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TIH · 2 months ago

Claims Examiner Trainee II

Fort Worth, TX

Full-time

Onsite

Entry Level

2+ years exp

TIH is a company that provides insurance services, and they are seeking a Claims Examiner Trainee II to investigate, evaluate, negotiate, and resolve personal lines property claims. The role involves adjusting major and complex losses, providing customer service, and ensuring compliance with regulations and company protocols.

Insurance

Comp. & Benefits

Responsibilities

Responsible for completing coverage investigations and coverage analysis and develop a detailed resolution plan

Responsible for providing exceptional customer service and handles claims in accordance with prescribed authority and best claims practices

Develop relationships with customers via telephone, investigate insurance policy coverage, determine cause of loss, and document activity on each claim to come to a resolution quickly and accurately

Identify, analyze, and resolve coverage issues according to established Company protocol, including thorough policy review and analysis of application to the individual claim. With supervisor approval, negotiate with policyholders to settle claims of limited monetary value

Develop and direct investigative plans. Conduct timely and detailed investigations that include scene investigation (e.g., photos, diagrams, blueprints, maps), statements, official reports (e.g., police, fire, weather, hail), and ownership documents (e.g., tax liens, judgments, encumbrances). Identify alleged and actual damages, identify potential liable parties, recognize and address potential fraud

Conduct thorough damage development, leading to timely and adequate evaluations, including appraisals/estimates, business records, invoices, detailed inventory, purchase records, receipts, credit card statements, and ALE documents. Develop appropriate methods of repair/replacement, verify ownership, and apply any special limitations

Establish voice to voice communication within 24 hours. Maintain effective communications with the Customer at all times. Consistently work within specific time limits and authority

Maintain company reputation and integrity of insurance products by complying with federal and state regulations, Company protocol, and service standards. Maintain current knowledge of regulations and issues, industry activity, and trends

Partner with SIU and Subrogation to identify questionable claims and subrogation opportunities. Assist or prepare files for suit, trial, or subrogation

Qualification

Adjusters LicenseClaims InvestigationCustomer ServiceSpanish FluencyRelated ExperienceAssociate's Degree

Required

Two years of related, applicable experience

Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or technical school

Adjusters License for states in which the Company conducts business

Preferred

Five years of related, applicable experience

Fluency in Spanish

Benefits

Medical, dental, vision, life, disability, and AD&D insurance

Tax-advantaged savings accounts

401(k) plan with company match

Generous paid time off programs, including company holidays, vacation and sick days, new parent leave, and more

Restricted stock units and/or a 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

Charlotte, North Carolina, USA

5001-10000 employees