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Position Summary
The Claims Division is seeking a team member to join the Shared Services Team as a Claims Examiner. Responsibilities include investigating, evaluating and resolving various types of commercial first and third party low complexity claims. This requires accurate and thorough documentation, as well as completion of resolution action plans based upon the applicable law, coverage and supporting evidence.
Responsibilities:
- Provide and maintain exceptional customer service and ongoing communication to appropriate stakeholders through the life of the claim including prompt contact and follow up to complete timely and accurate investigation, damage evaluation and claim resolution in accordance with regulatory, company standards, and authority level.
- Conduct thorough investigation of coverage, liability and damages; must document facts and maintain evidence to support claim resolution.
- Review and analyze supporting damage documentation.
- Comply and stay abreast of all statutory and regulatory requirements in all applicable jurisdictions.
- Establish appropriate loss and expense reserves with documented rationale.
- Demonstrate technical efficiency through timely and consistent execution of best claim handling practices and guidelines.
Experience & Qualifications
- Hands-on experience and strong aptitude with Outlook, Microsoft Excel, PowerPoint, and Word.
- Knowledge of ImageRight preferred.
- Exceptional communication (written and verbal), influencing, evaluation, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and professionals across organizational lines.
- Ability to take part in active strategic discussions and leverage technical knowledge to make cost-effective decisions.
- Strong time management and organizational skills; ability to adhere to both internal and external regulatory timelines.
- Ability to work well independently and in a team environment.
- Texas Claim Adjuster license preferred, but not required at posting; candidate required to obtain license within six months of hire.
Education
- Bachelor's degree preferred.
- 3-5 years experience handling commercial insurance claims process.
Salary Range: $71,900 - $97,110 per year. Position is incentive eligible. Total compensation considers multiple factors including location, role scope, qualifications, and business needs.
Benefits: Comprehensive package including medical, dental, vision, prescription drug coverage, 401k with matching, PTO, paid holidays, volunteer time off, life and disability insurance, parental leave, student loan assistance, tuition reimbursement, backup child and elder care, and more.