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About the Role

Lead the investigation and resolution of complex commercial property claims, guiding customers through critical moments with confidence and professionalism. This role combines technical challenge, independent decision-making, and meaningful customer interaction, leveraging claims expertise to influence fair and timely claim resolutions.

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
• May provide training, coordination, and investigation of potential fraudulent activity for the Association.

Requirements

• Bachelor’s degree or 6+ years of relevant work experience
• Texas Adjuster License
• Must obtain the Associate in Claims designation within two years of the date of hire/promotion, or the Chartered Property Casualty Underwriter designation within three years of the date of hire.

Skills

• Bilingual, preferably Spanish and/or Asian Languages (such as Mandarin, Vietnamese, etc.)
• Building contractor, roofing contractor, restoration contractor background
• Residential/Commercial Property estimating software

Location

• Remote

Work Type

• Fully remote
• Extended hours
• Overnight travel
• Remote work outside the office

Experience Level

• Senior

Education Level

• Bachelor's degree
• Associate in Claims designation
• Chartered Property Casualty Underwriter 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
• 401(k) retirement plan with employer matching contributions up to 6%
• Pension plan that begins vesting at 5 years of employment
• Ongoing training and professional development opportunities
• Support to obtain professional certifications
• Tuition reimbursement program
• Generous paid time off, including vacation, sick leave, paid holidays, and personal days
• Flexible scheduling

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.