Demo

Claim Team Lead

Continental General
Austin, TX Full Time
POSTED ON 1/28/2025
AVAILABLE BEFORE 3/27/2025

Looking to join a growing company dedicated to helping others? We offer that, plus competitive salaries, a culture of learning, and a fast-paced environment. This is a hybrid position with 3 days in-office. Join our team to help make a difference in the lives of others!

About Continental General:

The Continental General family of companies has provided insurance, including life and long-term care policies, to individuals and groups for over 30 years, and currently supports over 100,000 policyholders. Both our insurance company, Continental General Insurance Company, and our third-party administrator, Continental General Services, are committed to the continuous development of our infrastructure, processes, and people. The group is actively growing through expansion of both its insurance portfolio and its administrative services. With each opportunity, we take a collaborative approach to address challenges and provide unique solutions.

ESSENTIAL JOB FUNCTIONS

  • Investigates and maintains claims of a higher complexity, and provides guidance to understaff on claims of various complexities:
    • Reviews and evaluates coverage and / or liability.
    • Secures and analyzes necessary information to review and pay claim benefits (i.e., reports, policies, appraisals, releases, statements, records, or other documents).
  • May affect settlements / reserves within prescribed limits; submits recommendations to supervisor on cases exceeding personal authority.
  • Conveys more complex information (coverage, decisions, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
  • Ensures that claims payments are issued in a timely and accurate manner.
  • Ensures claims handling is conducted in compliance with applicable statues, regulations, and other legal requirements, and that all applicable company procedures and policies are followed.
  • Provides technical to lower-level positions and other functional areas.
  • Leads the work of others (methods, prioritizes, delegates, and reviews assignments)
  • Performs other duties as assigned.

Note: Applicants must be authorized to work for a U.S. employer without sponsorship. We are unable to sponsor or take over sponsorship of an Employment Visa at this time or at any time in the future.

Education: Bachelors Degree or equivalent experience

Field of Study: Liberal Arts, Business, or a related discipline

Experience: 10 or more years of related experience

Scope of Job:

  • Works at the highest authority limits on assignments reflecting the highest degree of technical complexity and coordination.
  • Possesses a high and extensive level of technical knowledge and skills, including product and industry.
  • Recognized as a functional expert within the department.
  • Next step in a traditional career progression may be a supervisor role.
  • Possesses good verbal and written communication skills.
  • Performs work under minimal supervision.

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