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Claims Examiner

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<strong>Claims Examiner<br><br>(Full Time, Hourly, Non-Exempt)<br><br></strong><strong>Continental General - Austin, Texas<br><br></strong>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!<br><br><strong>About Continental General<br><br></strong>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.<br><br><strong>Position Summary<br><br></strong>We are seeking a detail-oriented and motivated individual to join our team as a <strong>Claims Investigator</strong>. In this role, you will be responsible for managing and investigating basic insurance claims, ensuring timely and accurate resolution in compliance with legal and company standards. You will evaluate coverage and liability, gather and analyze relevant documentation, and make recommendations on settlements within your authority.<br><br><strong>Essential Job Functions And Responsibilities<br><br></strong><ul><li>Investigates and maintains basic claims:</li><ul><li>Reviews and evaluates coverage and / or liability.</li><li>Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records or other documents) to assist in the investigation of claims.</li></ul><li>May affect settlements / reserves within prescribed limits; submits recommendations to supervisor on cases exceeding personal authority.</li><li>Ensures that claims payments are issued in a timely and accurate manner.</li><li>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.</li><li>Performs other duties as assigned.<br></li></ul><strong>Qualifications<br><br></strong><ul><li>Associate's Degree or equivalent experience</li><li>3+ years of related experience</li><li>Performs standard duties utilizing routine procedures on assignments of low complexity or of a repetitive nature.</li><li>Possesses procedural knowledge and skills that enable task accomplishment.</li><li>Performs work under close supervision.<br><br></li></ul><strong>Why Join Us?<br><br></strong><ul><li>Competitive salary and benefits, including 401(k), health insurance, and performance-based bonuses.</li><li>Collaborative and fast-paced work environment.</li><li>Professional development and growth opportunities within the finance and investment space.<br><br></li></ul><strong>Benefits<br><br></strong><ul><li>Competitive Salary & Target Bonus Program</li><li>Retirement Savings – 401(k) with a company match</li><li>Comprehensive Medical insurance through BlueCross BlueShield of Texas. Company-paid dental, vision, short-term & long-term disability, and life insurance.</li><li>Work-Life Balance – This role offers 20 days of PTO, 10 paid holidays, and paid volunteer time off.</li><li>Flexible Work Options & Perks – Hybrid opportunity, wellness programs, and weekly paid lunch for onsite staff.</li><li>Health Savings Accounts (HSA) & Flexible Spending Accounts (FSAs) – Includes a company match for HSAs.</li></ul>

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Common Interview Questions And Answers

1. HOW DO YOU PLAN YOUR DAY?

This is what this question poses: When do you focus and start working seriously? What are the hours you work optimally? Are you a night owl? A morning bird? Remote teams can be made up of people working on different shifts and around the world, so you won't necessarily be stuck in the 9-5 schedule if it's not for you...

2. HOW DO YOU USE THE DIFFERENT COMMUNICATION TOOLS IN DIFFERENT SITUATIONS?

When you're working on a remote team, there's no way to chat in the hallway between meetings or catch up on the latest project during an office carpool. Therefore, virtual communication will be absolutely essential to get your work done...

3. WHAT IS "WORKING REMOTE" REALLY FOR YOU?

Many people want to work remotely because of the flexibility it allows. You can work anywhere and at any time of the day...

4. WHAT DO YOU NEED IN YOUR PHYSICAL WORKSPACE TO SUCCEED IN YOUR WORK?

With this question, companies are looking to see what equipment they may need to provide you with and to verify how aware you are of what remote working could mean for you physically and logistically...

5. HOW DO YOU PROCESS INFORMATION?

Several years ago, I was working in a team to plan a big event. My supervisor made us all work as a team before the big day. One of our activities has been to find out how each of us processes information...

6. HOW DO YOU MANAGE THE CALENDAR AND THE PROGRAM? WHICH APPLICATIONS / SYSTEM DO YOU USE?

Or you may receive even more specific questions, such as: What's on your calendar? Do you plan blocks of time to do certain types of work? Do you have an open calendar that everyone can see?...

7. HOW DO YOU ORGANIZE FILES, LINKS, AND TABS ON YOUR COMPUTER?

Just like your schedule, how you track files and other information is very important. After all, everything is digital!...

8. HOW TO PRIORITIZE WORK?

The day I watched Marie Forleo's film separating the important from the urgent, my life changed. Not all remote jobs start fast, but most of them are...

9. HOW DO YOU PREPARE FOR A MEETING AND PREPARE A MEETING? WHAT DO YOU SEE HAPPENING DURING THE MEETING?

Just as communication is essential when working remotely, so is organization. Because you won't have those opportunities in the elevator or a casual conversation in the lunchroom, you should take advantage of the little time you have in a video or phone conference...

10. HOW DO YOU USE TECHNOLOGY ON A DAILY BASIS, IN YOUR WORK AND FOR YOUR PLEASURE?

This is a great question because it shows your comfort level with technology, which is very important for a remote worker because you will be working with technology over time...

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