Claims Examiner 1 at Texas Windstorm Insurance Association | United States | Rezi

Claims Examiner 1 at Texas Windstorm Insurance Association

Claims Examiner 1

Texas Windstorm Insurance Association · United States

2 weeks ago

Claims Examiner 1

Texas Windstorm Insurance Association · United States

15 days ago
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About the Role

Investigate, evaluate, negotiate, and resolve property insurance claims with a focus on accuracy, efficiency, and customer satisfaction. Make sound, independent decisions within established authority levels to manage low- to moderate-complexity property claims, ensuring timely resolutions, cost-effective outcomes, and a positive customer experience.

Responsibilities

  • Demonstrates a customer centric attitude
  • Analyzes and manages claims by verifying coverage and investigating and gathering pertinent information to determine the exposure on the claim
  • Maintains well-developed action plans for an appropriate and timely resolution in accordance with established policies and procedures
  • Recognizes and properly addresses coverage issues, potential fraud, and subrogation potential
  • Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout the life of the claim
  • Conducts detailed damage and bill reviews and controls claim expenses
  • Pays and processes claims within designated authority level or denies payments where no coverage, liability, or compensability exists
  • Enters claim payments and reserves on claims on computer system, inputting concise and accurate file documentation
  • Communicates decisions in a clear and professional manner

Requirements

  • 1+ year experience examining P&C Residential Property
  • Associate degree (or equivalent experience in lieu of a degree)
  • Texas Adjuster License or demonstrated progress toward achieving the license
  • Ability to sit, hear, converse over the telephone, and key frequently on a computer for long periods of time
  • May require some limited overnight travel including participation in remote catastrophe claim response efforts, deposition and other legal witness testimony, completion of training programs, additional work-related activities, and meetings

Skills

  • Bilingual, English and preferably Spanish/Mandarin/Vietnamese

Location

  • Remote

Work Type

  • Fully remote

Experience Level

  • 1+ year experience

Education Level

  • Associate degree (or equivalent experience)
  • Bachelor’s degree
  • AIC, and/or CPCU designation

Benefits

  • 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 HSA employer contribution
  • A 401(k) retirement plan with employer matching contributions up to 6%
  • Pension plan that begins vesting at 5 years of employment
  • Active support for professional growth, including ongoing training and professional development opportunities sponsored by TWIA
  • Support to obtain professional certifications
  • Tuition reimbursement program
  • Generous paid time off, including vacation, sick leave, paid holidays, and personal days
  • Flexible scheduling to support work-life balance

About the Company

  • The Association offers a comprehensive and competitive benefits package designed to support both your professional success and personal well-being.
  • Texas Windstorm Insurance Association fosters a collaborative and mission-driven work environment where employees are valued, supported, and encouraged to grow.
  • Our teams work closely across departments, promoting transparency, innovation, and a shared commitment to serving our policyholders and communities.