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.
- 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
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.