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.
