
  • Current Claims Adjuster License
  • If unlicensed, must obtain required state adjuster license and pass AZ 1336 or FL All Lines Adjuster exam within 3 attempts or employment will be terminated
  • Based in Phoenix, AZ or Sunrise, FL and able to work minimum 3 days onsite / 2 days remote; flexible schedule (Mon-Fri 6:00am-5:00pm MST) and may work rotational weekends
  • Employment eligibility to work in the United States; employer will not pursue visa sponsorship

American Express Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about American Express and has not been reviewed or approved by American Express.

  • Healthcare Strength Pay is often viewed as attractive when combined with comprehensive health, dental, and vision coverage that supports day-to-day needs. The benefits package is also framed as especially helpful for those supporting dependents.
  • Retirement Support Retirement benefits are positioned as a meaningful part of total rewards through a 401(k) plan with company matching. Financial wellness services and coaching are also highlighted as strengthening longer-term financial security.
  • Leave & Time Off Breadth Paid time off is repeatedly characterized as generous and a valued component of the overall package. Time off and flexibility are presented as helping the total rewards feel more complete beyond base salary.

American Express Insights

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The Company
HQ: New York, NY
100,703 Employees
Year Founded: 1850

What We Do

At American Express, we know that with the right backing, people and businesses have the power to progress in incredible ways. Whether we’re supporting our customers’ financial confidence to move ahead, taking commerce to new heights, or encouraging people to explore the world, our colleagues are constantly striving to uphold our powerful backing promise to our customers and each other every day. These beliefs have been our North Star for 170 years as our business transformed – from helping evacuate travelers during World Wars, to ensuring the safety of our customers’ funds during the Great Depression in the U.S., to creating the Shop Small® movement to help small businesses recover from the Financial Crisis, to providing aid to communities impacted by many natural disasters and so much more. For generations, the key to our success has been the determination and resilience of our American Express colleagues. Now, as a globally integrated payments company, we work together to provide customers with access to products, insights and world-class experiences that enrich lives and build business success. Join us and let’s lead the way together.

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