Insurance Claims Adjuster

Job Description

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 supports AAC Claims Operations by providing compliance reporting, claims audit reviews for retail and specialty lines products, maintenance of claims processes and controls, and handling claims for the Retail and specialty lines products in the AMEX Assurance Co. Insurance portfolio on an as needed basis. In this role the chosen candidate will have the unique opportunity to combine claims servicing, operational oversight, and data analysis to drive timely, informed decision-making and high-quality customer support.

Responsibilities

• Lead claims reporting, payment research, and audit alignment to maintain accuracy and efficiency
• Analyze operational data to support compliance and improve claims decision-making
• Manage inbound and outbound communications to resolve claims and support customers and partners
• Develop and maintain process maps, testing protocols, and reporting frameworks
• Research policy/product details to initiate claims and ensure complete, accurate documentation for customers
• Ensure compliance with Medicare reporting standards
• Perform audits on open claims across Retail and Specialty Lines
• Provide support for claims processing as needed

Qualifications

Minimum Qualifications

• 2 years of Customer Service experience
• Customer First Principles proven through excellent verbal, written and interpersonal communication skills
• Passion for outstanding service
• Ability to adapt to multiple demands, shifting priorities and rapid changes in workflow
• Ability to demonstrate initiative with minimal supervision to get 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
• A current Claims Adjuster License - 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, candidate will have 2 attempts to pass the Arizona Licensing exam. If the exam, to obtain your license, cannot be passed within 2 attempts, employment will be terminated.

Preferred Qualifications

• Travel and Medical Claims experience
• Insurance, Medical or Travel Industry experience

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

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.
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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.​