Job Title: Tech Lead Guidewire Claim Center
Duration : 12+ Months Contract
Teams Meeting Interview
Job Description:
Experience level (Years): 10+ years
Mandatory required skills: Guidewire Claims Center, Guidewire Associate certification, Cloud APD
Should have knowledge on end-to-end claim life cycle(Segmentation, Exposure, Reserve, Payments,
Recovery, Subrogation, Salvage) in Guidewire ClaimCenter
Should have knowledge in Integration testing with external system
Should have knowledge on Personal Auto or Commercial Auto or Property Line of Business
Should be able to work independently with minimal guidance
Should be able to lead a team and provide proper status to all the stakeholders
Should have knowledge of Agile testing
Should have knowledge on Testing and Bug Life cycle
Experience in Claim Center digital application is added advantage
Knowledge on GT UI is added advantage
$41k-52k yearly est. 2d ago
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Claims Representative - North Richland Hills, TX
Federated Mutual Insurance Company 4.2
Claims adjuster job in North Richland Hills, TX
Who is Federated Insurance?
At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own.
Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values.
What Will You Do?
Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss.
No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients.
This is an in-office position that will work out of our North Richland Hills, TX office, located at 9151 Blvd 26 Suite 425B. A work from home option is not available.
Responsibilities
Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way.
Explain policy coverage to policyholders and third parties.
Complete thorough investigations and document facts relating to claims.
Determine the value of damaged items or accurately pay medical and wage loss benefits.
Negotiate settlements with policyholders and third parties.
Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars.
Minimum Qualifications
Current pursuing, or have obtained a four-year degree
Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields
Ability to make confident decisions based on available information
Strong analytical, computer, and time management skills
Excellent written and verbal communication skills
Leadership experience is a plus
Salary Range: $63,800 - $78,000
Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team.
What We Offer
We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You.
Employment Practices
All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization.
If California Resident, please review Federated's enhanced Privacy Policy.
$63.8k-78k yearly Auto-Apply 8d ago
Total Loss Adjuster, Personal Lines
Hallmark Financial Services 3.9
Claims adjuster job in Dallas, TX
The Total Loss Adjuster will handle first and third party total loss claims for all vehicle types including private passenger autos, trailers, RV's, motorcycles, boats, farm equipment, construction equipment, commercial vehicles and commercial trucking. The Total Loss Adjuster makes and maintains a connection with the customer by understanding and meeting their needs; exhibits empathy and proactively follows up with the customer. Researches and responds to a variety of customer communications, concerns, or issues ranging from simple to complex. Documents the claim file with notes, evaluations and decision making process. Evaluates, validates and negotiates simple to complex total losses.
Key Responsibilities:
Investigating, evaluating, and negotiating claims, in order to reach a fair and equitable settlement
Negotiates settlement of claims with insureds, claimants and attorneys while following established, authorized settlement authority.
Uses compassionate communication and persuasive negotiation to ensure a positive customer experience
Reviews claim details, coverage limits, the estimate and all associated charges to confirm Total Loss Evaluation
Handles all claims within the guidelines of the states' Fair Claims Practices Acts and other Regulations. Will act as specialist in knowledge of Salvage and Title laws of the various states to facilitate legal transfer of title and claim resolution
Communicates with Lien Holders, Body shops, tow facilities and other vendors to secure information needed to bring claim to a conclusion
Controls associated claims for Rental/Loss of Use and storage
Ensure timeliness and KPI's are being met
Work closely with the MD appraisers to ensure accurate and timely evaluations
Ensure claim files are properly documents and all documents are attached
Request documents needed to process titles and salvage of vehicles
Monitor Copart website for receipt of title documents
Maintains an up-to-date dairy
Identifies subrogation and SIU opportunities and follows Company procedures to notify the appropriate company personnel of same
Ensure compliance with Hallmark Best Practices
Adjusts reserves to accurately reflect the exposure
Issue payments to the appropriate parties
Other Responsibilities:
Attend and participate in team meetings
Attends and successfully completes all assigned training in a timely manner
Complete continuing education and maintain state licensing for states which require a license
Qualifications:
Decisive and purposeful
Strong moral character and work ethic
Independent and self starting
Strong verbal communication skills
Shows initiative, exhibits a “can do” attitude, and provide ideas while working within a team environment
Able to work in a high volume, collaborative, fast paced environment while managing multiple priorities
Highly organized
Detail oriented with strong analytical skills and sound judgement
Excellent time management skills to meet deadlines and prioritize
Problem solver
Adaptive and flexible
Strong negotiation skills
Education, Experience, Knowledge and Skills:
Excellent verbal and written communication skills.
Strong interpersonal skills
Demonstrated proficiency of technology including, Microsoft Suite Software (Word, Excel, Power Point, Outlook), Total Loss Manager, ACD, vendor databases and other required web-enabled applications
Ability to operate business technology
Superior telephone skills
Excellent math skills
Ability to draft business correspondence, using correct punctuation, spelling and grammar
Experience investigating, evaluating, negotiating and settling simple to complex Auto claims strongly preferred
Knowledgeable of laws and regulations as it applies to auto insurance industry
Bilingual preferred
Hallmark Financial Services is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
$48k-58k yearly est. Auto-Apply 43d ago
Independent Insurance Claims Adjuster in Arlington, Texas
Milehigh Adjusters Houston
Claims adjuster job in Arlington, TX
IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMSADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance ClaimsAdjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement.
Why This Opportunity Matters:
With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand.
As a Licensed ClaimsAdjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives.
This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation.
Join Our Team:
Are you actively working as a Licensed ClaimsAdjuster with 100 claims or more under your belt?
If so, that's great! If not, no problem! Let us help you on your career path as a Licensed ClaimsAdjuster.
You're welcome to sign up on our jobs roster if you meet our guidelines.
How We Can Help You Succeed:
At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claimsadjusting.
Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges.
Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claimsadjuster.
Don't miss out on this opportunity-let us assist you in advancing your career in claimsadjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals.
Seize the Opportunity Today!
Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed ClaimsAdjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews.
You can also find us on YouTube at: (*********************************************************
and Facebook at: (************************************************** for additional resources and updates.
APPLY HERE
#AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston
By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.
$45k-55k yearly est. Auto-Apply 60d+ ago
Professional Liability Adjuster
Berkshire Hathaway 4.8
Claims adjuster job in Dallas, TX
Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ “Superior” by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide.
Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path!
Benefits:
We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer!
Competitive compensation
Healthcare benefits package that begins on first day of employment
401K retirement plan with company match
Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays
Up to 6 weeks of parental and bonding leave
Hybrid work schedule (3 days in the office, 2 days from home)
Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation)
Tuition reimbursement after 6 months of employment
Numerous opportunities for continued training and career advancement
And much more!
Responsibilities
The Professional Liability Adjuster is responsible for conducting office investigations and adjusting Professional Liability and Error & Omission (E&O), Employment Practices Liability Insurance (EPLI), and Directors & Officers (D&O) Liability claims. The Adjuster is also responsible for, but not limited to:
Investigating losses and identifying coverage issues across Professional Liability, E&O, EPLO, and D&O lines
Obtaining and reviewing evidence, reports, and medical records
Establishing damages and reserves
Processing payments
Taking statements from insured's, claimants, and witnesses
Participating in Mediations
Qualifications
Active attorney license with at least 5 years of professional liability experience
Prior experience adjusting Professional Liability, E&O, EPLI, and D&O claims
Experience with Legal Malpractice preferred
Active Adjuster license is preferred
Strong understanding of employment law and corporate governance as it relates to EPLI and D&O exposures
Excellent written and verbal communication skills
Strong organizational and computer skills
Excellent time management skills with the ability to prioritize
$36k-43k yearly est. Auto-Apply 16h ago
Claims Adjuster I - State National
Markel 4.8
Claims adjuster job in Bedford, TX
What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it.
The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! Examine, analyze, and determine the extent of the company's liability concerning casualty or property loss or damages on claims filed. Calculate payments and approve payment of claims within a certain monetary limit.
Essential Functions:
Examine claim forms and other records to determine appropriate insurance coverage
Interpret account insurance coverage in order to settle claim
Analyze information obtained by investigation and report findings in order to evaluate claims and determine the coverage of loss or damage
Assess the extent of the loss or liability
Ensure that drafts are issued as claim payments are prepared and liability releases for adjustedclaims are obtained
Settle claims within prescribed limits of authority
Additional Responsibilities:
Responsible for complying with state laws, policies and company procedures
Other duties as assigned or required
Answer incoming calls and email correspondence directed to Claims Department
Knowledge/Skills/Abilities:
Knowledge of claimsadjusting
Knowledge of Collateral Protection Insurance and other products helpful
Basic Microsoft Office Skills (Word, Excel, Outlook and Internet Explorer) required
Typing of 45 wpm
Good attention to detail
Ability to multi-task
Good verbal and written communication skills
Good time management and organizational skills
Bilingual in Spanish a plus
InsurTrak knowledge helpful
Education/Experience:
High School Diploma or equivalent required; college degree preferred
P&C Adjuster License required, or equivalent adjuster support experience
1-3 years of claimsadjusting experience required, however may include adjuster support experience
US Work Authorization
US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future.
Who we are:
Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world.
We're all about people | We win together | We strive for better
We enjoy the everyday | We think further
What's in it for you:
In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work.
We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life.
All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance.
We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave.
Are you ready to play your part?
Choose ‘Apply Now' to fill out our short application, so that we can find out more about you.
Caution: Employment scams
Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that:
All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings.
All legitimate communications with Markel recruiters will come from Markel.com email addresses.
We would also ask that you please report any job employment scams related to Markel to ***********************.
Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law.
Should you require any accommodation through the application process, please send an e-mail to the ***********************.
No agencies please.
Are You Driven? We Are.
We are a company of driven, enthusiastic, and determined people. We celebrate achievement and success. We foster innovation, determination, and recognition. Because of that, our employees feel recognized and rewarded for the contributions they make daily. At GAINSCO, it is our people that set us apart.
If you are looking for a place where you can make a difference, perceive how your work impacts the company, and be recognized for your efforts and passion, then GAINSCO is the company for you.
Why Join GAINSCO?
GAINSCO's work environment rewards engaged individuals who have a desire to contribute and succeed. That's because our culture encourages individuals to grow their skills as they build their careers. Come join us and become a Champion with GAINSCO.
GAINSCO is looking to hire a Bodily Injury ClaimsAdjuster for our Claims department. This individual should be looking to build a continued career within the industry, as our company will be growing, and giving plenty of potential to make advancements. This role will investigate, evaluate, negotiate, and resolve auto claims. While maintaining full compliance with internal and external quality standards and state specific regulations. As a Bodily Injury ClaimsAdjuster, you'll help customers get back on the road after an accident. Building relationships with customers while working in a fast-paced environment and managing the claims process from start to finish is a key aspect of this role. You'll have the support of a collaborative team and ongoing coaching from leaders.
What does a BODILY INJURY CLAIMSADJUSTER NON-ATTORNEY REPRESENTED do at GAINSCO?
Strong knowledge and applications of auto policies, as well as state specific coverages.
Assigns field appraisers to assist with investigation.
Conducts telephone and electronic investigations as well as handles non-attorney represented injury claims.
Handles non-attorney rep soft tissue bodily injury claims.
Handles moderate to complex liability and coverage investigations with the ability to interpret policy language.
Efficiency in time management, multi-tasking, and organizational skills to handle a high volume of claims.
Gathers and evaluates complex coverage information, takes recorded statements, secures police reports, repair estimates and other related documents.
Evaluates property damage and bodily injury, determines coverage and liability. Negotiates and settles bodily injury and liability claims.
Initiate investigation of claims involving complex coverage claims, complex liability, and/or bodily injury claims (non-attorney represented), as well as questionable claims.
Ensures legal compliance by following guidelines, company policies, as well as state and federal insurance regulations.
Resolves claim by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter.
What is required?
Education:
High School Diploma or Equivalent; Bachelor's degree is preferred.
Licenses/ Certifications:
To perform the essential functions of this job an active Texas or Florida Adjuster License will be required to comply with state and GAINSCO requirements.
Upon hire, additional license(s) may be required. If that is the case, license(s) must be obtained.
All licenses must be maintained in accordance with state requirements.
Professional Insurance and/or Claims Designations are a plus.
Experience:
Minimum of Two years of experience in Auto Insurance as a ClaimsAdjuster is required.
Minimum of Two years of experience interpreting policy language and state statute is required.
Minimum of Two years of experience handling minor to moderately complexity of claims is required.
One or more years of experience handling bodily injury claims is required.
Knowledge of ImageRight and Claims Manager preferred.
Strong track record of making sound coverage and liability decisions based on facts and investigations.
Other skills and abilities:
Ability to manage time while prioritizing multiple tasks.
Have an aptitude for providing information in a clear, concise manner with an appropriate level of detail, empathy, and professionalism.
Demonstrates a high commitment to quality.
Possess strong negotiation and analytical skills.
Ability to gather and analyze information to evaluate results and choose the best solution to the problem.
What else do you need to know?
Hybrid.
Competitive Salary based on experience.
Excellent benefits package: medical, dental, & vision insurance, life insurance, short-term and long-term disability insurance.
Parental Leave Policy
401K + Company Match
PTO Plan + Paid Company determined Holidays.
**Applicants are required to be eligible to lawfully work in the U.S. immediately; employer will not sponsor applicants for U.S. work authorization (e.g. H-1B visa) for this opportunity**
All offers are contingent upon a successful background investigation (including employment, education, criminal and DMV verification- when applicable) and a pre-employment drug test with results satisfactory to GAINSCO.
GAINSCO is an Equal Employment Opportunity Employer
$49k-61k yearly est. 8d ago
Risk Claims Specialist
Maya Management Group LLC 4.1
Claims adjuster job in Dallas, TX
Job Description
Key Responsibilities: Customer Claims: • Manage Customer Injury and Liability Claims: Oversee the investigation, documentation, and resolution of customer claims related to personal injury, property damage, or any other incidents occurring on organization premises.
• Coordinate with Insurance Providers: Liaise with insurance companies to ensure proper claims filing and coordinate the resolution of claims involving external parties.
• Customer Support: Handle escalated customer claims and provide appropriate resolutions while ensuring the store's best interests are maintained.
• Documentation & Compliance: Ensure that all claims are properly documented in compliance with company policies and legal requirements. Keep detailed records of each customer-related claim.
• Risk Prevention: Identify trends or recurring incidents that may contribute to customer claims and work with store management to implement safety measures or preventive actions.
Employee Claims:
• Workers' Compensation Claims: Oversee and manage all workers' compensation claims, ensuring compliance with state and federal regulations, and ensuring employees receive appropriate benefits.
• Workplace Injury Claims: Manage the investigation of employee injury claims, including gathering evidence, interviewing witnesses, and ensuring all necessary forms are completed and submitted on time.
• Fleet Claims Management: Manage the investigation of employee fleet claims, support employee's injuries if any, gather witness statements
• Support and Guidance: Provide support to injured employees, ensuring they are informed throughout the claims process and are aware of their rights and available benefits.
• Collaboration with HR and Legal: Work with HR and legal teams to ensure employee-related claims are handled correctly and in compliance with labor laws, insurance regulations, and company policies.
• Collaboration with Safety Team: Work with the Safety Team to consistently do store visits, conduct safety audits, checklists and investigations as needed.
Development:
• Process Improvement: Identify opportunities to improve the claims process, whether through more efficient systems, better documentation, or enhanced communication strategies.
Risk Management and Reporting:
• Claims Analysis and Reporting: Review and analyze the data on claims to identify trends, recurring issues, or areas for improvement. Prepare detailed reports for management regarding claim frequency, costs, and risk mitigation efforts.
• Collaboration with Risk and Safety Teams: Work closely with the Risk Management and Safety teams to address underlying causes of incidents that may lead to claims and develop preventive strategies.
• Compliance: Ensure that all claims are processed in line with company policies, industry standards, and legal requirements, including managing documentation for audits or regulatory reviews.
• Invoices: Reconcile and verify all invoices generated from claims.
• Safety Monitor Report: Complete Safety Monitor report and communicate all parties involved to resolve an issue related to an investigation.
Qualifications:
• Bachelor's degree in Business, Risk Management, Insurance, or a related field (or equivalent experience).
• 3-5 years of experience in claims management, risk management, or a specialist role, preferably
in a retail or supermarket environment.
• Strong understanding of risk management principles, insurance claims processes, and workers' compensation regulations.
• Strong problem-solving and analytical abilities to investigate and resolve complex claims efficiently.
• Excellent communication skills, both written and verbal, with the ability to manage sensitive issues with customers and employees.
• Attention to detail and ability to maintain accurate records and reports.
• Proficient in Microsoft Office and experience with claims management software or risk management tools.
Physical Requirements:
• Ability to stand for extended periods
• Ability to lift up to 50 lbs as needed
Work Environment:
• Fast-paced, high-volume environment
• Occasional evening, weekend, or holiday work may be required
• Occasional travel to different company locations
Physical Demands:
Some lifting, carrying, pushing, and/or pulling; some stooping, kneeling, crouching, and/or crawling; and significant fine finger dexterity. Generally, the job requires 70% sitting, 20% walking, and 10% standing.
This job is performed in a generally clean and healthy office environment.
$37k-65k yearly est. 25d ago
Claims Service Representatives
Acme Corporation 4.6
Claims adjuster job in Dallas, TX
THIS IS DESCRIPTION THIS IS DESCRIPTION
Do You Have What It Takes? Following are the preferred qualifications for opportunities in Customer Service at one of our call centers:
High school diploma / equivalent. As career progresses, ongoing technical insurance coursework and/or undergraduate studies are desirable
At least One year of related clerical or customer service work
Effective oral and written communication skills (English/Spanish fluency a definite plus)
Ability to evaluate customer inquiries and determine appropriate actions
Ability to operate a personal computer and business-related software
Skills & Requirements
Do You Have What It Takes? Following are the preferred qualifications for opportunities in Customer Service at one of our call centers:
High school diploma / equivalent. As career progresses, ongoing technical insurance coursework and/or undergraduate studies are desirable
At least One year of related clerical or customer service work
Effective oral and written communication skills (English/Spanish fluency a definite plus)
Ability to evaluate customer inquiries and determine appropriate actions
Ability to operate a personal computer and business-related software
$32k-37k yearly est. 60d+ ago
Desk Adjuster - Dallas Texas
Cenco Claims 3.8
Claims adjuster job in Dallas, TX
About Us: Cenco Claims is a growing property and casualty adjusting firm providing professional claim services to insurance carriers nationwide. We are known for our fast, accurate, and customer-focused approach to claims handling.
We are seeking experienced Desk Adjusters to manage property claims with efficiency and professionalism. This role involves reviewing documentation, evaluating damages, and working closely with field adjusters and policyholders to bring claims to resolution.
Key Responsibilities:
Review inspection reports, photos, and documentation to assess property damage
Analyze coverage and write estimates using Xactimate
Communicate with policyholders, contractors, and carriers
Maintain accurate and organized claim files
Meet timelines and service expectations set by our clients
Qualifications:
Experience in property insurance claims handling
Proficiency with Xactimate (X1 preferred)
Strong attention to detail and organizational skills
Excellent written and verbal communication
Active TexasAdjuster License (or ability to obtain)
What We Offer:
Supportive team environment
Opportunities for advancement
Apply Today
$40k-52k yearly est. Auto-Apply 60d+ ago
Indemnity Adjuster
Insight Global
Claims adjuster job in Dallas, TX
Insight Global is looking for a Senior Indemnity Adjuster to join our client's team. Responsibilities will include managing complex workers' compensation claims, ensuring fair and efficient resolution while maintaining compliance with state regulations. The ideal candidate will have extensive experience handling indemnity claims, negotiating settlements, and collaborating with medical and legal professionals.
- Manage suborgation
- Negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim
- Support the goals of the Claims Department
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to ********************.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: ****************************************************
Skills and Requirements
- Current Adjuster License (Texas)
- 3-5+ years of Worker's Compensation Claims experience specifically within indemnity
- Experience in the following states are preferred: TX, AR, OK, LA, MS, AL (TX & AR most important)
$42k-57k yearly est. 2d ago
GAP Warranty Adjuster
Amynta Agency
Claims adjuster job in Fort Worth, TX
We're thrilled that you are interested in joining us here at the Amynta Group!
The WARRANTY CLAIMSADJUSTER is responsible for interactions with customers, inspectors, repair facilities, and part vendors to support our auto warranty call center. The Warranty ClaimsAdjuster will be responsible for providing our innovative extended service plans and warranty programs to retailers, dealers, distributors and manufacturers in numerous consumer and automotive markets.
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES*
Handle claims on a daily basis
Work in a call center environment focused on handling calls daily with expected performance metrics, handle times, and volume
Probe and troubleshoot mechanical breakdown claims to determine whether customer complaint, repair facility diagnosis, and failed parts meets the criteria for approval based on the terms and conditions of the extended service contract.
Review and verify repair costs using standard “national labor guides” (including labor rates and time) to ensure estimates are within approval guidelines. Use other resources such as, technical bulletins, recalls and system comments, and other requirements during the adjudication process.
Verify repair information to determine if coverage is within the guidelines of the service contract.
Determine if a field inspection is necessary based on cause of failure and cost estimates submitted by repair facility.
Document all interactions, research, verification and other claim-related information in the database system.
Interface with customers, agents, dealers, and other relevant parties to complete all investigations of claims.
Review claims using the adjudication process established by department.
Partner with other departments, claimadjusters, and management staff to identify options that support claims resolution and approval.
Maintain a continual working knowledge of our client's products, services and promotions.
Retrieve information from company systems and communicate information back to the customers, dealers, repair facilities, and vendors in a clear and concise manner.
BASIC
AND PREFERRED
QUALIFICATIONS (EDUCATION AND EXPERIENCE)
2+ year's minimum experience (Required)
High School Diploma or GED (Required)
Some college (Preferred)
Proficient knowledge of Microsoft Office (Required)
ASE Certification (Preferred)
MINIMUM QUALIFICATIONS, JOB SKILLS, ABILITIES
Mastery of the English language, both written and verbal.
Strong attention to detail, is dependable and follows through.
Ability to read and interpret information.
High level of maturity to handle sensitive and confidential situations.
Strong work ethic and excellent time management skills.
Strong interpersonal skills and ability to work well with people throughout the organization.
Willingness to maintain a professional appearance and provide a positive company image.
Willingness to work non-traditional shifts which meet the needs of the team and company.
Ability to think independently and make decisions.
Ability to assist peers.
The Amynta Group (the “Company”) is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of any ground of discrimination protected by applicable human rights legislation. The information collected is solely used to determine suitability for employment, verify identity and maintain employment statistics on applicants.
Applicants with disabilities may be entitled to reasonable accommodation throughout the recruitment process in accordance with applicable human rights and accessibility legislation. A reasonable accommodation is an adjustment to processes, procedures, methods of conveying information and/or the physical environment, which may include the provision of additional support, in order to remove barriers a candidate may face during recruitment such that each candidate has an equal employment opportunity. The Company will accommodate a candidate to the point of undue hardship. Please inform the Company's personnel representative if you require any accommodation in the application process.
$43k-57k yearly est. Auto-Apply 54d ago
Insurance Claims Specialist
DPR Construction 4.8
Claims adjuster job in Dallas, TX
The Claims Specialist will be responsible for assisting with the management of the Fleet Vehicle Safety & Operations Policy for DPR (and DPR related entities) across the US, as well as first and third-party auto physical damage and low severity property damage claims as requested by, and under the supervision of, DPR's Insured Claims Manager.
Specific Duties include:
Claims & Incident Management:
Initial processing of first and third-party auto and low severity property damage incidents involving DPR (and DPR related entities), including but not limited to:
Input and/or review all incidents reported in DPR's RMIS system.
Maintain incident records in Insurance Team's document management system.
Ensure all necessary information is compiled to properly manage the claims, including working with the internal teams to identify culpable parties, potential risk transfer to the culpable trade partner, if applicable, collecting documents such as incident reports, root cause analyses, if any, and vehicle lease or rental agreements.
Report, with all appropriate documents and information, all claims for DPR (and DPR related entities) to all potentially triggered insurance policies for various types of programs (traditional, CCIP, OCIP), including analyzing contractual risk transfer opportunities.
Assess potential risk transfer opportunities and ensure additional insured tenders or deductible responsibility letters are sent, where applicable.
Liaison with the carriers in evaluating whether claims reported directly to the carriers are appropriate.
Manage all auto and low severity property damage claims, as assigned, in the DPR RMIS system for DPR (and DPR related entities), including ensuring that all information is kept up to date.
Provide in-network aluminum certified repair shop information to drivers following an incident.
Act as a liaison between our carriers, auto repair shops, Operations, Fleet and EHS teams related to claim progress, strategy, expenses and settlement.
When required, notify the applicable State's Department of Motor Vehicles office of motor vehicle accidents by preparing and mailing the specific State form.
Work with Insurance Controller on auto program claim reports
Liaison with Operations, Fleet and EHS teams on new incident reporting processes, as needed.
Fleet Vehicle Safety & Operations Policy Management:
Manage the Fleet Risk Index scores for authorized drivers, ensuring its accurate and up to date based on incidents and MVRs
Assign training to authorized drivers based on MVA incidents, MVRs and citations, as well as managing completion of the training
Ensure authorized driver list is kept current
Liaison with internal HR, Fleet, EHS and Business Unit Leaders, where appropriate, on suspending vehicle usage permissions
Responsible for working with internal teams on implementing appropriate updates to the Fleet Vehicle Safety & Operations Policy
Key Skills:
Strategic thinking
Ability to mentor and inspire others
Integrity
Team player
Strong writing and communication skills
Self-Starter
Highly organized and responsive - ability to meet deadlines
Detail Oriented
Basic working knowledge in all of the following coverages/programs: auto insurance, commercial general liability, property insurance, and controlled insurance programs.
Risk and dispute management - insured claims
Qualifications:
A minimum of five years relevant insurance industry experience
Previous experience in auto claims management highly desired
DPR Construction is a forward-thinking, self-performing general contractor specializing in technically complex and sustainable projects for the advanced technology, life sciences, healthcare, higher education and commercial markets. Founded in 1990, DPR is a great story of entrepreneurial success as a private, employee-owned company that has grown into a multi-billion-dollar family of companies with offices around the world.
Working at DPR, you'll have the chance to try new things, explore unique paths and shape your future. Here, we build opportunity together-by harnessing our talents, enabling curiosity and pursuing our collective ambition to make the best ideas happen. We are proud to be recognized as a great place to work by our talented teammates and leading news organizations like U.S. News and World Report, Forbes, Fast Company and Newsweek.
Explore our open opportunities at ********************
$57k-73k yearly est. Auto-Apply 60d+ ago
Logistics Claims Representative
Afsmart
Claims adjuster job in Irving, TX
Purpose/Job Function:
The claims associate will support the filing, tracking, and management of claims for all modes supporting a MTS customer. This role will include working closely with the customer at both corporate offices as well as in the field. There will also be frequent communications with carriers to collect documentation as well as status updates. The data collection and analysis produced in this role will be critical in driving continuous improvements to the customer's service performance.
Essential Functions:
File and manage LTL and Parcel freight claims including freight, shortages, overages, and damages.
Deliver reliable service throughout the entire life cycle of each claim, including but not limited to: prompt contact and timely communication throughout the process until the claim is closed, explaining the process, setting expectations, follow-ups and meeting commitments to achieve optimal outcome on every file.
Assist with client and vendor damage claims.
Develop and grow effective relationships with clients, vendors, and internal business partners.
Update and maintain records
Recognize and request appropriate inspection type based on the details of the loss and coordinate the appraisal process.
Maintain oversight of the repair process and ensure appropriate expense handling, manage approvals per guidelines.
Manage and report weekly review of LTL carrier complaints.
Provide reports to support visibility to claims trends and opportunities to reduce issues.
Run reports and data analysis as needed.
Qualifications/Requirements:
Excellent verbal and written communication in order to respond effectively to sensitive inquiries and complaints
Strong data entry and record keeping skills (may include maintaining records in database/s)
Ability to apply principles of logical thinking to a wide range of practical problems
Strong organizational skills with accurate attention to detail
Aptitude to spot trends in shipment data and detail
Proficient in use of Microsoft Office Suite (use of Excel, Word, Outlook)
Education/Experience:
Highschool diploma or GED
Prior data entry experience preferred
Working Conditions/Physical Demands:
The Claims Associate will sit in front of a computer for long hours at a time responding to emails, communicating with clients, teammates and carriers, and entering financial data. Staring at the computer may cause eye irritation or even muscle strain.
The increased repetitive motions and awkward postures attributed to the use of computer keyboards may also result in cumulative trauma disorders (CTDs).
The job as Claims Associate does not require any strenuous or physical activity.
Customary Work Hours: 8:00 A.M. to 5:00 P.M., Monday through Friday
$32k-43k yearly est. Auto-Apply 38d ago
Paralegal/Claims Specialist
The Sundt Companies 4.8
Claims adjuster job in Irving, TX
JobID: 9100 JobSchedule: Full time JobShift: : As a 100% employee-owned contractor, when you work at Sundt, you're not just hiring on at a company, you're joining a culture. Because everyone at Sundt is part owner, you'll join a team of people who are deeply invested in their work. From apprentices to managers, we're passionate about the details and deliberate in everything we do.
At Sundt we focus on building long-term prosperity for our clients, communities, and employee-owners. We offer competitive pay, industry-leading benefits including a 401k and employee stock ownership plan, incentive programs for craft and administrative employees as well as training that focuses on your personal and professional growth. We're driven by skill, grit and purpose. Join us as we strive to be the most skilled builder in America.
Job Summary
The Paralegal / Claims Specialist supports the company's Legal and Risk Management functions by assisting attorneys and insurance professionals in the investigation, evaluation, and resolution of claims and lawsuits. The role involves direct collaboration with outside counsel, insurance adjusters, and internal Safety and Operations teams. The Paralegal/Claims Specialist will independently manage the day-to-day handling of routine litigation and claims matters, including discovery, documentation, and coordination with defense counsel.
Key Responsibilities
1. Assists attorneys with trial preparation, exhibits, witness coordination, and logistics.
2. Assists company attorneys with responding to non-party subpoenas and regulatory inquiries.
3. Attends mediations, depositions, and hearings as appropriate to support counsel, our internal personnel and maintain awareness of case progress.
4. Communicates directly with claimants, witnesses, experts, and internal personnel to obtain and analyze relevant information, including managing internal electronic data preservation in coordination with IT team, and oversee transfer of preserved data for discovery.
5. Coordinates with Safety personnel regarding incident intake, documentation, and potential claims escalation.
6. Drafts and edits legal documents including correspondence, discovery requests and responses, routine pleadings, affidavits, and case summaries.
7. In conjunction with attorneys, manages litigation, including coordinating discovery and e-discovery, tracking deadlines, managing document production, approving and processing legal invoices and maintaining organized case files.
8. Maintains accurate and up-to-date records in Risk Information Management Systems {RIMS) or other claims databases.
9. Reviews and analyzes claims in coordination with legal and risk management professionals determine liability, damages, and insurance coverage.
10. Works closely with company attorneys, outside counsel, and insurance adjusters to investigate, evaluate, and resolve claims and lawsuits.
Minimum Job Requirements
1. 5-10 Years of Experience
2. Bachelor's degree
3. Knowledge working for a law firm or an insurance company representing clients in responding to claims and lawsuit preferred.
4. Paralegal certification
Note: is subject to change at any time and may include other duties as assigned.
Physical Requirements
1. May stoop, kneel, or bend, on an occasional basis
2. Must be able to comply with all safety standards and procedures
3. Required to use hands to grasp, lift, handle, carry or feel objects on a frequent basis
4. Will interact with people and technology frequently during a shift/work day
5. Will lift, push or pull objects up to 50Ibs on an occasional basis.
6. Will sit, stand or walk short distances for up to the entire duration of a shift/work day.
7. Will use telephone, computer system, email, and other electronic devices on a frequent basis to communicate with internal and external customers or vendors
Note: Job Description is subject to change at any time and may include other duties as assigned.
Physical Requirements
1. May stoop, kneel, or bend, on an occasional basis
2. Must be able to comply with all safety standards and procedures
3. Required to use hands to grasp, lift, handle, carry or feel objects on a frequent basis
4. Will interact with people and technology frequently during a shift/work day
5. Will lift, push or pull objects up to 501bs on an occasional basis.
6. Will sit, stand or walk short distances for up to the entire duration of a shift/work day.
7. Will use telephone, computer system, email, and other electronic devices on a frequent basis to communicate with internal and external customers or vendors
Equal Opportunity Employer Statement: Sundt is committed to the equal treatment of all employees, and/or applicants for employment, and prohibits discrimination based on race, religion, sex (including pregnancy), sexual orientation, gender identity, color, age, disability, national origin, covered veteran status, genetic information; or any other classification protected by applicable Federal, state, or local laws.
Benefit list:
Market Competitive Salary (paid weekly)
Bonus Eligibility based on company, group, and individual performance
Employee Stock Ownership Plan & 401K
Industry Leading Health Coverage Starting Your First Day
Flexible Time Off (FTO)
Medical, Health Savings, and Wellness credits
Flexible Spending Accounts
Employee Assistance Program
Workplace Wellness Programs
Mental Health Program
Life and Disability Insurance
Employee-Owner Perks
Educational Assistance
Sundt Foundation - Charitable Employee-Owner's program
#LI-KA1
$45k-61k yearly est. Auto-Apply 38d ago
Claims Specialist - Auto
Philadelphia Insurance Companies 4.8
Claims adjuster job in Plano, TX
Marketing Statement:
Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best.
We are looking for a Claims Specialist - Auto to join our team.
JOB SUMMARY
Investigate, evaluate and settle more complex first and third party commercial insurance auto claims.
JOB RESPONSIBILITIES
Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner.
Communicates with all relevant parties and documents communication as well as results of investigation.
Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts.
Travel is required to attend customer service calls, mediations, and other legal proceedings.
JOB REQUIREMENTS
High School Diploma; Bachelor's degree from a four-year college or university preferred.
10 plus years related experience and/or training; or equivalent combination of education and experience.
• National Range : $82,800.00 - $97,300.00
• Ultimate salary offered will be based on factors such as applicant experience and geographic location.
EEO Statement:
Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.
Benefits:
We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online.
Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************
$82.8k-97.3k yearly Auto-Apply 60d+ ago
Complex Claims Specialist
Lockton 4.5
Claims adjuster job in Dallas, TX
Lockton is currently seeking a Clinical Claims Specialist within our Specialty Practice unit. The objective of this role is to improve and reduce the severity of complex and catastrophic claims, reduce the cost of risk while improving the health of our employer client's employee health plan.
* Provide explanation of disease states and associated costs to internal and external stakeholders.
* Provide cost-of-care estimates used in the risk assessment of stop loss underwriting.
* Consult with and advise underwriting on medical/clinical care approaches, standards of care and research of data for new business and renewals.
* Serve as a resource regarding medical necessity issues, standards of care and analysis for the reimbursement of submitted stop loss claims.
* Review claims and clinical documents to identify and monitor opportunities to increase member quality of care and overall cost reduction.
* Collaborate with various key stake holders to strategize clinical and cost savings strategies and assist on execution of plan.
* Coordinate implementation of claims savings solutions with Lockton Client Service Teams, TPAs, and stop loss carriers including regular tracking to measure savings and plan performance.
* Manage and organize task lists and open items and cases.
* Attend team clinical rounds to discuss cases and strategy solutions.
$36k-49k yearly est. 24d ago
Auto Claims Specialist I
Cox Enterprises 4.4
Claims adjuster job in Euless, TX
Company Cox Automotive - USA Job Family Group Vehicle Operations Job Profile Arbitrator I Management Level Individual Contributor Flexible Work Option No remote option; must work at a specified Cox location Travel % No Work Shift Day Compensation Hourly base pay rate is $16.59 - $24.86/hour. The hourly base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission (annual, monthly, etc.) and/or an incentive program.
Job Description
At Manheim (a Cox Automotive company), we strive to make sure every customer is completely satisfied when they do business with us. On the off-chance we fall short, we do our best to make things right, pronto.
That's where you come in.
We're looking for an Auto Claims Specialist I to learn the ropes of resolving customer complaints and ensuring we don't make the same mistake again. Do you have the skills we're looking for? Keep reading for more details!
Benefits
* We all have lives and responsibilities outside of work. We have an exceptional work/life balance at Cox, with flexible time-off policies.
* How does a great healthcare benefits package from day one sound? Multiple options are available for individuals and families. One employee-only plan could be FREE, if you participate in our health screening program.
* 10 days of free child or senior care through your complimentary Care.com membership.
* Generous 401(k) retirement plans with up to 6% company match.
* Employee discounts on hundreds of items, from cars to computers to continuing education.
* Looking to grow your family? You'll have access to our inclusive parental leave policies, plus comprehensive fertility coverage and adoption assistance.
* Want to volunteer in your community? We encourage that, and even offer paid hours for you to do so.
* We all love our pets-whether they walk, crawl, fly, swim or slither-and we're happy to supply insurance for them as well.
At Cox, we believe in being transparent - please click on this link (Cox Benefits Overview) to learn more about our amazing benefits.
What You'll Do
From your very first day on the job, you'll receive guidance and coaching so you can learn the ropes. You'll work with everyone from buyers to sellers to dealers in coordinating and validating customer returns and claims. With Guidance, responsibilities include:
* Reviews customer claims to verify that they meet Manheim's National Arbitration policies and any account-specific guidelines.
* Investigates basic, less complex cases (e.g., late title claims, basic condition report claims, vehicle availability, post-sale inspection fails, mechanical/structural/undisclosed vehicle damage, etc.) or those requiring more prescriptive decision-making.
* Interfaces with all departments involved in the complaint (i.e., reconditioning, front office, dealer services, vehicle entry, etc.), including during the fact finding and investigative phases.
* Uses appropriate resources to investigate and facilitate relevant inspection, documentation, and communication to ensure appropriate actions are completed to move cases forward or to resolution.
* Uses appropriate levels/limits of financial approval authority to resolve cases.
* Evaluate claims by obtaining, comparing, evaluating, and validating various forms of information.
* Prepares and facilitates communication for resolution via telephone, email, and in-person discussion.
* Mediates disputes and negotiates repair and/or pricing of disputed vehicles to arrive at a mutually acceptable solution and to keep vehicles sold.
* Monitors and maintains accurate files for each arbitration case, verifying the accuracy of all required documentation, including invoices and settlement agreements.
* Engages with supervisor/manager to determine if escalation is required.
* Performs other duties as assigned.
Who You Are
You've got a knack for negotiation. You're ethical, dependable, and trustworthy. You're eager to learn. You also have the following qualifications:
Minimum
* A high school diploma or GED and less than 2 years of related experience.
* Accuracy and attention to detail.
* Organizational and time management skills.
* The ability to adapt in a fluid and changing environment.
Preferred
* 1+ years of automotive or body shop experience.
* Claimsadjuster experience.
Cox is a great place to be, wouldn't you agree? Apply today!
MSCOX
Drug Testing
To be employed in this role, you'll need to clear a pre-employment drug test. Cox Automotive does not currently administer a pre-employment drug test for marijuana for this position. However, we are a drug-free workplace, so the possession, use or being under the influence of drugs illegal under federal or state law during work hours, on company property and/or in company vehicles is prohibited.
Benefits
Employees are eligible to receive a minimum of sixteen hours of paid time off every month and seven paid holidays throughout the calendar year. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave.
About Us
Through groundbreaking technology and a commitment to stellar experiences for drivers and dealers alike, Cox Automotive employees are transforming the way the world buys, owns, sells - or simply uses - cars. Cox Automotive employees get to work on iconic consumer brands like Autotrader and Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all while enjoying the people-centered atmosphere that is central to our life at Cox. Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO). For more details on what benefits you may be offered, visit our benefits page. Cox is an Equal Employment Opportunity employer - All qualified applicants/employees will receive consideration for employment without regard to that individual's age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law. Cox provides reasonable accommodations when requested by a qualified applicant or employee with disability, unless such accommodations would cause an undue hardship.
Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship. No OPT, CPT, STEM/OPT or visa sponsorship now or in future.
$16.6-24.9 hourly Auto-Apply 3d ago
Senior Bodily Injury Adjuster, Personal Lines
Hallmark Financial Services 3.9
Claims adjuster job in Dallas, TX
Essential Duties and Responsibilities include the following. Other duties assigned as needed.
Act as point-of-contact for insureds regarding general claim questions and reporting of claims.
Identify and perform coverage analysis and prepare reservation of rights/declination letters when appropriate.
Make liability decisions, analyze aggravating factors and potential for shared responsibility, and set up subrogation (as applicable)
Manage and work with defense counsel (as applicable) to develop the case to include expert support and case strategy.
Conduct proper reviews and independent investigations pre-litigation.
Maintain cases on diary to ensure proper file management, evaluation, strategy, and timely reserve recommendations are handled.
Keep current running notes to reflect file development and ensure proper documents are maintained in the claims system.
Prioritize and evaluate claims, the majority will be injury/casualty with attorney involvement
Negotiate claim settlements with plaintiff counsel as indicated, or issue denials to claimant/claimant attorney as appropriate.
Use knowledge of state regulatory and statutory requirements for a multi-state region
May also handle multi-compete/complex property claims and renters injury claims
Qualifications to perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience: Bachelor's degree from a four-year college or university; or 1-5 years related experience and/or training; or equivalent combination of education and experience.
Experience handling attorney represented bodily injury (BI/UM/UIM) exposures in a personal lines claim's environment
Experience handling physical damage exposures in a personal lines claims environment
Detailed oriented with the ability to work in a team environment and be flexible to daily changing needs and job duties
Ability to analyze and problem solve, working closely with others to coordinate and complete projects
Ability to think critically and resolve problems of varying complexity
Ability to perform with minimal supervision
Self-motivated with a strong work ethic
Excellent oral, written and interpersonal communication skills
Must be customer service oriented, highly organized and efficient
Effective Computer Skills
Advanced Microsoft Office Skills
Ability to learn multiple software applications
Must obtain applicable adjusters license(s) by state within 3 months of start date
Preferred Skills
Auto bodily injury attorney represented and/or litigation experience
Multiple language skills a plus
TXAdjuster License
Hallmark Financial Services is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
Are You Driven? We Are. We are a company of driven, enthusiastic, and determined people. We celebrate achievement and success. We foster innovation, determination, and recognition. Because of that, our employees feel recognized and rewarded for the contributions they make daily. At GAINSCO, it is our people that set us apart.
If you are looking for a place where you can make a difference, perceive how your work impacts the company, and be recognized for your efforts and passion, then GAINSCO is the company for you.
Why Join GAINSCO?
GAINSCO's work environment rewards engaged individuals who have a desire to contribute and succeed. That's because our culture encourages individuals to grow their skills as they build their careers. Come join us and become a Champion with GAINSCO.
GAINSCO is looking to hire a Bodily Injury ClaimsAdjuster for our Claims department. This individual should be looking to build a continued career within the industry, as our company will be growing, and giving plenty of potential to make advancements. This role will investigate, evaluate, negotiate, and resolve auto claims. While maintaining full compliance with internal and external quality standards and state specific regulations. As a Bodily Injury ClaimsAdjuster, you'll help customers get back on the road after an accident. Building relationships with customers while working in a fast-paced environment and managing the claims process from start to finish is a key aspect of this role. You'll have the support of a collaborative team and ongoing coaching from leaders.
What does a BODILY INJURY CLAIMSADJUSTER NON-ATTORNEY REPRESENTED do at GAINSCO?
* Strong knowledge and applications of auto policies, as well as state specific coverages.
* Assigns field appraisers to assist with investigation.
* Conducts telephone and electronic investigations as well as handles non-attorney represented injury claims.
* Handles non-attorney rep soft tissue bodily injury claims.
* Handles moderate to complex liability and coverage investigations with the ability to interpret policy language.
* Efficiency in time management, multi-tasking, and organizational skills to handle a high volume of claims.
* Gathers and evaluates complex coverage information, takes recorded statements, secures police reports, repair estimates and other related documents.
* Evaluates property damage and bodily injury, determines coverage and liability. Negotiates and settles bodily injury and liability claims.
* Initiate investigation of claims involving complex coverage claims, complex liability, and/or bodily injury claims (non-attorney represented), as well as questionable claims.
* Ensures legal compliance by following guidelines, company policies, as well as state and federal insurance regulations.
* Resolves claim by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter.
What is required?
Education:
* High School Diploma or Equivalent; Bachelor's degree is preferred.
Licenses/ Certifications:
* To perform the essential functions of this job an active Texas or Florida Adjuster License will be required to comply with state and GAINSCO requirements.
* Upon hire, additional license(s) may be required. If that is the case, license(s) must be obtained.
* All licenses must be maintained in accordance with state requirements.
* Professional Insurance and/or Claims Designations are a plus.
Experience:
* Minimum of Two years of experience in Auto Insurance as a ClaimsAdjuster is required.
* Minimum of Two years of experience interpreting policy language and state statute is required.
* Minimum of Two years of experience handling minor to moderately complexity of claims is required.
* One or more years of experience handling bodily injury claims is required.
* Knowledge of ImageRight and Claims Manager preferred.
* Strong track record of making sound coverage and liability decisions based on facts and investigations.
Other skills and abilities:
* Ability to manage time while prioritizing multiple tasks.
* Have an aptitude for providing information in a clear, concise manner with an appropriate level of detail, empathy, and professionalism.
* Demonstrates a high commitment to quality.
* Possess strong negotiation and analytical skills.
* Ability to gather and analyze information to evaluate results and choose the best solution to the problem.
What else do you need to know?
* Hybrid.
* Competitive Salary based on experience.
* Excellent benefits package: medical, dental, & vision insurance, life insurance, short-term and long-term disability insurance.
* Parental Leave Policy
* 401K + Company Match
* PTO Plan + Paid Company determined Holidays.
Applicants are required to be eligible to lawfully work in the U.S. immediately; employer will not sponsor applicants for U.S. work authorization (e.g. H-1B visa) for this opportunity
All offers are contingent upon a successful background investigation (including employment, education, criminal and DMV verification- when applicable) and a pre-employment drug test with results satisfactory to GAINSCO.
GAINSCO is an Equal Employment Opportunity Employer
How much does a claims adjuster earn in Bedford, TX?
The average claims adjuster in Bedford, TX earns between $41,000 and $60,000 annually. This compares to the national average claims adjuster range of $40,000 to $64,000.
Average claims adjuster salary in Bedford, TX
$49,000
What are the biggest employers of Claims Adjusters in Bedford, TX?
The biggest employers of Claims Adjusters in Bedford, TX are: