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Claims Examiner II

HomeFort Worth, Texas, United StatesOnsite

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Regular or Temporary:Regular


Language Fluency: 

English (Required)

Work Shift:1st shift (United States of America)


Please review the following job description:


The incumbent is responsible for investigating, evaluating, negotiating, and resolving personal lines property claims. Responsible for adjusting major and complex losses in their entirety, but may also adjust standard losses.

ESSENTIAL DUTIES AND RESPONSIBILITIES


Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.1. Responsible for completing coverage investigations and coverage analysis and develop a detailed resolution plan.2. Responsible for providing exceptional customer service and handles claims in accordance with prescribed authority and best claims practices.3. 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.4.

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.5. 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.6. 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.7. 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.8. 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.9. Partner with SIU and Subrogation to identify questionable claims and subrogation opportunities. Assist or prepare files for suit, trial, or subrogation.

QUALIFICATIONS


Required Qualifications:


The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.1. Two years of related, applicable experience2. Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or technical school3. Adjusters License for states in which the Company conducts business

Preferred Qualifications:


1. Five years of related, applicable experience2. Fluency in Spanish

General Description of Available Benefits for Eligible Employees of TIH: 


All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of TIH Insurance Holdings, LP (TIH) offering the position. TIH offers medical, dental, vision, life insurance, disability, accidental death and dismemberment and tax-preferred savings accounts, along with other voluntary benefits.  All regularly scheduled teammates (not temporary or contingent workers), regardless of the number of scheduled hours, can contribute to a 401(k) savings plan and you become eligible for Company matching contributions after one year of service and attainment of age 21.

Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. For more details on TIH’s generous benefit plans, please visit our Benefits site. Eligible employees may have the opportunity to participate in a deferred compensation plan and/or have an ownership interest in TIH in the form of profits interest or capital interest. As you advance through the hiring process, you will learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.

This position is part of TIH.Truist Financial Corporation has completed the sale of Truist Insurance Holdings (TIH). As a result, TIH is a separate company from Truist Bank as of May 6, 2024. Refer to the news release for details.


TIH Insurance Holdings, LP (TIH) supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. TIH is a Drug Free Workplace.


EEO is the LawPay Transparency Nondiscrimination ProvisionE-Verify

Life at Home

St. Peter?s is a Christian Community enabling pupils to develop fully their own individuality and to reach the highest possible standards for their ability. Our school consists of two sites, both in Bournemouth. The Upper School in St. Catherine?s Road and the Lower School in Holdenhurst Avenue. Each site has a full set of facilities and extensive playing fields. At St. Peter?s we follow the National Curriculum to Key Stage 3 and 4 with a wide range of subjects offered at GCSE, ?A? Level, GNVQ and BTEC. There are opportunities throughout a pupil?s school life to be involved in a variety of activities which include debating, public speaking, charity work, community service, field work, foreign exchange visits and other educational visits including to Spain, France, Italy and New York.
Thrive Here & What We Value1. Diverse Workforce2. Equal Opportunity Employer3. Supportive and inclusive work environment4. Career growth and development opportunities5. Excellent customer service commitment6. Community involvement and giving back7. Competitive compensation packages8. Comprehensive benefits plans9. Ownership interest in TIH
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