Apply on Employer Site

TIH · 4 months ago

Complex Claims Adjuster

Flower Mound, TX

Full-time

Onsite

Mid Level

TIH is a company seeking a Complex Claims Adjuster to process claims and evaluate policy coverage. The role involves working with various stakeholders to ensure efficient claim handling and preparing necessary reports.

Insurance

Comp. & Benefits

Responsibilities

Review policy to determine if loss is covered. If questionable, then hire attorney for coverage counsel for coverage analysis

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, when applicable and negotiate settlement within authority

Oversight of vendors (attorneys/adjusters/experts) for accuracy in reporting. Audit invoices for accuracy

Process incoming and outgoing claims and vendor payments

Maintain loss fund

Must 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. Approximately 25% of time will be out of the office

Qualification

Claims Adjuster's licenseOrganizational skillsTime managementVerbal communicationWritten communicationBasic computer applicationsOffice equipment operationSpellingGrammarLegible writingAdherence to policiesInterpersonal skills

Required

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

Preferred

Previous administrative support experience

Benefits

Medical

Dental

Vision

Life insurance

Disability

Accidental death and dismemberment

Tax-preferred savings accounts

401k plan

Vacation

Sick days

Paid holidays

Restricted stock units

Deferred compensation plan

Company

TIH

TIH, the fifth largest insurance broker in the United States, offers highly consultative risk management services and nearly all types of coverage, including personal, small business, corporate, employee benefits, life and health, and title.

Founded in 1922