Claims Examiner Trainee II

Fort Worth, TX - USA

Monthly Salary: Not Disclosed

Posted on: 30+ days ago

Vacancies: 1 Vacancy

Job Summary

The position is described below. If you want to apply click the Apply button at the top or bottom of this page. Youll be required to create an account or sign in to an existing one.

If you have a disability and need assistance with the application you can request a reasonable accommodation. Send an email to Accessibility (accommodation requests only; other inquiries wont receive a response).

Regular or Temporary:

Regular

Language Fluency: English (Required)

Work Shift:

1st Shift (United States of America)

Please review the following job description:

The incumbent is responsible for investigating evaluating negotiating and resolving personal lines property claims. Responsible for adjusting major and complex losses in their entirety but may also adjust standard losses.

ESSENTIAL DUTIES AND RESPONSIBILITIES
Following is a summary of the essential functions for this job. Other duties may be performed both major and minor which are not mentioned below. Specific activities may change from time to time.
1. Responsible for completing coverage investigations and coverage analysis and develop a detailed resolution plan.
2. Responsible for providing exceptional customer service and handles claims in accordance with prescribed authority and best claims practices.
3. Develop relationships with customers via telephone investigate insurance policy coverage determine cause of loss and document activity on each claim to come to a resolution quickly and accurately.
4. Identify analyze and resolve coverage issues according to established Company protocol including thorough policy review and analysis of application to the individual claim. With supervisor approval negotiate with policyholders to settle claims of limited monetary value.
5. Develop and direct investigative plans. Conduct timely and detailed investigations that include scene investigation (e.g. photos diagrams blueprints maps) statements official reports (e.g. police fire weather hail) and ownership documents (e.g. tax liens judgments encumbrances). Identify alleged and actual damages identify potential liable parties recognize and address potential fraud.
6. Conduct thorough damage development leading to timely and adequate evaluations including appraisals/estimates business records invoices detailed inventory purchase records receipts credit card statements and ALE documents. Develop appropriate methods of repair/replacement verify ownership and apply any special limitations.
7. Establish voice to voice communication within 24 hours. Maintain effective communications with the Customer at all times. Consistently work within specific time limits and authority.
8. Maintain company reputation and integrity of insurance products by complying with federal and state regulations Company protocol and service standards. Maintain current knowledge of regulations and issues industry activity and trends.
9. Partner with SIU and Subrogation to identify questionable claims and subrogation opportunities. Assist or prepare files for suit trial or subrogation.

QUALIFICATIONS
Required Qualifications:
The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Two years of related applicable experience
2. Associates degree (A.A. or A.S.) or equivalent from a two-year college business school or technical school
3. Adjusters License for states in which the Company conducts business

Preferred Qualifications:
1. Five years of related applicable experience
2. Fluency in Spanish

General Description of Available Benefits for Eligible Employees of CRC Group: At CRC Group were committed to supporting every aspect of teammates well-being physical emotional financial social and professional. Our best-in-class benefits program is designed to care for the whole you offering a wide range of coverage and support. Eligible full-time teammates enjoy access to medical dental vision life disability and AD&D insurance; tax-advantaged savings accounts; and a 401(k) plan with company match. CRC Group also offers generous paid time off programs including company holidays vacation and sick days new parent leave and more. Eligible positions may also qualify for restricted stock unitsand/or a deferred compensation plan.

CRC Group supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race gender color religion citizenship or national origin age sexual orientation gender identity disability veteran status or other classification protected by law. CRC Group is a Drug Free Workplace.

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Required Experience:

Intern