Claims Specialist

Texas Municipal League Intergovernmental Risk Pool • Austin, TX

9d

About The Position

It involves managing claims from initiation to resolution, ensuring thorough documentation, and communicating effectively with all parties involved.

Requirements

• Must reside in Texas
• B.A. or B.S. degree in Business, Insurance, Risk Management, or related field
• Years of Experience: 1 - 3
• Area of Experience: Claims Processing, Insurance, or related areas
• Active Adjuster License – Texas – Property and Casualty
• Experience in the Property and Casualty Insurance Industry
• Valid driver’s license and a good driving record
• Possess knowledge and understanding of relevant laws, rules, and regulations
• Knowledge of insurance principles and the ability to interpret insurance contracts and endorsements to determine coverage eligibility and liability.
• Decision-making, problem-solving, negotiation, and conflict resolutions skills.
• Proficiency in MS Word
• Proficiency in MS Excel
• Proficiency in MS Outlook
• Be able to withstand typical office work that includes periods of sitting, standing, typing, etc. indoors.
• In addition to typical office work, must be able to exert up to 10 pounds of force occasionally to move objects.
• Requires close visual acuity to perform an activity such as preparing and analyzing data and figures, viewing a computer screen, visual inspection, assembly of parts, or extensive reading.
• Ability to have a flexible work schedule to meet business needs and be at work on-site during specified or core hours.
• Must be able to operate standard computer hardware.

Nice To Haves

• None

Responsibilities

• Investigates both member and third-party claims, reviewing coverage, setting reserves, determining liability, assessing damages, and initiating claim processes to ensure proper handling and settlement.
• Maintains accurate records of all claims and related activities, ensuring that the claim management system is regularly updated, and all documentation is complete.
• Reviews documentation on damaged property, bodily injuries, employment and law enforcement matters, liability, immunity, etc. and determines claims-related damages, prepares releases, and processes payments.
• Communicates regularly with internal staff, Members, claimants, witnesses, repair facilities, contractors, vendors, police, fire departments, special investigators, attorneys, and other parties essential to the claims process.
• Reviews reports from independent adjusters, appraisers, and claimants, ensuring all necessary documentation is provided and properly supported.
• Reviews and handles litigation files, reviews settlement proposals, submits authority requests (as applicable), and prepares settlement documents.
• Identifies and report on subrogation, salvage, and potential fraud in claims.
• Attends mediations and trials as needed for litigation matters.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 101-250 employees