Claims Specialist

Argonaut Management Services, Inc
paid time off, 401(k)
United States, Missouri, Springfield
Jul 22, 2025
Argo Group International Holdings, Inc.and American National, US based specialty P&C companies, (together known as BP&C, Inc.) are wholly owned subsidiaries of Brookfield Wealth Solutions, Ltd. ("BWS"), a New York and Toronto-listed public company. BWS is a leading wealth solutions provider, focused on securing the financial futures of individuals and institutions through a range of wealth protection and retirement services, and tailored capital solutions. Job Description Are you looking for the next step in your insurance career? American National is hiring a Claims Specialist in our MedPay/PIP division. You will represent the American National property and casualty auto claims division, as you elevate the client experience and adjust moderate to more complex level MedPay and personal injury protection (PIP) auto claims. To thrive in this role, you must have strong customer service skills, enjoy investigation, research, follow-up, and providing support to others in their time of need. You should also have the ability to use available resources and be an analytical thinker. What You'll Do * Promptly adjust personal and commercial lines MedPay/PIP auto claims across the U.S. while adhering to company best practices and state and federal statutes and regulations * Complete thorough coverage investigations, assess/apply the appropriate order of priority, send reservations of rights, and coverage disclaimers when appropriate * Communicate directly with injured parties and/or their attorneys and medical providers on coverage, treatment, and payment status * Obtain and review necessary medical documentation to set appropriate reserves and subsequently monitor for accuracy * Identify potential fraud indicators and subrogation opportunities throughout the life cycle of the file. * Review and recognize complex issues that require presentation to management, in-house counsel, defense counsel, and internal committee * Navigate PIP arbitrations via phone and email * Provide backup assistance to team members when necessary * Complete ongoing continuing education to maintain active adjuster license(s) * Review and interpret medical bills and records as they relate to auto accidents * Maintain compliance by addressing medical bills timely and accurately * Navigate vendor computer program to pay medical bills on a daily basis * Maintain Medicare compliance * Identify UM/UIM potential What You'll Need * Auto claims adjusting and/or relevant work experience considered: (Medical, Legal, Insurance, Law enforcement, Customer Service background(s) * Currently hold an appropriate state adjuster license or obtain following date of hire (American National will incur fees associated / No out of pocket expenses) * Ability to prioritize, work independently, and make sound decisions * Ability to be analytical when reviewing details and documents What Will Set You Apart * Four-year degree in relevant field * Understanding of statutes, case laws, and policy contracts * Experience with Mitchell & Guidewire preferred, or similar billing and claims management systems Position is posted between $51,000.00 sand $81,000.00 *PLEASE NOTE:* Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas. If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400. Notice to Recruitment Agencies: Resumes submitted for this or any other position without prior authorization from Human Resources will be considered unsolicited. BWS and / or its affiliates will not be responsible for any fees associated with unsolicited submissions. We are an Equal Opportunity Employer. We do not discriminate on the basis of age, ancestry, color, gender, gender expression, gender identity, genetic information, marital status, national origin or citizenship (including language use restrictions), denial of family and medical care leave, disability (mental and physical) , including HIV and AIDS, medical condition (including cancer and genetic characteristics), race, religious creed (including religious dress and grooming practices), sex (including pregnancy, child birth, breastfeeding, and medical conditions related to pregnancy, child birth or breastfeeding), sexual orientation, military or veteran status, or other status protected by laws or regulations in the locations where we operate. We do not tolerate discrimination or harassment based on any of these characteristics. The collection of your personal information is subject to ourHR Privacy Notice Benefits and Compensation We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program-including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.