Claims Adjuster - Level 3 (Non-Standard Auto)

We are looking for a TX Claims Adjuster to join our non-standard auto insurance company. Ability to speak Spanish is a plus, but not required. We have a great working environment and nice employee benefit package. If you are looking for a new home where you can be an important and valued employee, we want to meet you!

SUMMARY:

This position is responsible for the adjudication of mid-complex liability, non-attorney represented bodily injury, and attorney represented bodily injury personal auto claims in accordance with regulatory guidelines and company best practices.

DUTIES AND RESPONSIBILITIES:

· Upon receipt, reviews each claim file to identify and establish a prompt investigation of coverage, liability, and damages.

· Properly documents and manages all aspects of the file during the life of a claim (investigation, correspondence, negotiation, and settlement).

· Investigates questions on coverage under a reservation of rights and advises the Underwriting Department of adverse findings.

· Oversees assigned claims in accordance with the policy contract, internal best practices, industry standards, Fair Claim Practices, regulatory guidelines, applicable case law, and jurisdictional requirements.

· Communicates timely and professionally with insureds, claimants, witnesses, attorneys, and other carriers via telephone and written correspondence to set expectations, explain rationale behind decisions made, and negotiate settlements as appropriate through resolution.

· Responsible for the completion of property and injury evaluations to determine reasonable and related costs.

· Works within settlement authority; submits requests to management for authority to negotiate, settle, accept, or deny claims when appropriate.

· Alerts claims management of potentially suspicious claims, notification of lawsuits, time limited demands, or any allegation of a deceptive trade practices violation or bad faith.

· Maintains claims systems exposures, adequate reserves, and proper cause codes.

· Manages claim documents, diary, and voicemail timely.

· Recognizes recovery potential and submits referrals when applicable.

· Provides an exemplary claims experience to insureds and claimants.

· Performs other related duties as assigned by management.

QUALIFICATIONS:

· Bachelor's Degree (BA) from four-year college or university, or one to two years of related experience and/or training, or equivalent combination of education and experience preferred

· At least 2 years of bodily injury experience

· Computer skills required: Microsoft Office Suite; previous experience using web-based claims system interfaces (OSIS ‘Oakwood Systems’ a plus)

SALARY:

· Starting at $70,000

Job Type: Full-time

Pay: From $70,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Retirement plan
• Vision insurance

Physical setting:

• Office

Schedule:

• 8 hour shift
• Monday to Friday

Supplemental pay types:

• Bonus pay

Education:

• High school or equivalent (Preferred)

Experience:

• bodily injury: 2 years (Preferred)
• Auto Insurance Claims Adjuster: 1 year (Required)

License/Certification:

• TX adjuster license that is currently active (Required)

Work Location: Hybrid remote in Plano, TX 75075