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Claims Examiner
Texas Windstorm Insurance AssociationClaims Examiner responsible for investigating and resolving property insurance claims. Delivering top customer service and managing claims efficiently in a remote role.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in investigating and managing property insurance claims, with a focus on analyzing coverage, resolving issues, and communicating decisions effectively. Proficient in recognizing fraud potential and ensuring timely claim resolutions while maintaining compliance with policies.
Highest-signal resume keywords
Property Insurance Claims InvestigationP&C Residential Property ExperienceTexas Adjuster LicenseBilingual CommunicationClaims Expense Control
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims AnalysisCoverage VerificationFraud RecognitionReserve CalculationDamage Review
Soft Skills
Professional CommunicationNegotiation
Certifications & Qualifications
Texas Adjuster License
Industry Keywords
SubrogationClaims ManagementAction PlansTimely ResolutionClaim Expenses
About the role
Key responsibilities & impact- Investigate, evaluate, negotiate, and resolve property insurance claims
- Analyze and manage claims by verifying coverage and gathering pertinent information
- Maintain action plans for timely resolution in accordance with policies
- Recognize coverage issues, potential fraud, and subrogation potential
- Calculate and assign timely reserves to claims; monitor reserve adequacy
- Conduct detailed damage and bill reviews; control claim expenses
- Communicate claims decisions clearly and professionally
Requirements
What you’ll need- 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
- Bilingual, English and preferably Spanish/Mandarin/Vietnamese
Benefits
Comp & perks- 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%, in addition to a 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, and a tuition reimbursement program
- Generous paid time off, including vacation, sick leave, paid holidays, and personal days
- Flexible scheduling to support work-life balance