Sr Claim Examiner Team Lead

Senior Claim Examiner Team Lead

Continental General Insurance Company - Austin, TX 78717

Looking to join a growing company dedicated to helping others? We offer that, plus competitive salaries, great culture, and a relaxed environment. This position allows for a fully remote or hybrid work environment which consists of 2 days per week in the office and 3 days per week remote, if desired. Join our team to help make a difference in the lives of others.

About Continental General

The Continental Insurance family of companies has provided Long Term Care Insurance to individuals and groups for over 30 years and currently provides Long Term Care coverage to approximately 55,000 lives. Continental Insurance, Inc. is primarily focused on managing the Long Term Care Insurance portfolio of its insurance company subsidiaries and pursuing opportunities to expand its Long Term Care Insurance portfolio through acquisitions and strategic partnerships.

The Position:

Investigates and maintains claims:
Reviews and evaluates coverage and / or liability.
Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records or other documents) to assist in the investigation of claims.

May affect settlements / reserves within prescribed limits; submits recommendations to supervisor on cases exceeding personal authority.

Conveys moderately 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.

May provide guidance and assistance to lower level positions and other functional areas

Performs other duties as assigned.

JOB PROFILE

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.

Bachelor's Degree or equivalent experience

3 -5 years of related experience

Works within significant limits and authority on assignments of higher complexity and coordination.
Possesses demonstrated technical knowledge and skills, including product and industry knowledge, reflective of successful progression through various job family levels
Performs work under general supervision.