BI Direct Claims Adjuster

Arthur J. Gallagher•Brownsville, TX

About The Position

At Pronto Insurance, we re creating access, trust, and opportunity in the communities we serve. With deep roots in South Texas and a fast-growing presence across California and Florida, we bring local knowledge and genuine care to every interaction; making insurance simpler, more affordable, and more accessible for all. You ll join a team that believes in doing the right thing, seizing opportunities, and showing up for one another. Whether you re supporting customers in our retail locations or working behind the scenes, we re proud to be a place where ambition meets support. Here, diverse perspectives are valued. If you re ready to make a difference and grow with a team that s redefining what s possible in insurance, we d love to hear from you. How you'll make an impact Claims BI Direct Adjuster As a BI Fast Track Rep, you will review injury claim information from the FNOL unit and immediately respond in person to meet with injured parties, complete the investigation, and resolve the claim. This requires strong organizational abilities and empathetic interpersonal skills. Candidates should be able to perform duties independently with a high level of accountability for timely and accurate results. Successful candidates will be computer literate and will enjoy working with customers, be effective at listening and communicating, and have confidence in resolving issues and negotiating fair settlements. Job Details: Employment Status: Permanent/ Full Time Job Location: Brownsville, Texas (MGA) Hours of Operation: Monday - Friday 8:00 - 5:00 (can vary depending on projects, assignments and other tasks)

Requirements

Bachelor s Degree in Business, Communications, Criminal Justice or equivalent work experience. (1-2 years of work experience per year of college education).
Two years of claim adjusting experience
Working knowledge of relevant statutes, case law and regulations relating to insurance.
Current Adjuster License in Texas and other states (Candidate must otherwise be able to obtain a Texas Adjuster License)
Coordinates with outside sources to obtain information to aid in claim resolution.
Recommends appropriate resolution of coverage issues to management.
Uses in-depth knowledge of medical and liability issues to handle claims within authority.
Applies knowledge of policies and procedures when determining coverage and concluding claims.
Proficient in computer window-based programs with excellent navigation skills.
Ability to multi-task and prioritize in a fast-paced, high volume call center environment.
Excellent communication skills both oral and written.
High school diploma and 4 years related claims experience required.
Appropriately licensed and/or certified in all states in which claims are being handled.
Knowledge of accepted industry standards and practices.
Experience with related claims and business software.
Excellent judgement and decision making skills to ensure claims are resolved in the best interest of the Company.
Ability to combine pieces of information to form conclusions necessary to determine coverage, evaluate liability and evaluate damage exposures to ensure the claims are paid in a fair and equitable manner.

Nice To Haves

Bachelor's Degree preferred.
Bilingual Spanish a plus.

Responsibilities

Investigate, evaluate, negotiate and settle auto claims, in accordance with Texas Tort Law, in an assigned area to include verification of coverage, legal liability and extent of damage to persons, and property, which may require contact by telephone, correspondence or in person.
May require the preparation of written or computerized estimates in loss settlement.
Handle a high volume of claims in a virtual or centralized call center environment.
Ensure integrity of investigations by developing accurate and relevant investigation material and data acquisition.
Ensure that all compliance requirements for claims handling correspondence are met in a timely and professional manner.
Issue payments as per discretionary settlement authority limits.
Adjust reserves adequately on all new and existing claims.
Assess comparative negligence
Adjust reserves properly and understand their impact on a claim
Issue payments within authority and request more as needed
Protect lienholders as needed
Handle claims in a timely manner and in accordance with Texas compliance rules
Refer files to SIU as needed
Send Reservation of Rights letters as needed

Benefits

Medical/dental/vision plans, which start from day one!
Life and accident insurance
401(K) and Roth options
Tax-advantaged accounts (HSA, FSA)
Educational expense reimbursement
Paid parental leave
Digital mental health services (Talkspace)
Flexible work hours (availability varies by office and job function)
Training programs
Gallagher Thrive program - elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
Charitable matching gift program