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Claims adjuster jobs in Richardson, TX
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Claims Adjuster
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Claims Supervisor (Bodily Injury)
Geico
Claims adjuster job in Richardson, TX
At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Join a team where your expertise truly matters!Our Casualty Claims department is seeking a highly motivated and experienced Claims Supervisor (Bodily Injury). As a key leader within our Casualty organization, you will be responsible for empowering a team that handles attorney-represented automotive liability claims. Your team will manage: complex investigations coverage determinations liability assessments bodily injury claim resolutions-through both settlement and litigation. This role requires advanced knowledge of litigation processes and the ability to strategically support litigated and attorney-represented claims. If you're passionate about developing talent, driving results, and making an impact in the automotive liability space, we'd love to hear from you.Success in this role is built on the foundation of GEICO's core leadership behaviors: Ownership: You take responsibility for outcomes in all scenarios. Adaptability: You navigate dynamic environments with creativity and resilience. Leading People: You empower individuals and teams to achieve their best. Collaboration: You build and strengthen partnerships across organizational lines. Driving Value: You use data-driven insights to align actions with strategic goals. What You'll Do: Lead, mentor, and inspire a team of associates to deliver exceptional customer service while building trust. Leverage your property and casualty insurance expertise to guide team members in resolving complex customer inquiries and claims. Provide authority on evaluations that exceed your adjusters personal, assigned authority and work with others on claims that exceed your authority Personalize your leadership approach to develop team members' skills, fostering their growth and ensuring they consistently exceed customer expectations. Monitor and evaluate team performance using key performance indicators (KPIs) to enhance efficiency, customer satisfaction, and retention. Hold your team accountable for achieving results, maintaining compliance with insurance regulations, and delivering outstanding service. Address escalated customer concerns with professionalism and empathy, modeling GEICO's dedication to service excellence. Collaborate with leadership and cross-functional teams to identify and implement process improvements. Serve as a resource for team members on insurance-related questions providing mentorship and training to build their industry knowledge. What We're Looking For: Minimum of 2 years of leadership experience in Bodily Injury claims, including direct oversight of litigated cases. Active Adjuster license (required) Expertise in Casualty claims, including knowledge of industry regulations and best practices Strong ability to assess needs and guide associates in negotiating claim settlements as needed Experienced in the use of various claims tools with ability to assist associates Strong adherence to compliance and regulatory requirements Proven ability to motivate, inspire, and develop high-performing teams in a customer-centric environment Strong results orientation, with a history of meeting or exceeding performance goals Excellent interpersonal and communication skills, with the ability to adapt leadership styles to diverse individuals and situations Ability to analyze data and metrics to inform decision-making and improve customer outcomes Collaborative mindset with a commitment to fostering a culture of inclusivity and excellence Why Join GEICO? Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction. Inclusive Culture: Join a company that values diversity, collaboration, and innovation. Workplace Flexibility: This is a M-F, 8:00am - 4:30pm position offering a Hybrid work model based in Richardson, TX. GEICO reserves the right to adjust in-office requirements as needed to support the needs of the business unit. Professional Growth: Access GEICO's industry-leading training programs and development opportunities: Licensing and continuing education at no cost to you. Leadership development programs and hundreds of eLearning courses to enhance your skills. Increased Earnings Potential: Pay Transparency: The starting salary for this position is between $97,735 annually and $151,700 annually. Incentives and Recognition: Corporate wide bonus programs are in place to reward top performers. Beware of scams! As a recruiter, I will only contact you through a @geico.com email address and will never ask you for financial information during the hiring process. If you think you are being scammed or suspect suspicious activity during the hiring process, please contact us at ***********************. keywords: litigation, auto liability, liability claims#geico300#LI-AL2 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.$49k-73k yearly est. Auto-Apply 1d agoComplex Liability Adjuster - CGL & BOP Specialist
Berkshire Hathaway
Claims adjuster job in Plano, 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 Are you an experienced professional with a sharp eye for detail and a strong background in litigation? Join our team as a Complex Liability Adjuster, where you'll play a crucial role in managing Commercial General Liability (CGL) and Business Owners Policy (BOP) claims with precision and expertise. We're looking for someone who thrives in high-stakes environments, communicates with confidence, and knows how to navigate the legal landscape with precision. Key Responsibilities: Conduct thorough investigations of losses, identifying coverage issues and ensuring accurate assessments. Review and analyze evidence, reports, and medical records to establish damages and reserves. Interview insureds, claimants, and witnesses to gather essential information and build strong cases. Collaborate with legal teams to navigate complex litigation processes and defend our insureds effectively. Manage litigated claims involving CGL and BOP policies, including coordination with defense counsel, litigation strategy development, and resolution planning. Process payments efficiently, ensuring timely resolution of claims. Qualifications Prior experience adjusting Commercial General Liability claims with a proven track record in litigation is required. Juris Doctorate (JD) preferred, reflecting the value we place on strong legal acumen in managing complex liability claims. Licensing: Active TX All Lines License, or willingness to obtain one at company's expense. Exceptional written and verbal communication skills. Strong organizational and computer skills. Excellent time management skills with the ability to prioritize tasks effectively.$36k-43k yearly est. Auto-Apply 31d agoAncillary Portal Claims Adjuster
Smart Autocare
Claims adjuster job in Richardson, TX
Job Title: Ancillary Portal Claims Adjuster Department: Claims Administration Pay Grade: The Ancillary Portal Claims Adjuster plays a critical role in Claims. This is a full-time in-office position based in Richardson, TX. The key function and purpose of this role is assisting contract holders with any needs and adjudicating Ancillary claims. Minimum Qualifications: Education High School Diploma or Equivalency required Experience 1-2 years of Claims processing experience, minimum 1 years of hands-on automotive repair and diagnosis experience. Licensure, Certification, and/or Registration Current or previous ASE Certification preferred Supervision Exercised ☒ Direct ☐ Indirect ☐ N/A Typical Positions Supervised N/A Primary Job Functions · Address customer inquiries and concerns promptly, ensuring a positive and supportive experience. · Provide exceptional customer service by communicating clearly and professionally with customers, agents, and dealers throughout the claims process. · Review and verify claim information to ensure the customer's complaint, diagnosis, and failed parts are accurately documented and justify the approved repair. · Confirm that all repair costs align with industry standards and company processes. · Evaluate repair details to determine whether services are covered under the terms of the customer's service contract. · Support team objectives by contributing to overall department goals and assisting colleagues as needed. · Process claims in full compliance with Smart AutoCare's established policies, procedures, and service standards. Periodic Job Functions · Participate in any projects, reports, documentation, tasks or objectives assigned Skills & Competencies Required · Parts and Labor Guide familiarity · Intermediate knowledge of Windows-based computer programs · Exceptional customer service and communication skills · Ability to read, analyze and interpret general business correspondence or technical procedures · Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists · Spanish fluency/bilingual preferred Skill Requirements: (X = Required for job) ☐ Lift materials, supplies, etc. (up to 5 lbs.) ☒ Typing/keyboard ☐ Stand or walk ☒ Organize and prioritize information/tasks ☒ Utilize word processing software ☐ Utilize database software ☐ Utilize spreadsheet software ☐ Utilize other software - (describe) ☒ Operate office equipment fax, phone, etc. ☒ Operate a calculator ☒ Ability to communicate verbally ☒ Ability to prepare written communications ☐ Public speaking/group presentations ☒ Retrieve and compile information ☒ Verify data and information ☒ Maintain records/logs ☒ Reasoning and logic ☒ Analyze and interpret information ☒ Investigate, evaluate and recommend action ☒ Basic mathematical concepts (add, subtract, multiply, divide) ☐ Advanced mathematical concepts (fractions, decimals, rations, percentages, graphs) ☐ Abstract mathematical concepts (interpolation, inference, frequency, reliability, formulas, equations, statistics) ☐ Leadership and supervisory ☐ Operate a motor vehicle ☐ Other (describe) Physical Requirements: (X = Required for job) ☒ Sitting ☐ Carrying ☒ Standing ☐ Kneeling ☐ Walking ☐ Pushing/Pulling ☐ Lifting ☐ Bending/Stooping ☐ Climbing ☐ Reaching ☐ Crawling/Crouching ☐ Grasping ☐ Turning ☐ Repetitive Motions ☐ Color Recognition ☐ Depth Perception ☒ Reading ☒ Hearing ☐ Other (describe) ☐ Other (describe) Hazards: (X = Required for job) ☐ Proximity to moving mechanical parts ☐ Electrical current ☐ Toxic or caustic chemicals ☐ Housekeeping and/$45k-54k yearly est. 49d agoVSC Claims Adjuster
Lotsolutions, Inc.
Claims adjuster job in Richardson, TX
Job Description The VSC Mechanical Claims Adjuster is responsible for handling incoming claims calls, evaluating mechanical failures, and determining coverage under Vehicle Service Contracts (VSC). This role is part of our Claims Assistance Center and requires strong analytical and communication skills to interpret contract terms, assess shop diagnostics and repair estimates, and negotiate with repair facilities. The adjuster will play a key role in delivering a positive customer experience while supporting service level goals. Minimum Qualifications: Bachelor's degree or equivalent work experience. 2-4 years of experience in automotive claims adjudication, preferably related to VSC or extended warranty claims. Prior experience in a dealership service department (e.g., service advisor, technician, warranty administrator) is highly valuable. Hands-on experience as an automotive technician or mechanic is a strong plus. Experience as a warranty administrator, insurance adjuster, or within a third-party administrator (TPA) is beneficial. Background in parts management, fleet maintenance coordination, or service writing is also relevant. Familiarity with automotive diagnostics, repair procedures, and labor/parts pricing. Comfortable working across multiple claims management and estimating systems. ASE certifications, factory training, or other industry certifications are a plus. Previous experience in a claim's assistance center or high-volume claims environment is preferred. Industry certifications, factory training, and ASE certifications are a plus. Primary Job Functions: Investigate, evaluate, and adjudicate vehicle service contract (VSC) claims in accordance with contract terms and coverage guidelines. Determine coverage based on shop diagnostics, repair estimates, and inspection findings. Authorize or deny repairs within settlement authority; escalate claims that exceed authority limits to a supervisor with recommendations. Communicate professionally with repair facilities, dealership personnel, and agreement holders throughout the claims process. Review labor times and parts pricing to ensure estimate accuracy and cost control. Negotiate scope of work and pricing with shops when necessary. Escalate any gray-area coverage issues or concerns to management that may impact the customer or dealer experience. Work across multiple claims systems to research, document, and adjudicate claims efficiently. Ability to manage tasks across various platforms is essential. Review and approve TPA-submitted claims that exceed authority limits, ensuring proper documentation and contract alignment. The above-cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform. Periodic Job Functions: Other duties and special projects as needed. Participate in quality audits or peer reviews to ensure adherence to claims handling standards. Provide feedback on claims trends, system issues, or process improvements. Assist in onboarding and training new hires, including shadowing and answering procedural questions. Help develop and maintain troubleshooting guides and job aids for junior adjusters. Follow up on pending claims to ensure timely resolution and customer satisfaction. Collaborate with internal departments (e.g., underwriting, compliance, product) on escalated or complex claim issues. Support volume spikes or special initiatives, such as new business launches or system migrations. Attend refresher training or calibration sessions to stay aligned with current policy and process updates. #LI-Onsite$45k-54k yearly est. 27d agoTotal Loss Adjuster, Personal Lines
Hallmark Financial Services
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 26d agoClaims Adjuster I
Sitio de Experiencia de Candidatos
Claims adjuster job in Plano, TX
A Claims Adjuster I is responsible for the timely, good faith adjustment and disposition of self-administered claims. Responsibility extends to all aspects and phases of investigations, evaluations, negotiations, settlements and denials of the following claims: workers' compensation, auto liability, no-fault uninsured motorist and general liability. He/she will manage a caseload ranging from 100-150 claims (the acceptable caseloads vary based on the mix and complexity as determined by Claims Unit Manager.) CANDIDATE PROFILE Education and Experience Required High School Diploma or GED. 1+ years claims adjusting or equivalent/relevant experience. Knowledge of claims processing. Preferred Applicable industry licensing. Associate in Claims (AIC) or Associate in Risk Management (ARM). Two or four year degree from an accredited college/business/technical school. CORE WORK ACTIVITIES Manage caseload ranging from 100 - 150 claims. Investigate claims promptly - taking statements as necessary - to determine liability/compensability Evaluate damages and pay benefits as prescribed by law and/or Marriott policies and procedures Secure necessary documentation to facilitate timely loss adjustment and maintain primary responsibility for settlement decisions up to individual authority Complete and monitor timely WC payments/state filings Monitor and actively manage WC medical treatment with the goal of minimizing disability. Consult Occupational Health Services as necessary Manage litigation cases including controlling/directing outside attorneys, assisting in discovery/trial preparation and strategy Evaluate claims for potential third party or subrogation recovery Participate in the Service Call Program and complete required Service Call reports detailing current case status Actively participate in regularly scheduled unit meetings and department meetings Comply with Marriott Casualty Claims Policy and Procedure Manual requirements Effectively utilize the Valley Oaks System (iVOS) to manage all claims electronically Enter action plan notes/website notes into iVOS Participate in activities that foster teamwork and continuous quality improvement. At Marriott International, we are dedicated to being an equal opportunity employer, welcoming all and providing access to opportunity. We actively foster an environment where the unique backgrounds of our associates are valued and celebrated. Our greatest strength lies in the rich blend of culture, talent, and experiences of our associates. We are committed to non-discrimination on any protected basis, including disability, veteran status, or other basis protected by applicable law.$45k-54k yearly est. Auto-Apply 7d agoClaims Adjuster
Crump Group, Inc.
Claims adjuster job in Flower Mound, TX
The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency: English (Required) Work Shift: 1st Shift (United States of America) Please review the following job description: Process claims, which includes evaluating policy for coverage; working with the insured, outside adjusters, agents and attorneys on the claim and coordinating the payment of claims. In addition, prepare reports such as loss runs and monthly bordereau. ESSENTIAL DUTIES AND RESPONSIBILITIES Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. 1. Review policy to determine if loss is covered. If questionable, then hire attorney for coverage counsel for coverage analysis. 2. Settle claims within settlement authority, where applicable. 3. Work with adjusters, insureds, attorneys, agents and others to assure the claim is handled efficiently and professionally. 4. Attend mediations, when applicable and negotiate settlement within authority. 5. Oversight of vendors (attorneys/adjusters/experts) for accuracy in reporting. Audit invoices for accuracy. 6. Process incoming and outgoing claims and vendor payments. 7. Maintain loss fund. 8. Must review and recommend policy wording changes. 9. Perform claim status requests and updates. 10. Prepare daily, weekly and monthly reports. 11. Travel for meetings with clients, mediations and underwriters. Approximately 25% of time will be out of the office. QUALIFICATIONS Required Qualifications: 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. 1. High School Diploma 2. College degree or equivalent work experience 3. Claims Adjuster's license 4. Good organizational/time management skills 5. Ability to work under time constraints and meet deadlines 6. Strong verbal and written communications skills 7. Ability to operate a computer, calculator, multi-line phone, fax machine, copier and other office equipment 8. Knowledge and use of correct spelling and grammar 9. Ability to write legibly 10. Ability to effectively interact with employees at all levels of the organization and with a variety of people from diverse backgrounds 11. Ability to adhere to all organizational policies and procedures 12. Demonstrated proficiency in basic computer applications, such as Microsoft Office software products 13. Ability to travel, occasionally overnight Preferred Qualifications: 1. Previous administrative support experience General Description of Available Benefits for Eligible Employees of CRC Group: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of CRC Group offering the position. CRC Group offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. Depending on the position and division, this job may also be eligible for restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work. CRC supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC is a Drug Free Workplace. EEO is the Law Pay Transparency Nondiscrimination Provision E-Verify$45k-55k yearly est. Auto-Apply 60d+ agoClaims Adjuster
CRC Group
Claims adjuster job in Flower Mound, TX
The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one. If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency: English (Required) Work Shift: Please review the following job description: Process claims, which includes evaluating policy for coverage; working with the insured, outside adjusters, agents and attorneys on the claim and coordinating the payment of claims. In addition, prepare reports such as loss runs and monthly bordereau. ESSENTIAL DUTIES AND RESPONSIBILITIES Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. 1. Review policy to determine if loss is covered. If questionable, then hire attorney for coverage counsel for coverage analysis. 2. Settle claims within settlement authority, where applicable. 3. Work with adjusters, insureds, attorneys, agents and others to assure the claim is handled efficiently and professionally. 4. Attend mediations, when applicable and negotiate settlement within authority. 5. Oversight of vendors (attorneys/adjusters/experts) for accuracy in reporting. Audit invoices for accuracy. 6. Process incoming and outgoing claims and vendor payments. 7. Maintain loss fund. 8. Must review and recommend policy wording changes. 9. Perform claim status requests and updates. 10. Prepare daily, weekly and monthly reports. 11. Travel for meetings with clients, mediations and underwriters. Approximately 25% of time will be out of the office. QUALIFICATIONS Required Qualifications: 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. 1. High School Diploma 2. College degree or equivalent work experience 3. Claims Adjuster's license 4. Good organizational/time management skills 5. Ability to work under time constraints and meet deadlines 6. Strong verbal and written communications skills 7. Ability to operate a computer, calculator, multi-line phone, fax machine, copier and other office equipment 8. Knowledge and use of correct spelling and grammar 9. Ability to write legibly 10. Ability to effectively interact with employees at all levels of the organization and with a variety of people from diverse backgrounds 11. Ability to adhere to all organizational policies and procedures 12. Demonstrated proficiency in basic computer applications, such as Microsoft Office software products 13. Ability to travel, occasionally overnight Preferred Qualifications: 1. Previous administrative support experience General Description of Available Benefits for Eligible Employees of CRC Group: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of CRC Group offering the position. CRC Group offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. Depending on the position and division, this job may also be eligible for restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work. CRC supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC is a Drug Free Workplace. EEO is the Law Pay Transparency Nondiscrimination Provision E-Verify$45k-54k yearly est. Auto-Apply 60d+ agoClaims Adjuster - Bodily Injury
Edge Claims
Claims adjuster job in Roanoke, TX
Job DescriptionDescription: The Bodily Injury Claims Adjuster primary focus will be to provide service to our customers through initiative communication, verification of coverage, establishing liability through investigation, evaluation of all damages and payment of only what is owed to protect the interests of the customer as provided within their assigned auto policy. The Bodily Injury Claims Adjuster must also comply with the Texas Department of Insurance Guidelines and remain in compliance, providing documentation through each step of the claims process. Position Responsibilities: Upon receipt, reviews each claim file to identify and establish a prompt investigation of coverage, liability, and damages. Oversee assigned claims in accordance with the policy contract, best internal practices, industry standard, Fair Claim Practices, regulatory guidelines, applicable case law, and jurisdictional requirements. Properly documents and manages all aspects of the file during the life of a claim (investigation, correspondence, negotiation, and settlement). Effectively negotiates the settlement of claims of varying complexity with little direction and more complex claims under the direction of their supervisor/manager. Achieves a prompt, fair and equitable settlement of a claim, where there is policy liability. Communicate timely and professionally with insureds, claimants, witnesses, attorneys, and other carriers via telephone and written correspondence to set expectations, explain rationale behind decisions made, and negotiate settlements as appropriate through resolution. Works within settlement authority; submits requests to management for authority to negotiate, settle, accept, or deny claims when appropriate. Investigates questions on coverage under a reservation of rights and advises the Underwriting Department of adverse findings. Ensures that claims payments are issued in a timely and accurate manner. Requirements: Education High School Diploma or equivalent required. Bachelor's degree referred. Experience Minimum of 2 to 5 years of auto bodily injury claim handling experience Texas Adjuster license required. Strong technical and administrative background in auto claims handling. Ability to work independently on technical and administrative matters in accordance with company policy and procedures.$45k-54k yearly est. 6d agoRisk Claims Specialist
Maya Management Group LLC
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. 8d agoClaims Service Representatives
Acme Corporation
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+ agoDesk Adjuster - Dallas Texas
Cenco Claims
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 Texas Adjuster License (or ability to obtain) What We Offer: Supportive team environment Opportunities for advancement Apply Today$40k-52k yearly est. 60d+ agoIndemnity 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. 36d agoAppearance Adjuster
Bridge Specialty Group
Claims adjuster job in Dallas, TX
Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. The Appearance Claims Adjuster is responsible for evaluating and processing insurance claims related to property damage and personal injury. This role involves conducting thorough investigations, assessing damages, and determining liability based on policy coverage. The adjuster will collaborate with policyholders, service providers, and legal teams to ensure timely and accurate claim resolution. How You Will Contribute • Handles claims from initial contact through to conclusion. • Thoroughly investigates claims and verifies eligibility • Responsible for maintaining positive customer relationships seeking to enhance organizational skills. • Manages a high call volume with exception communication and customer service skills • Successfully works independently and in a team atmosphere. • Skillfully adapts and uses critical thinking and problem-solving issues. Skills & Experience to Be Successful · Excellent written and verbal communication skills · Proficient with Microsoft Office Suite and industry standard web applications · Ability to maintain a high level of confidentiality Preferred · Bilingual is a plus, not required · Service Advisor, Warranty, or Service Drive experience a plus · Basic mechanical knowledge of automotive systems. Teammate Benefits & Total Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including: Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services; Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more. Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations. Teammate Benefits & Total Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including: Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more. Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations. The Power To Be Yourself As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.$42k-57k yearly est. Auto-Apply 60d+ agoClaims Specialist - Auto
Philadelphia Insurance Companies
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+ agoGAP 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 CLAIMS ADJUSTER is responsible for interactions with customers, inspectors, repair facilities, and part vendors to support our auto warranty call center. The Warranty Claims Adjuster 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, claim adjusters, 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 38d agoParalegal/Claims Specialist
Sundt Construction
Claims adjuster job in Irving, TX
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 22d agoClaims Adjuster I - State National
Markel Corporation
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 adjusted claims 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 claims adjusting * 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 claims adjusting 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.$46k-54k yearly est. Auto-Apply 4d agoComplex Claims Specialist
Lockton
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. 7d agoClaims Representative I (Health & Dental)
Carebridge
Claims adjuster job in Grand Prairie, TX
Title: Claims Representative I (Health & Dental) Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Claims Representative I responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery. How you will make an impact: * Learning the activities/tasks associated with his/her role. * Works under direct supervision. * Relies on others for instruction, guidance, and direction. * Work is reviewed for technical accuracy and soundness. * Codes and processes claims forms for payment ensuring all information is supplied before eligible payments are made. * Researches and analyzes claims issues. Minimum Requirements * HS diploma or equivalent and related experience; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities and Experiences * Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.$31k-39k yearly est. Auto-Apply 60d+ ago
Learn more about claims adjuster jobs
How much does a claims adjuster earn in Richardson, TX?
The average claims adjuster in Richardson, 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 Richardson, TX
$49,000
What are the biggest employers of Claims Adjusters in Richardson, TX?
The biggest employers of Claims Adjusters in Richardson, TX are:
- Marriott International
- Fortegra
- Smart Autocare
- Ia Financial Group
- Lotsolutions, Inc.
- Milehigh Adjusters Houston
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