Residential and Commercial Property Claims Examiner
PSS is offering an exclusive opportunity to become 2023 Certified for INSIDE PROPERTY CLAIMS EXAMINER Assignments with the Texas Windstorm Insurance Association (TWIA).
Residential and/or Commercial Property Inside Claims Examiners Needed for future CAT Assignments !
The Claims Examiner is responsible for demonstrating an understanding of insurance principles, claims investigation, damage evaluation, and resolution of property claims, creating a positive customer experience. A Claims Examiner provides prompt, cost effective and efficient examination, investigation, evaluation, and payment of insurance claims by exercising independent decision-making skills and judgment within designated authority. This position will generally work with semi-medium to semi-high complexity claims.
ESSENTIAL FUNCTIONS: The following are the usual, basic and essential functions of the Claims Examiner position. However, this job description does not preclude the performance of other duties by the incumbent. These functions are not to be construed as an exhaustive list of all responsibilities, duties, and skills required:
- 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
REQUIRED EDUCATION AND EXPERIENCE:
- 2+ years’ 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
PREFERRED EDUCATION AND EXPERIENCE:
- Bachelor’s degree, 3.0 cumulative GPA or higher
- 3+ years’ experience examining P&C Residential Property.
- AIC, and/or CPCU designation