Complex Claims Adjuster Job at TIH, Flower Mound, TX

eTRWejN4dXFDVUcvS08zQjVyTm1HU2tYQlE9PQ==
  • TIH
  • Flower Mound, TX

Job Description

The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one.

If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries won't receive a response).

Regular or Temporary:

Regular

Language Fluency:  English (Required)

Work Shift:

1st Shift (United States of America)

Please review the following job description:

Process claims, which includes evaluating policy for coverage; working with the insured, outside adjusters, agents and attorneys on the claim and coordinating the payment of claims. In addition, prepare reports such as loss runs and monthly bordereau.

ESSENTIAL DUTIES AND RESPONSIBILITIES
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.

  1. Review policy to determine if loss is covered. If questionable, then hire attorney for coverage counsel for coverage analysis.
  2. Settle claims within settlement authority, where applicable.
  3. Work with adjusters, insureds, attorneys, agents and others to assure the claim is handled efficiently and professionally.
  4. Attend mediations, when applicable and negotiate settlement within authority.
  5. Oversight of vendors (attorneys/adjusters/experts) for accuracy in reporting. Audit invoices for accuracy.
  6. Process incoming and outgoing claims and vendor payments.
  7. Maintain loss fund.
  8. Must review and recommend policy wording changes.
  9. Perform claim status requests and updates.
  10. Prepare daily, weekly and monthly reports.
  11. Travel for meetings with clients, mediations and underwriters. Approximately 25% of time will be out of the office.

QUALIFICATIONS
Required Qualifications:
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  1. High School Diploma
  2. College degree or equivalent work experience
  3. Claims Adjuster's license
  4. Good organizational/time management skills
  5. Ability to work under time constraints and meet deadlines
  6. Strong verbal and written communications skills
  7. Ability to operate a computer, calculator, multi-line phone, fax machine, copier and other office equipment
  8. Knowledge and use of correct spelling and grammar
  9. Ability to write legibly
  10. Ability to effectively interact with employees at all levels of the organization and with a variety of people from diverse backgrounds
  11. Ability to adhere to all organizational policies and procedures
  12. Demonstrated proficiency in basic computer applications, such as Microsoft Office software products
  13. Ability to travel, occasionally overnight

Preferred Qualifications:

  1. Previous administrative support experience

General Description of Available Benefits for Eligible Employees of CRC Group: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of CRC Group offering the position. CRC Group offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. Depending on the position and division, this job may also be eligible for restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.

CRC Group supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC Group is a Drug Free Workplace.

Job Tags

Full time, Part time, Work experience placement, Work at office, Shift work, Night shift, Day shift

Similar Jobs

Bowman Consulting Group, Ltd.

Environmental Scientist II Job at Bowman Consulting Group, Ltd.

 ...financial reports and metrics. Data analysis and interpretation skills. Qualifications: Bachelor's degree in Environmental Science, Ecology, Biology, or related field required at time of employment. Three or more (3+) years of relevant industry-related experience.... 

AlignHR Oregon

Full-Charge Bookkeeper Job at AlignHR Oregon

 ...focus and team goals. WHAT YOULL DO: We seek a Full-Charge Bookkeeper to help our growing business. If you have a minimum of 2 years...  ...Reporting and analytics KEY SUCCESS FACTORS: QuickBooks Online: 2-3 years experience Excel and Office: highly proficient... 

Caterpillar Inc.

Digital Consultant Job at Caterpillar Inc.

 ...Career Area Marketing Your Work Shapes the World at Caterpillar Inc. When you join Caterpillar, you're joining a global team who cares not just about the work we do but also about each other. We are the makers, problem solvers, and future world builders who are... 

Option Care Health Inc.

Clinical Care Transition Educator / Registered Nurse Job at Option Care Health Inc.

 ...provider, there is no limit to the growth of your career. Option Care Health, Inc. is the largest independent home and alternate site...  ...Experience Requirements Active and unrestricted Registered Nurse (RN) license required. Minimum of 2 years of experience in the... 

Nike

Senior, Global Sales, Nike.net Business Team Job at Nike

 ...Become a Part of the NIKE, Inc. Team NIKE, Inc. does more than outfit the worlds best athletes. Its a place where passionate individuals come together to create the future of sport. We are unapologetic about who we are and what were after...