Claims Examiner l

Full-time - Entry Level

Plano, TX

Insurance Carriers and Related Activities

About the position

This position will be responsible for the investigation and resolution of lower complexity and lower exposure claims. Under general supervision, this position will be able to manage a full claim workload with limited oversight and will be responsible for making sound decisions within delegated authority. Adheres to Fair Claims Practices regulations in states where applicable. Minimal travel required.

Responsibilities

• Handle non-litigated property damage liability claims with damages up to an estimated amount of $50,000 and litigated property damage liability claims with damages up to an estimated $35,000.
• Handle minor non-litigated bodily injury claims with anticipated value of $25,000 or less in all jurisdictions.
• Responsible for handling minor product liability and/or construction defect claims.
• Confirms coverage of claims by reviewing policies and documents submitted in support of claims.
• Analyzes coverage and communicates coverage positions.
• Ability to draft coverage position letters; will not be responsible for handling claims involving complex coverage issues.
• Identify losses which should be reported to SIU.
• Conducts, coordinates, and directs investigation into loss facts and extent of.
• Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure.
• Sets reserves within authority or makes recommendations concerning reserve changes to manager.
• Negotiates and settles claims within authority of up to $50,000.
• Prepares reports by collecting and summarizing information.
• Participates in special projects or assists other team members as requested.
• Provides excellent and professional customer service to insureds while maintaining a high level of production.
• Ability to serve as a mentor to entry level associates.
• As necessary will attend local mediations.

Requirements

• Associate degree or bachelor's degree or equivalent work experience.
• Minimum of two to five years of claims handling experience or equivalent combination of education and experience.
• Knowledge of insurance industry or claims handling preferred.
• Successful completion of two years as an Associate Claims Examiner preferred.
• Must have or be eligible to receive claims adjuster license within 45 days of employment.
• Excellent written and oral communication skills.
• Strong analytical and problem-solving skills.
• Strong organization and time management skills.
• Intermediate skills in Microsoft Office products (Excel, Outlook, Power Point, Word).
• Ability to work in a team environment.
• Strong desire for continuous improvement.

Nice-to-haves

• Advanced degree, or focused technical degree a plus.
• Successful completion of basic insurance courses or achievement of industry designation is a plus (INS, IEA, AIC, ARM, SCLA, CPCU).

Benefits

• Competitive benefit programs that help meet our diverse and changing environment.
• Multiple health, dental and vision insurance plan options.
• Optional life, disability, and AD&D insurance.
• 401(k) with employer match contributions.
• Employee Stock Purchase Plan.
• PTO, corporate holidays and floating holidays.
• Parental leave.