Claims Examiner I

About the role

Join our Claims team as a Claims Examiner, where you will play a key role in delivering exceptional service to policyholders throughout the claims process. In this role, you will investigate, evaluate, negotiate, and resolve property insurance claims with a focus on accuracy, efficiency, and customer satisfaction. You will make sound, independent decisions within established authority levels, managing low- to moderate-complexity property claims while ensuring timely resolutions, cost-effective outcomes, and a positive customer experience.

Responsibilities

• Demonstrate a customer-centric attitude
• Analyze and manage claims by verifying coverage and investigating and gathering pertinent information to determine exposure
• Maintain well-developed action plans for timely resolution in accordance with established policies and procedures
• Recognize and properly address coverage issues, potential fraud, and subrogation potential
• Calculate and assign timely and appropriate reserves to claims; monitor reserve adequacy throughout the life of the claim
• Conduct detailed damage and bill reviews and control claim expenses
• Pay and process claims within designated authority level or deny payments where no coverage, liability, or compensability exists
• Enter claim payments and reserves into the computer system with concise and accurate file documentation
• Communicate decisions in a clear and professional manner

Requirements

• 1+ year of experience examining P&C Residential Property claims
• Associate degree (or equivalent experience in lieu of a degree)
• Texas Adjuster License or demonstrated progress toward achieving the license

Preferred Qualifications

• Bachelor’s degree with a 3.0 cumulative GPA or higher
• AIC and/or CPCU designation
• Bilingual (English and preferably Spanish, Mandarin, or Vietnamese)

Physical Requirements

• Ability to sit, hear, converse over the telephone, and key frequently on a computer for long periods of time
• May require limited overnight travel for remote catastrophe claim response, legal testimony, training, or meetings

Benefits

• Fully remote work environment with no relocation required
• Comprehensive medical, dental, vision, group life, AD&D, and dependent life insurance coverage
• Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) with a generous annual employer contribution
• 401(k) retirement plan with employer matching contributions up to 6%
• Pension plan that begins vesting at 5 years of employment
• Ongoing training, professional development, and tuition reimbursement program
• Support to obtain professional certifications
• Generous paid time off, including vacation, sick leave, paid holidays, and personal days
• Flexible scheduling to support work-life balance