Claims Adjuster

CRC Insurance Services - Flower Mound, TX

Full-time - Entry Level

Flower Mound, TX

Insurance Carriers and Related Activities

About the position

The position involves processing claims, which includes evaluating policy for coverage and coordinating with the insured, outside adjusters, agents, and attorneys on the claim. The role also requires preparing reports such as loss runs and monthly bordereau. The essential duties include reviewing policies to determine coverage, settling claims within authority, and ensuring efficient handling of claims. The position requires attending mediations, overseeing vendors for accuracy in reporting, processing claims and vendor payments, maintaining loss funds, and preparing various reports. The role also involves approximately 25% travel for meetings with clients, mediations, and underwriters.

Responsibilities

• Review policy to determine if loss is covered and hire attorney for coverage analysis if questionable.
• Settle claims within settlement authority, where applicable.
• Work with adjusters, insureds, attorneys, agents, and others to assure the claim is handled efficiently and professionally.
• Attend mediations and negotiate settlements within authority.
• Oversee vendors for accuracy in reporting and audit invoices for accuracy.
• Process incoming and outgoing claims and vendor payments.
• Maintain loss fund.
• Review and recommend policy wording changes.
• Perform claim status requests and updates.
• Prepare daily, weekly, and monthly reports.
• Travel for meetings with clients, mediations, and underwriters.

Requirements

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

Nice-to-haves

• Previous administrative support experience

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Life insurance
• Disability insurance
• Accidental death and dismemberment insurance
• Tax-preferred savings accounts
• 401k plan
• Vacation days (minimum of 10 days)
• Sick days (minimum of 10 days)
• Paid holidays
• Defined benefit pension plan (depending on position)
• Restricted stock units (depending on position)
• Deferred compensation plan (depending on position)