Claims Analyst

Claims Analyst

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, physician's 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 $20,000 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

We Offer

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.

American-Amicable Life Insurance Company of Texas

Posting End Date : 2025-11-30