Claims Examiner I

Join our Claims team as a Claims Examiner, where you will play a key role in delivering exceptional service to policyholders throughout the claims process. In this role, you will investigate, evaluate, negotiate, and resolve property insurance claims with a focus on accuracy, efficiency, and customer satisfaction. Leveraging your knowledge of insurance principles and claims handling practices, you will make sound, independent decisions within established authority levels. This position is responsible for managing low- to moderate-complexity property claims while ensuring timely resolutions, cost-effective outcomes, and a positive customer experience. ESSENTIAL FUNCTIONS Demonstrates a customer centric attitud Analyzes and manages claims by verifying coverage and investigating and gathering pertinent information to determine the exposure on the clai Maintains well-developed action plans for an appropriate and timely resolution in accordance with established policies and procedure Recognizes and properly addresses coverage issues, potential fraud, and subrogation potentia Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout the life of the clai Conducts detailed damage and bill reviews and controls claim expense Pays and processes claims within designated authority level or denies payments where no coverage, liability, or compensability exist Enters claim payments and reserves on claims on computer system, inputting concise and accurate file documentatio Communicates decisions in a clear and professional manne REQUIRED EDUCATION AND EXPERIENCE 1+ year experience examining P&C Residential Propert Associate degree (or equivalent experience in lieu of a degre Texas Adjuster License or demonstrated progress toward achieving the licen PREFERRED EDUCATION AND EXPERIENCE Bachelor’s degree, 3.0 cumulative GPA or hig AIC, and/or CPCU designat PREFERRED KNOWLEDGE, SKILLS, AND ABILITIES Bilingual, English and preferably Spanish/Mandarin/Vietna PHYSICAL REQUIREMENTS This position requires the ability to sit, hear, converse over the telephone, and key frequently on a computer for long periods of This position may require some limited overnight travel including participation in remote catastrophe claim response efforts, deposition and other legal witness testimony, completion of training programs, additional work-related activities, and meet BENEFITS Comprehensive medical, dental, vision, group life, AD&D, and dependent life insurance co Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) with a generous annual HSA employer contri A 401(k) retirement plan with employer matching contributions up to 6%, in addition to a pension plan that begins vesting at 5 years of empl Active support for professional growth, including ongoing training and professional development opportunities sponsored by TWIA, support to obtain professional certifications, and a tuition reimbursement p Generous paid time off, including vacation, sick leave, paid holidays, and persona l daysFlexible scheduling to support work-life b #J-18808-Ljbffr