Casualty Claims Adjuster

Job Description

Job Description

Company Overview

Fred Loya Insurance is a rapidly expanding auto insurance provider dedicated to offering affordable, dependable coverage with a focus on integrity and community engagement. Since its inception, the company has grown into one of the leading Hispanic-owned auto insurance groups in the United States, with a strong presence across multiple states and a commitment to serving local communities.

Job Overview

The ATR Adjuster investigates, evaluates, negotiates, and resolves assigned casualty claims in accordance with policy provisions, applicable laws and regulations, and Company claims-handling standards. This role manages attorney-represented and unrepresented claims, provides timely and professional service to all parties, maintains accurate reserves and documentation, and works toward fair, efficient, and well-supported claim resolutions.

Responsibilities

• Review and interpret insurance policies, endorsements, and related contract documents to confirm applicable coverage.
• Investigate claims and determine liability by analyzing reports and supporting documents, conducting telephone interviews, and evaluating negligence and damages.
• Manage attorney-represented bodily injury claims and as assigned, claims involving unrepresented parties.
• Evaluate claim exposure and negotiate fair, reasonable, and well-supported settlements with attorneys, claimants, and other authorized parties.
• Handle Medical Payments and Personal Injury Protection claims in accordance with policy provisions and applicable requirements.
• Establish and maintain appropriate reserves based on current claim exposure and update reserves as new information becomes available.
• Maintain a timely, accurate, and complete claim file by documenting contacts, evaluations, decisions, negotiations, and other activities.
• Communicate coverage, liability, claim status, and settlement decisions clearly and professionally.
• Deliver courteous, responsive, and solution-focused service throughout the claims process.
• Manage an assigned pending inventory, prioritize competing deadlines, and complete required follow-up within established service standards.
• Comply with all Company casualty claims practices, procedures, authority levels, confidentiality requirements, and applicable laws and regulations.
• Maintain all required adjuster licenses, continuing education requirements, and remain in good standing in each assigned jurisdiction.
• Perform other duties and special assignments as directed by management.

Qualifications

• Strong analytical, investigative, decision-making, negotiation, and problem-solving skills.
• Excellent written and verbal communication skills, including the ability to discuss coverage, liability, damages, and bodily injury settlements with attorneys and other parties.
• Ability to work in a fast-paced environment, adapt to changing priorities, manage current pending inventory, and meet deadlines with limited supervision.
• Sound judgment, professionalism, discretion, and attention to detail when handling sensitive and confidential information.
• Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint; ability to learn Company claims systems.
• Ability to obtain and maintain a Texas All-Lines Adjuster license and any additional licenses required for assigned jurisdictions.
• Maintain continuing education requirements to maintain adjuster licenses up to date.
• Ability to read, interpret, and apply insurance policies, contracts, statutes, regulations, and claims procedures.

Education & Experience

• Bachelor's degree from an accredited college or university or 2+ years casualty adjusting experience.
• Claims handling, insurance, legal, negotiation, or customer service experience preferred.
• Experience handling bodily injury or attorney-represented claims preferred.

Join us as a Casualty Claims Adjuster to make a meaningful impact by delivering exceptional service while ensuring fair and compliant claims resolutions!

#Claims

Req# 839104327

FRED LOYA INSURANCE

Fred Loya Insurance, a leading provider of no-hassle auto insurance since 1974
Rated Top 4 in Texas as “Best cheap car insurance in Texas for 2021” by Market-Watch a subsidiary of The Dow Jones
Currently doing business in 13 states and expanding

Company Description

FRED LOYA INSURANCEFred Loya Insurance, a leading provider of no-hassle auto insurance since 1974Rated Top 4 in Texas as “Best cheap car insurance in Texas for 2021” by Market-Watch a subsidiary of The Dow JonesCurrently doing business in 13 states and expanding