Claims Adjuster

About the Job

Highly profitable P&C carrier seeking to hire talented Claims adjusters. The role will focus on improving operational results, along with handling of property and auto claims in the states of OK, TX and AR from the Houston Texas corporate office.

CLAIMS Adjuster:

  • Apply best claims practices to investigate, evaluate, and handle to conclusion while
  • Providing superior claims service with a high standard of professional conduct.
  • Auditing of claim assignment to Independent Adjusters; assign, direct and supervise the investigation and proper claims disposition including maximizing subrogation recoveries; maintain records of and review workload distribution.
  • Provide for proper suspending, review and closing of claims.
  • Audit pending reserves and review open claim files.
  • Provide daily reports and feedback of all claims activities
  • Reply to questions and claim complaints (if any) from policyholders, claimants, and agents.
  • Generate and supervise written communication to the insured, claimants, clients, agents, respond in writing to claim inquires.
  • Works closely with peers and routinely collaborate with supervisory/management staff within the Claims Dept and upper management.
  • Performs clerical duties, including data entry, filing paper documents, email, calendar management, and word processing
  • Handles represented casualty claims files (locates/requests files, files paperwork, reconstructs missing files, moves misfiled documents, sends to other offices, etc.)
  • Retrieves, prints, faxes, or mails supporting documentation to vendors or others as directed
  • Provides back-up for any support functions in the office
  • Investigate prior losses and other information on file and orders reports as needed at the direction of adjusters and management
  • Receives, screens and routes incoming telephone calls and other electronic correspondence
  • Contacts or receives contact from customers or other claim related third parties to obtain and/or provide necessary file information to comply with quality and process standards
  • Generates and sends appropriate forms to insured/claimant for completion
  • Processes claims payments
  • Completes all necessary forms, logs documents into the system, and routes them to the appropriate parties

COMMUNICATION/ADMINISTRATIVE:

  • Compile periodic and special reports, attend and participate in meetings as required.
  • Confer with COO about change to or establishment of company claims policy.

CLAIMS HANDLING:

  • Handle personal property claims and auto BI or PD claims. Set reserves, adjust and handle claims following company directive.
  • Average pending: 40 - 60 files.
  • Routinely assume direct handling of property or auto claim files, handling of additional files when needed by the group due to workloads and/or staffing.
  • Confer with attorneys, experts, and others in the settlement of claims.
  • Establish and maintain reserves within scope of authority.
  • Authorize and approve settlement of claims within designated limits; round table claims which exceed designated authority.
  • Manage litigated claims under direct supervision legal department or COO . This includes attending depositions, mediations, arbitrations, pre-trial and other legal proceedings as needed.
  • Travel for mediation as required

Job Type: Full-time

Pay: $45,000.00 - $75,000.00 per year

Experience:

  • CLAIMS ADJUSTING: 1 year (Required)

Location:

  • Houston, TX (Required)

License:

  • ADJUSTERS LICENSE (Required)

Language:

  • BILINGUAL A PLUS (Required)
Posted
11/06/2021
Salary Range
$40,000.00 - 51,000.00
per Year
Salary range estimated by
Location
Houston, TX 77246, US
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