ERISA Recovery are experts in collecting complex and aged claims through the Federal ERISA appeals process. We are a fast-growing organization located in Plano, TX. If you would like to join a friendly, passionate team with limitless potential, we'd love to meet you. This extraordinary opportunity to advance your career and make a difference is now.
We are searching for a Legal Hospital Claims Analyst - someone who works well in a fast-paced setting. In this position, you'll provide support in analyzing comprehensive claims and identifying key metrics. You will be a subject matter expert in legal claims. You must be able to work both independently and as part of a team. Key attributes for the ideal candidate include working with intensity, focus, and being detail oriented.
Essential responsibilities and duties
Conducts legal research and investigation of claims
Drafting legal documents
Keeping track of changes in legal framework and providing timely updates on these changes
Utilizes ERISA law enforcement
Utilizes knowledge of health care standards appropriate to specific claim
Ability to understand and apply medical reimbursement policies, procedures, and standards
Ensures eligibility for claims is reasonable and correct by analyzing claims and providing supporting documentation
Utilize a variety of EHR systems
Thrives in a fast-paced environment
Collaborates effectively with other team members
Ability to adapt to changing needs
Consistently applies knowledge relevant to claims
Work intensely at a fast-paced rate
Ability to communicate effectively with third party administrators
Determine the status of medical claims through research
Meet the standards of the department and quality standards
Strong organizational skills
Desired skills and Qualifications
Bachelor's degree
3+ years working in the legal field
2+ years working with healthcare insurance claims (preferred)
Strong Communication skills
Working knowledge utilizing Microsoft software (Word, Excel, Outlook)
Ability to work in a fast-paced environment
Benefits:
401(k)
401(k) matching
Dental insurance
Health insurance
Paid time off
Vision insurance
Paid lunches
Bonus
ERISA Recovery is an Equal Opportunity Employer
$34k-55k yearly est. 1d ago
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Construction Claim Coordinator
Servpro Team Shaw
Claims representative job in Grapevine, TX
SERVPRO Team Shaw - Ranked #69 Fastest Growing Construction/Restoration Company in US by Inc 5000 and #2 Best Place to Work by Dallas Business Journal
SERVPRO Team Shaw is one of the largest SERVPROs in Texas and has grown from one location in 2019 to 30 locations today. We have grown 10x in the last 3 years and are looking to double in growth in near future. We are a full turnkey provider for our customers doing everything from Water and Fire Emergency Services, Moving and Storage of Contents, and Textile Cleaning all the way to Reconstruction.
Growth opportunities can arise through any of the above-mentioned divisions, as well as specializations for commercial large loss, fire damage restoration, Reconstruction and Capital Improvement Projects. If you have a sense of urgency and want to grow with a company that has seen 10x growth over the last 2 years, look no further and apply today!
As a Construction Claims Coordinator with SERVPRO, you will be responsible for ensuring the highest quality of service is provided to all customers, insurance partners, and internal teams. In this role, you will manage a wide range of administrative and communication functions that support the insurance claims process from start to finish. This position will work heavily within carrier portals, documentation systems, and in close partnership with Estimators, Project Managers, and Insurance Adjusters.
Key Responsibilities:
As a Construction Claims Coordinator, you will oversee essential file management and claims communication functions that keep insurance-related projects accurate, compliant, and moving forward efficiently.
In this role you will:
Manage all claims documentation, uploading and organizing required photos, estimates, invoices, and notes.
Work heavily within insurance carrier portals (XactAnalysis) to update job status and submit required documents.
Manage mortgage company authorization regarding ACV and depreciation.
Create PO's and work within our construction software to manage payments and expenses.
Communicate professionally with insurance adjusters regarding approvals, supplements, missing information, and claim status.
Assist Estimators and Project Managers by ensuring job files are complete and meet carrier guidelines.
Track claim progress, approvals, payments, and outstanding items to keep files moving efficiently.
Provide homeowners with timely updates on claim status, required documents, and next steps.
Coordinate re-inspections, supplemental requests, and additional documentation between field teams and adjusters.
Maintain accurate digital file organization for all mitigation and reconstruction claims.
Support internal reporting and compliance requirements related to carrier scores, timelines, and file accuracy.
Schedule:
Monday - Friday, 8:00 AM - 5:00 PM
(Some overtime may be required)
Qualifications:
1-3 years of experience in insurance claims, restoration, construction administration, or related office support.
Strong written and verbal communication skills.
High attention to detail and accuracy in documentation.
Ability to prioritize, multitask, and manage deadlines in a fast-paced environment.
Proficiency with Microsoft Office (Outlook, Excel, Word).
Comfortable learning multiple software platforms and carrier portals.
Strong customer service skills and professional phone/email presence.
Preferred Experience:
Experience with restoration software (Xactimate, PSA/CAM, BuilderTrend, Company Cam, etc.).
Prior work in insurance, claims management, construction coordination, or mitigation/reconstruction support.
Familiarity with insurance carrier requirements, SLAs, and documentation standards.
Understanding of restoration industry workflows is a plus.
Attributes for Success:
Highly organized and detail-oriented.
Strong communicator - clear, calm, and professional.
Dependable with excellent follow-through.
Able to stay calm under pressure and adapt quickly.
Proactive about solving problems and closing gaps.
Team-oriented with a positive, service-focused mindset.
Comfortable juggling multiple open claims and deadlines.
Benefits:
Medical, Dental, Vision Insurance
Paid Time Off + Sick Leave
401K with Company Matching
Professional Development & Training Opportunities
Growth potential in a rapidly expanding company
$34k-43k yearly est. 3d ago
Claims Coordinator
Morgan Benjamin Search Group
Claims representative job in Houston, TX
Claims & Safety Coordinator
📍 Houston, TX | In-Office 77073
We're partnering with a growing manufacturing/service organization to hire a Claims & Safety Coordinator who will own the day-to-day management of insurance claims for the business and serve as the central point of contact between internal teams, carriers, and adjusters.
This role is ideal for someone with hands-on experience in worker's compensation claims, fleet claims, and property claims who enjoys staying organized, following claims through resolution, and keeping leadership informed every step of the way.
What You'll Be Doing
Manage auto, property, general liability, workers' compensation, and fleet-related claims from intake through resolution
File, track, and monitor claims while communicating directly with carriers, adjusters, and brokers
Maintain accurate, audit-ready claim files and tracking systems
Provide regular claim status updates and cost visibility to internal stakeholders
Track claim costs, reimbursements, and settlements
Assist with documentation for renewals, audits, and carrier requests
Gather incident details and supporting documentation from internal teams
Support trend reporting related to claims activity and costs
What We're Looking For
2+ years of experience in claims coordination or claims administration
Strong organizational and follow-up skills with the ability to manage multiple open claims
Clear, professional communication skills
Comfort working with claims systems and Microsoft Excel
High attention to detail and confidentiality
💼 In-office role
💰 Competitive salary Starting at $60k (based on experience) + excellent benefits
🏢 Stable, employee-focused environment
$60k yearly 3d ago
Technical Claims Specialist
Berkley 4.3
Claims representative job in Texas
Company Details
Berkley Oil & Gas, (a W.R. Berkley Company) is an insurance underwriting manager providing unique property and casualty products and risk services to customers engaged in the energy sector. Our customers recognize the importance of the expertise we provide and appreciate the opportunity to work with professionals who understand their business. We are in turn committed to delivering innovative products and exceptional service to them, our valued agents and brokers, Berkley Oil & Gas is dedicated in its efforts to be well-informed of the changing dynamics of the industry; support industry efforts to minimize and mitigate risks and hazards in the ‘oil patch', and to constantly seek ways to improve our products and services to meet customer needs.
Company URL: ***************************
The company is an equal opportunity employer.
Responsibilities
The Technical Claims Specialist position will be responsible for handling, negotiating and resolving first and third party commercial general liability, property, Inland Marine and automobile bodily injury and property damage claims to conclusion. This position may also handle worker's compensation claims. This would include coverage verification, policy interpretation, contract interpretation, liability investigation and evaluation and negotiation of claims consistent with company policies and state regulations.
Conduct and manage the investigative process, while demonstrating ongoing communication with the customer and relevant internal and external parties.
Documenting files to include all key activities, contacts made, statements taken, including a full outline covering all aspect of the claim requirements for resolution.
Demonstrate understanding of medical terms, medical treatment and injury descriptions.
Recognition and evaluation of potential damages related to injuries.
Manage the claim authorization process.
Conduct complete investigation of losses through appropriate techniques including interviews, recorded statements, documentation/data gathering and securing/preserving evidence.
Evaluate compensability and exposure; identify subrogation opportunities or suspicious claims. Prepare timely, concise reports and state filings as required by the jurisdiction.
Promptly establish and maintain accurate reserves. Adhere to state regulatory compliance requirements.
Verify, analyze, and correctly apply coverage.
Develop strategy and negotiate claims to a timely conclusion, properly applying state compliance and company policies and procedures.
Develop a resolution plan (e.g. pay, deny, dispute) based upon analysis of the facts, defenses, compensability, and statutory/case law.
Keep policyholders, underwriting and agents advised of file status and other matters as required.
Participation in presentations, meetings, or visits to agents, policyholders, prospective accounts and other groups related to claims resolution, service or technical issues.
Successfully complete relevant continuing education as required.
Qualifications
Minimum of 7 years of multi-line experience
Must possess a current Texasclaims adjuster licenses; additional licenses a plus.
Multi-jurisdictional experience preferred.
Familiarity with Contractual Risk Transfer concepts and anti-indemnity laws
Ability to follow detailed procedures and ensure accuracy in documentation and data.
Excellent written and verbal communications; with ability to listen well.
Recognizes differences in opinions and misunderstandings and encourages open discussion while working towards resolution.
Accepts individual responsibility for all actions taken. Holds self and others accountable to the organization and stakeholders.
Excellent organizational skills; ability to prioritize workload
Ability to think critically and solve problems, including the ability to interpret related documentation
Strong negotiation skills leading to best claim outcomes
Demonstrate proficiency in computer programs, such as Microsoft Word, Outlook and Excel
Education Requirement
Bachelor's Degree required or equivalent work experience.
Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms.
The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include:
• Base Salary Range: $90,000 - $140,000
• Eligible to participate in annual discretionary bonus.
• Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.
The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
The application window for this role is estimated to be open through January 30, 2026, but may be extended, if necessary, please submit your application as soon as possible prior to January 30, 2026. Sponsorship Details Sponsorship not Offered for this Role Not ready to apply? Connect with us for general consideration.
$90k-140k yearly Auto-Apply 33d ago
Claims Representative - North Richland Hills, TX
Federated Mutual Insurance Company 4.2
Claims representative 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 16d ago
Claims Specialist
Pearl Street Dental Group 4.0
Claims representative job in Dallas, TX
Do you have 5+ years of dental office administrative experience with an emphasis on Insurance Billing, Collections, and Revenue Cycle Management? We are seeking an experienced Insurance Billing/Collections Specialist from a dental office to join our support team in Dallas, TX.
This position will require phone contact with insurance company representatives and dental practices.
Specific Job Skills and Responsibilities
Must have knowledge of Insurance Billing, Collections, and Revenue Cycle Management in a dental office
Employ measures to expedite claim adjudication by resolving issues that may delay processing
Expert knowledge of outgoing and incoming insurance processes and insurance follow-up
Demonstrates continuous effort to improve operations, decrease turnaround times, streamline work processes, and works cooperatively and jointly to provide quality seamless customer service
Follow up with insurance carriers on special insurance billings and claims
Knowledge of CDT coding and terminology is a plus
Must be detail-oriented, organized, and work with little supervision
Knowledge of dental/medical industry and insurance plans
Ability to read and write in a clear and concise manner
Ability to multi-task effectively under stress, prioritize and meet deadlines with strong attention paid to detail of work produced
Pleasant and professional phone etiquette
Must have knowledge of computer programs and operations (Word, Excel, PowerPoint, Outlook)
Knowledge and experience working with public and private insurance companies
Ability to maintain client and patient confidentiality
Open Dental knowledge is a plus
Education and/or Experience
Associate's or Bachelor's degree;
Or two-five years related experience or equivalent combination of education and experience in the dental insurance billing processing environment.
Dental experience is required
In addition to full medical, dental, and vision we provide life insurance, paid vacation, standard holidays, and 401K.
About Pearl Street
Pearl Street is a small group of partner dentists with dental practices throughout Texas. We are working to empower the dentists in our group with the best tools for their practice. Additionally, we have a centralized business team that handles many of the non-clinical services, including Human Resources, Operations, Billing, Training, Finance & Bookkeeping, Credentialing, Facilities Support, IT, and Marketing.
Pearl Street is reimagining group dentistry and preserving the private practice! We are bringing a fresh perspective and providing exceptional dental care. We are passionate about creating extraordinary experiences for our dental providers, our loyal team members, and our patients.
Job Type: Full-time
Benefits:
401(k)
401(k) matching
Dental insurance
Employee discount
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance
Schedule:
Monday to Friday
Experience:
Dental: 5 years (Preferred)
Dental RCM: 5 years (Preferred)
Work Location: In person
Qualifications
Experience:
Dental: 2 years (Preferred)
Dental RCM: 2 years (Preferred)
Work Location: In person
$37k-65k yearly est. 10d ago
Claims Specialist - Auto
Philadelphia Insurance Companies 4.8
Claims representative 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
Risk Claims Specialist
Maya Management Group LLC 4.1
Claims representative 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. 4d ago
Total Loss Adjuster, Personal Lines
Hallmark Financial Services 3.9
Claims representative 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 51d ago
Liability Adjuster I
TWAY Trustway Services
Claims representative job in McAllen, TX
JOIN THE ASSURANCEAMERICA TEAM
Do you want to be part of an organization where you are valued, and your ideas and opinions have an impact?
Join the AssuranceAmerica team.
For more than 25 years, AssuranceAmerica has provided superior property and casualty insurance products through contracted independent agents and directly to customers. Our team succeeds through diversity of thought, experiences, skills, and backgrounds.
Liability Adjuster I
The Liability Adjuster I is responsible for the initial handling of claims involving straightforward coverage and liability issues. This role involves managing a caseload of non-complex claims and conducting thorough investigations to determine liability, assess damages, and identify any potential injury exposures. Leveraging a solid understanding of policy language, the adjuster will make informed coverage determinations under the guidance and support of a supervisor.
About the ROLE
Each day at AssuranceAmerica is different, but as a Liability Adjuster I you will:
Initial contact with insured and claimants to determine coverage and liability exposure.
Determine any injuries involved in the accident and develop the exposure, handling first call settlement injury claims and minor injury claims.
Control expenses and adhere to company reserving philosophy by maintaining proper reserves on all pending claims/potential exposures.
Meet and maintain general file handling goals and procedures as outlined by the company including maintaining a 1:1 closing ratio and status on diary reviews.
Properly utilize underwriting and policy systems and understand its features and functionality, as needed.
Attend any available seminars and classes applicable to this position and the skills required to meet the job duties and responsibilities.
Continually ask questions and have a desire to develop additional skills to better investigate and evaluate claims.
About YOU
Excellent communication skills with demonstrative ease with both verbal and written formats.
Attention to detail and ability to multi-task.
A high degree of motivation and team orientation.
Direct, results driven, and dedicated to the success of the business and each other.
Required
Minimum one year experience handling auto claims.
Preferred
Bachelor's degree or equivalent.
Non-standard experience.
Adjuster's license in relevant state or the ability to obtain one quickly.
Bilingual (English-Spanish).
Physical Requirements
Prolonged periods sitting at a desk and working on a computer.
Must be able to lift 15 pounds at times.
Must be able to navigate various departments of the organization's physical premises.
$45k-62k yearly est. Auto-Apply 60d+ ago
Claims Service Representatives
Acme Corporation 4.6
Claims representative 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
Paralegal/Claims Specialist
Sundt Construction 4.8
Claims representative 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 47d ago
Licensed Public Adjuster Houston, Texas
Rockwall National Public Adjusters
Claims representative job in Houston, TX
Job DescriptionSalary:
About Us
Rockwall National Public Adjusters is one of the most established public adjusting firms in the region. For more than 15 years, we have successfully advocated for property owners, supported by leadership with over 20 years of experience in the insurance claims industry.
We pride ourselves on our longevity, high retention, and reputation for excellence. Many of our adjusters and office staff have been with us for over 10 years, reflecting our supportive culture and commitment to long-term careers.
At Rockwall, our mission is simple: level the playing field, fight for our clients rights, and secure the settlements they deserve. By joining our team, you will become part of a well-respected firm with proven processes, unmatched administrative support, and a collaborative environment that fosters professional growth.
The Role
We are seeking a motivated and Licensed Public Adjuster in the Houston area to join our team in a hybrid, commission-based role.
As a Public Adjuster, you will represent policyholders throughout the insurance claims process, guiding them through stressful property damage losses and securing fair settlements. You will play a vital role in soliciting referral business, signing clients, evaluating damages, preparing and negotiating claims, and advocating for clients best interests.
This position is designed to support all levels of experience:
Newly licensed adjusters benefit from structured training, mentorship, and back-office support.
Experienced adjusters gain access to qualified leads, advanced systems, and a trusted brand with a long-standing reputation.
Key Responsibilities
Collaboratively solicit residential and commercial new claims and referral partners
Sign, inspect, evaluate, and document property damage for residential and commercial claims
Prepare, submit, and negotiate insurance claims on behalf of policyholders
Communicate with clients, insurance carriers, contractors, and stakeholders to advance claims efficiently
Advocate for clients best interests and ensure fair settlements are achieved
Maintain accurate records, reports, and claim documentation
Deliver exceptional customer service while educating clients on the claims process
Generate new business and efficiently close provided leads
Required Qualifications
Active Texas Public Adjuster license (or ability to obtain one)
Prior experience in insurance adjusting, construction, restoration, or a related field preferred, but not required
Strong negotiation and communication skills
Organized, detail-oriented, and able to manage multiple claims simultaneously
Professional demeanor with a client-focused mindset
Valid drivers license and reliable transportation for field inspections
Compensation & Benefits
Commission-based structure with unlimited earning potential
Training and ongoing professional development
Career growth opportunities within a supportive and collaborative team
Hybrid work flexibility (field + office)
Full administrative and office support (contracts, compliance, claims, invoicing, mortgage company payments)
The Rockwall Difference
At Rockwall, we provide unmatched support at every stage of the claims process, allowing our adjusters to focus on serving clients and building careers.
Key Advantages:
Comprehensive adjuster onboarding and mentorship programs
Professional ongoing sales training to close contracts faster and expand referral networks
Proprietary lead generation sources and affiliate networks
Automated client onboarding to reduce paperwork
Access to advanced claims management software for streamlined workflows
Hands-on field training for residential and commercial claims
Xactimate training and estimate reviews to ensure complete assessments
Seamless invoicing and fee collection support
Regular updates on case law, legislation, and industry trends
A collaborative team environment that promotes growth and shared knowledge
Why Join Rockwall NPA
20+ years of insurance industry expertise
15+ years as a trusted, established firm
Strong reputation and high staff retention
Proprietary lead generation sources and long-standing affiliate networks
Full support systems that empower adjusters to succeed
A company culture built on professionalism, advocacy, and results
$43k-59k yearly est. 16d ago
Subrogation Adjuster
Constitution General Agency LLC
Claims representative job in Houston, TX
Job DescriptionBenefits:
Life Insurance
Dental insurance
Health insurance
Paid time off
Vision insurance
The Subrogation Adjuster will be responsible for identifying subrogation opportunities, investigating liability, and pursuing recoveries from at-fault parties or their insurers. The ideal candidate has hands-on experience with non-standard auto claims, understands complex liability scenarios, and is comfortable negotiating to maximize recoveries.
Key Responsibilities
Review claim files to identify subrogation potential and establish recovery strategies
Investigate liability by obtaining police reports, witness statements, and other relevant evidence
Communicate with policyholders, claimants, other insurers, and attorneys to pursue recoveries
Negotiate settlements with adverse carriers and uninsured parties
Document all activity accurately and in a timely manner within claim systems
Collaborate with litigation teams when legal action is required to support recovery efforts
Handle deductible reimbursements in accordance with company policy and state regulations
Maintain productivity and recovery goals in alignment with department metrics
Qualifications
2+ years of subrogation or claims adjusting experience, preferably within non-standard auto insurance
Solid understanding of auto liability, comparative negligence, and subrogation principles
Excellent negotiation, communication, and investigative skills
Strong organizational skills and attention to detail
Ability to manage a high-volume caseload efficiently
Familiarity with arbitration forums (e.g., AF) and relevant state regulations is a plus
Proficiency in claims management systems and Microsoft Office
Pay
Pay is negotiable based on experience
THIS IS AN IN PERSON POSITION
$43k-59k yearly est. 21d ago
Indemnity Adjuster
Insight Global
Claims representative 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. 11d ago
Desk Adjuster Dallas Texas
Cenco Claims 3.8
Claims representative job in Dallas, TX
CENCO Claims is a growing property adjusting firm that delivers dependable claim services to insurance carriers nationwide. Our team is known for accurate file handling, responsive communication, and a practical, solutions-driven approach to claims.
Position Overview
We are currently seeking Desk Adjusters to support property claims from assignment through resolution. In this role, you'll review documentation, evaluate damages, and collaborate with field adjusters, policyholders, and carriers to keep claims moving efficiently and in compliance with client expectations.
Key Responsibilities
Review inspection reports, photos, and supporting documentation to evaluate property damage
Analyze coverage and prepare estimates using Xactimate
Communicate clearly and professionally with policyholders, contractors, and carrier representatives
Maintain accurate, well-organized claim files
Meet service timelines and quality standards established by clients
What We're Looking For
Background in property claims handling
Proficiency with Xactimate (X1 preferred)
Strong attention to detail and file organization
Clear written and verbal communication skills
Active Texas adjuster license (or ability to obtain)
What We Offer
Supportive, team-oriented work environment
Consistent workload
Opportunities for growth and advancement
Apply Today
Join a claims team that values accuracy, accountability, and getting the job done right.
$40k-52k yearly est. Auto-Apply 60d+ ago
Claim Specialist Clerk
Autobuses Ejecutivos
Claims representative job in Houston, TX
We are expanding our team and seeking a dedicated Claims Specialist with experience in insurance policy renewals to support our risk management and insurance operations.
The Claims Specialist will manage insurance claims related to company operations and oversee the renewal of insurance policies to ensure ongoing compliance, protection, and operational continuity.
Key Responsibilities:
*Process and manage insurance claims from initial report through final resolution.
*Review claim documentation, assess damages, and ensure alignment with insurance regulations and company procedures.
*Liaise with insurance carriers, adjusters, legal teams, and internal departments.
*Lead and coordinate the insurance policy renewal process, ensuring accurate documentation and timely submission.
*Maintain updated records for all claims and policy renewals.
*Provide internal support on claim status, policy requirements, and insurance-related inquiries.
*Identify opportunities to reduce risk and improve claims procedures.
Requirements:
*Proven experience as a Claims Specialist, preferably within the transportation or logistics industry.
*Strong background in insurance policy renewal management.
*Knowledge of insurance principles, claims workflows, and regulatory requirements.
*Excellent communication and negotiation abilities.
*Strong analytical and organizational skills with high attention to detail.
*Ability to work independently and manage multiple cases simultaneously.
*Proficiency with insurance platforms and MS Office Suite.
What Omnibus Express Offers:
*Competitive salary and comprehensive benefits package.
*Opportunities for professional development and career advancement.
*A collaborative and supportive workplace culture.
How to Apply:
Please send your resume and cover letter to ******************************** with the subject line: Claims Specialist - Omnibus Express. or apply in our website omnibusexpress.com or Indeed
Benefits:
401(k) 5% Match
Dental insurance
Employee discount
Health insurance
Paid time off
Vision insurance
Work Location: In person
$30k-53k yearly est. Auto-Apply 33d ago
Mechanical Claims Processing Specialist
Roadvantage
Claims representative job in Austin, TX
Title: Mechanical Claims Processing Specialist Reports to: Mechanical Claims Supervisor Department: Operations Direct Reports: No Exempt Status: Non-Exempt Position Type: Full-Time, Hybrid Schedule Claims Hours of Operation: Monday - Friday, 7 am - 7 pm, Saturday, 8 am - 3:30 pm
Job Purpose
The Mechanical Claims Processing Specialist role is responsible for providing essential clerical and administrative assistance to the Mechanical Claims Team. This position is not directly responsible for adjudicating claims, but plays a critical role in ensuring efficient and accurate claims processing.
Essential Job Functions
Review, upload, and organize mechanical claims-related documents into internal systems for review and processing
Review service invoices and repair orders for accuracy and completeness prior to processing payment
Process claims payments accurately and in a timely manner
Coordinate with Claims Examiners on open or pending claims to resolve outstanding issues
Perform accurate data entry and maintenance of claims records
Monitor workflow to ensure claims and documents are processed within established timelines
Communicate professionally with internal teams and external partners, as needed, regarding claim statuses and updates
Other tasks as assigned by Management
Minimum Qualifications
Previous experience as Warranty Administrator, Automotive Service Advisor, or similar role preferred
Familiarity with Vehicle Service Contracts and mechanical claims processes
Experience handling financial transactions, invoice verification, and payment reconciliation
Ability to read and understand contractual language as well as automotive repair terminology
Ability to interpret automotive service invoices and repair orders
Proficiency in data entry and Microsoft Office Suite (Excel, Outlook, Word)
Excellent verbal and written communication skills
High attention to detail and accuracy
Maintain production level as assigned
The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job, nor are they intended to be an all-inclusive list of the skills and abilities required to do the job. Management may, at its discretion, assign or reassign duties and responsibilities to this job at any time due to reasonable accommodation or other reasons.
$27k-36k yearly est. 5d ago
Automotive Claims Specialist I
Cox Enterprises 4.4
Claims representative job in Euless, TX
Company Cox Automotive - USA Job Family Group Vehicle Operations Job Profile Arbitrator I Management Level Individual Contributor Flexible Work Option Hybrid - Ability to work remotely part of the week 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 8% 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.
* Claims adjuster 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 5d ago
GAP Warranty Adjuster
Amynta Agency
Claims representative 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.