Claims Examiner Trainee

Texas Windstorm Insurance Association • Austin, TX

16d • $46,626 • Hybrid

About The Position

Looking for a new career? Interested in changing industries? Searching for opportunities to grow? Are you ambitious and eager to learn? Then, this might be the job for you! We are currently seeking a class of potential Claims Examiners to be trained to become our next generation leaders at TWIA/TFPA. This is a remote work opportunity after completing the mandatory four weeks of training onsite in Austin, TX. We value smart, energetic, and flexible people who want to make a daily contribution toward helping serve our policyholders and employees. If that’s you, we may have just the right opportunity for you. This role would be to learn the department operation and processes in a fast-paced catastrophe environment while training to become a successful Claims Examiner and providing essential property insurance products and services for eligible Texas policyholders when no one else will. The Claims Examiner Trainee is responsible for learning and demonstrating a basic understanding of insurance principles, claims investigation, damage evaluation, and resolution of property claims, creating a positive customer experience. A Claims Examiner Trainee provides prompt, cost effective and efficient examination, investigation, evaluation, and payment of insurance claims by exercising independent decision-making skills and judgment within designated authority.

Requirements

• Communication: Effectively communicates by listening actively, sharing relevant information with others and interacting with others to establish fair and effective relationships.
• Customer Focus: Identifies customer’s requirements correctly, exceeds customer expectations and acts proactively for ensuring customer satisfaction.
• Teamwork: Develops cooperation and teamwork while working toward solutions that generally benefit all involved parties.
• Interpersonal Skills: Considers and responds appropriately to the needs and feelings of others with respect, fairness and consistency.
• Adaptability and Flexibility: Adapts to change, is open to new ideas, takes on new responsibilities, handles pressure and adjusts plans to meet changing needs.
• Critical Thinking: Identifies an issue, dilemma, or problem; frames it as a specific question; explores and evaluates information relevant to the question; and integrates the information into development of a resolution. Involves reasoning based on inquiry, evidence, interpretations and implications.
• Decision Making: Uses effective approaches for choosing a course of action or developing appropriate solutions. Makes timely and sound decisions by comparing data from different sources to draw conclusions. Understands the impact and implications of decisions and provides feedback on outcomes. Takes responsibility for decisions.
• Associate degree (or equivalent experience in lieu of a degree)
• 1+ years of work experience
• Obtain an adjuster’s license required by the state of Texas within 90 – 120 days of employment
• Successfully complete a Bisys Property and Casualty Principles course within 90 -120 days of employment
• Participate in training sessions consisting of self-study, classroom, and field-based activities
• Demonstrate basic proficiency in general insurance principles, basic investigation, policy interpretation, basic residential construction techniques, and verbal and written communication skills
• Develop and demonstrate effective organization and time management skills
• This position requires the ability to sit, hear, converse over the telephone, and key frequently on a computer for long periods of time.
• This position may require some limited overnight travel to complete training programs, activities, and meetings.
• This position may require overnight travel and remote work outside the office as part of our Organization-wide efforts to respond to high claim volume caused by catastrophic storm events.

Nice To Haves

• Bilingual; English and preferably Spanish, Mandarin, and/or Vietnamese
• Bachelor’s degree, 3.0 cumulative or higher

Responsibilities

• Demonstrates a customer centric attitude
• In coordination with an Adjuster, analyzes and manages claims by verifying coverage and investigating and gathering pertinent information to determine the exposure on the claim
• Maintains well-developed action plans for an appropriate and timely resolution in accordance with established policies and procedures
• Recognizes and properly addresses coverage issues, potential fraud, and subrogation potential
• Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout the life of the claim
• Conducts detailed damage and bill reviews and controls claim expenses
• Pays and processes claims within designated authority level or denies payments where no coverage, liability, or compensability exists
• Enters claim payments and reserves on claims on computer system, inputting concise and accurate file documentation
• Communicates decisions in a clear and professional manner

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 251-500 employees