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Claims Liability Adjuster

Company: Gallagher
Location: Brownsville
Posted on: July 18, 2021

Job Description:

Pronto Insurance is one of the fastest growing general agencies in South Texas. Our first agency was founded in 1997 and the managing general agency operations commenced in 2005. Pronto has emerged in the insurance market through its captive agencies, independent agents, and franchise locations. Today Pronto has over 180 captive locations in Texas and recent expansion into California and Florida markets. Our vision is to become the industry leader by making Pronto Insurance products a reality for all. With this tremendous growth there is an opportunity for an experienced professional to help ensure Pronto's continued success.

JOB DESCRIPTION: CLAIMS LIABILITY ADJUSTER

Job Duties & Responsibilities:
Investigate, evaluate, negotiate and settle auto claims, in accordance with Texas Tort Law, in an assigned area to include verification of coverage, legal liability and extent of damage to persons, and property, which may require contact by telephone, correspondence or in person.
May require the preparation of written or computerized estimates in loss settlement.
Handle a high volume of claims in a virtual or centralized call center environment.
Ensure integrity of investigations by developing accurate and relevant investigation material and data acquisition.
Ensure that all compliance requirements for claims handling correspondence are met in a timely and professional manner.
Resolve a large volume of claim calls and maintain claim handling policies and practices.
Issue payments as per discretionary settlement authority limits.
Adjust reserves properly and understand their impact on a claim
Issue payments within authority and request more as needed
Protect lienholders as needed
Handle claims in a timely manner and in accordance with Texas compliance rules
Set-up and review estimates
Refer files to SIU as needed
Send Reservation of Rights letters as needed
Handle PD liability claims if they only involve stationary objects

Education & Experience:
Bachelor's Degree in Business, Communications, Criminal Justice or equivalent work experience. (1-2 years of work experience per year of college education).
Working knowledge of relevant statutes, case law and regulations relating to insurance.
Current Adjuster License in Texas and other states (Candidate must otherwise be able to obtain a Texas Adjuster License)
Coordinates with outside sources to obtain information to aid in claim resolution
Recommends appropriate resolution of coverage issues to management
Uses in-depth knowledge of medical and liability issues to handle claims within authority
Exhibits a high level of skill and knowledge for claims requiring specialized handling including identifying issues that may require the use of independent experts or vendors
Applies knowledge of policies and procedures when determining coverage and concluding claims
Proficient in computer window-based programs with excellent navigation skills
Ability to multi-task and prioritize in a fast-paced, high volume call center environment
Excellent communication skills both oral and written.

Required :

  • High school diploma and 2 years related claims experience required.
  • Appropriately licensed and/or certified in all states in which claims are being handled.
  • Knowledge of accepted industry standards and practices.
  • Proficient in basic computer skills.
Preferred:
  • Bachelor's Degree preferred.
  • Bilingual Spanish a plus.
  • Experience with related claims and business software.
Key Characteristics:

  • Excellent judgement and decision making skills to ensure claims are resolved in the best interest of the Company.
  • Ability to combine pieces of information to form conclusions necessary to determine coverage, evaluate liability and evaluate damage exposures to ensure the claims are paid in a fair and equitable manner.

U.S. Eligibility Requirements :
  • Interested candidates must submit an application and resume/CV online to be considered
  • Must be 18 years of age or older
  • Must be willing to submit to a background investigation; any offer of employment is conditioned upon the successful completion of a background investigation
  • Must have unrestricted work authorization to work in the United States. For U.S. employment opportunities, Gallagher hires U.S. citizens, permanent residents, asylees, refugees, and temporary residents. Temporary residence does not include those with non-immigrant work authorization (F, J, H or L visas), such as students in practical training status. Exceptions to these requirements will be determined based on shortage of qualified candidates with a particular skill. Gallagher will require proof of work authorization
  • Must be willing to execute Gallagher's Employee Agreement or Confidentiality and Non-Disclosure Agreement which requires, among other things, post-employment obligations relating to non-solicitation, confidentiality and non-disclosure.
Gallagher offers competitive salaries and benefits, including: medical/dental/vision plans, life and accident insurance, 401(K), employee stock purchase plan, educational expense reimbursement, employee assistance program, flexible work hours (availability varies by office and job function) training programs, matching gift program, and more.

Risk Placement Services believes that all persons are entitled to equal employment opportunity and does not discriminate against nor favor any applicant because of race, sex, color, disability, national origin, religion, creed, age, marital status, citizenship, veteran status, gender, gender identity / expression, actual or perceived sexual orientation, or any other protected characteristic. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Risk Placement Services will make reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

Additional Information


Keywords: Gallagher, Brownsville , Claims Liability Adjuster, Other , Brownsville, Texas

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