About The Position

GAINSCO is hiring a Bodily Injury Claims Adjuster for its Claims department. The role investigates, evaluates, negotiates, and resolves auto claims while complying with internal and external quality standards and state-specific regulations. The adjuster manages claims from start to finish, builds relationships with customers, and works in a fast-paced environment with support from a collaborative team and ongoing coaching from leaders. GAINSCO describes opportunities for professional growth and advancement as the company grows. The position handles non-attorney-represented injury claims, including soft-tissue bodily injury claims, and conducts telephone and electronic investigations. The adjuster evaluates property damage and bodily injury, determines coverage and liability, negotiates settlements, and resolves claims through payment or denial. The role also involves investigating complex or questionable claims and maintaining compliance with company guidelines, policies, and state and federal insurance regulations. The position is hybrid. Employment offers are contingent on a satisfactory background investigation and pre-employment drug test. Applicants must be eligible to work lawfully in the United States immediately; GAINSCO will not sponsor work authorization for this opportunity.

Requirements

  • High school diploma or equivalent.
  • An active Texas or Florida Adjuster License is required; additional licenses may be required after hire and must be obtained and maintained in accordance with state requirements.
  • At least two years of experience as an Auto Insurance Claims Adjuster.
  • At least two years of experience interpreting policy language and state statutes.
  • At least two years of experience handling claims of minor to moderate complexity.
  • At least one year of experience handling bodily injury claims.
  • Ability to manage time and prioritize multiple tasks.
  • Ability to communicate information clearly and concisely, with appropriate detail, empathy, and professionalism.
  • Strong commitment to quality.
  • Strong negotiation and analytical skills.
  • Ability to gather and analyze information, evaluate results, and select an appropriate solution.
  • Must be eligible to lawfully work in the United States immediately; employer will not sponsor U.S. work authorization.
  • Must successfully complete a background investigation and pre-employment drug test, with results satisfactory to GAINSCO.

Nice To Haves

  • Bachelor’s degree.
  • Professional insurance and/or claims designations.
  • Knowledge of ImageRight and Claims Manager.
  • Strong track record of making sound coverage and liability decisions based on facts and investigations.

Responsibilities

  • Apply knowledge of auto policies and state-specific coverages.
  • Assign field appraisers to assist with investigations.
  • Conduct telephone and electronic investigations and handle non-attorney-represented injury claims, including soft-tissue bodily injury claims.
  • Investigate moderate-to-complex liability and coverage issues and interpret policy language.
  • Manage a high volume of claims using effective time management, multitasking, and organizational skills.
  • Gather and evaluate coverage information; take recorded statements; and obtain police reports, repair estimates, and other relevant documents.
  • Evaluate property damage and bodily injury and determine coverage and liability.
  • Negotiate and settle bodily injury and liability claims.
  • Initiate investigations involving complex coverage, complex liability, non-attorney-represented bodily injury, or questionable claims.
  • Follow company guidelines and policies and state and federal insurance regulations to ensure legal compliance.
  • Resolve claims by approving or denying documentation, calculating benefits due, initiating payments, or composing denial letters.

Benefits

  • Medical, dental, and vision insurance.
  • Life insurance.
  • Short-term and long-term disability insurance.
  • Parental leave policy.
  • 401(k) with company match.
  • PTO plan.
  • Paid company-determined holidays.
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