Claims Adjuster - Level 1 (Non-Standard Auto)

We are looking for a TX Auto Claims Adjuster - Level 1 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!

JOB TITLE: Claims Adjuster L1

SUMMARY:

This position is responsible for the resolution of 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 damage 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
• Valid TX Adjuster license
• 2 years of Auto Insurance Claims Adjuster experience
• Computer skills required: Microsoft Office Suite; previous experience using web-based claims system interfaces (OSIS ‘Oakwood Systems’ a plus)

SALARY:

• Starting at $50,000

We use automated systems to help screen applications. Filters may impact which candidates move forward.

Job Type: Full-time

Pay: From $50,000.00 per year

Benefits:

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

Experience:

• Auto Insurance Claims Adjuster: 2 years (Required)
• auto property damage adjusting : 2 years (Required)

License/Certification:

• TX Adjuster License (Required)

Ability to Commute:

• Plano, TX 75075 (Required)

Ability to Relocate:

• Plano, TX 75075: Relocate before starting work (Required)

Work Location: Hybrid remote in Plano, TX 75075