Venbrook · 9 hours ago
Senior Claims Adjuster
Texas, United States
Full-time
Onsite
Senior Level
5+ years expVenbrook is a company that specializes in claims management solutions, seeking a full-time TPA Adjuster. The TPA Adjuster will investigate, evaluate, negotiate, and resolve assigned claims while providing professional service to clients and maintaining high production levels.
ConsultingFinancial ServicesInsurance
Hiring Manager
Marisol Beltran
Responsibilities
Conducts thorough investigations consistent with claim handling guidelines and best practices
Bills time and expense in the company claims system for all work performed where required
Reaches the correct claim outcome based on a thorough coverage analysis, review of field reports, verifiable damage, and other information
Interviews, telephones, or corresponds with insureds, claimants, retail agents, brokers, MGAs, vendors, carriers, witnesses, public adjusters, attorneys, etc., to gather vital information to support the claims
Sets, reviews, and updates proper reserves
Prepares releases, conducts ISO checks, and Medicare searches
Requests claim payments and maintains file reserves
Manages a full caseload
Takes recorded statements as needed
Reviews and evaluates assigned claims for coverage and conducts other claims-related tasks within the required statutory or regulatory time frame
Interprets policy language and evaluates coverage issues across different policies and endorsements
Uses and maintains a claims diary
Responds promptly and effectively to emails, phone calls, messages and incoming correspondence from clients, insureds, retail agents, brokers, and management
Prepares technical claim documents and correspondence to insurers and other recipients
Prepares reports detailing investigative findings
Assigns and works closely with coverage counsel and defense counsel when needed
Contributes to department efforts with an emphasis on team collaboration
Other Duties as assigned
Qualification
Required
five years or more experience adjusting commercial liability, excess liability, and D&O liability claims as a TPA Adjuster
Prior experience billing time and expense for work performed is required
Must hold or can quickly obtain the required adjusting licenses in all states that require them
Prior experience analyzing coverage and preparing coverage declination letters, ROR letters, technical reports, and other documents is required
Must have prior litigation experience
Strong writing and communication skills are a must
Must have excellent decision-making skills and the ability to work independently
Good organization and time management skills
Analytical and proactive claim-handling skills
Excellent customer service skills
The ability to manage a full caseload in a fast-paced environment is a must
Proficient computer & typing skills - working knowledge of MS Office: Word, Excel, and Outlook
Familiar with a variety of field concepts, practices, and procedures
Preferred
Carrier experience desk adjusting commercial liability claims, excess liability claims, and D&O claims is strongly preferred
Must be proficient with the Medicare process
Experience with Xactimate, Eagleview, Hover, and similar applications preferred
The ability to speak Spanish is a plus
Company
Venbrook
Venbrook Group, LLC ("Venbrook") is a holding company with subsidiaries engaged in retail broking, wholesale broking, programs, and claims services.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$42MKey Investors
Madison Capital Funding
2020-04-23Acquired
2016-10-20Debt Financing· $42M
Leadership Team
Jason D. Turner
President & Chief Executive Officer
A
Alan Shetzer
sr vp
Recent News
2025-09-17
2025-09-17
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