Claims Examiner Jobs in Texas

Job Title: Claim Examiner I-Worker Comp Company: Crawford & Company Location: Dallas, TX Description: Based in Atlanta, Georgia, Crawford & Company (www.crawfordandcompany.com) is the world's largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with a global network of more than 700 locations in 63 countries. The Crawford System of Claims SolutionsSM offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines including property and casualty claims management, workersâ?? compensation claims and medical management, and legal settlement administration. The Companyâ??s shares are traded on the NYSE under the symbols CRDA and CRDB.Summary of Role:Entry-level classification where incumbents manage and resolve non-complex claims, usually those of low monetary amounts and short duration under direct supervision of the Claims Supervisor. Makes decisions on claims within delegated limited authority. Receives claim assignment, confirms policy coverages and directs acknowledgement of claims.  Investigates claim to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses or other parties required. Establish reserves and authorize payment within reserving authority limits.  Participates in and determines the settlement of claims within delegated limited authority, or secures authority from supervisor. Completes all reporting forms and file documentation. Develops subrogation and third party recovery potential and follows reclaim procedures. Adheres to client and carrier guidelines and prepares written updates for supervisor to review. Participates in claim reviews. Bachelorâ??s degree highly preferred.Knowledge and Skills:Ability to learn rapidly and develop knowledge and understanding of claims practices. Good verbal and written communication skills. Strong ability to identify, analyze and solve problems. Effective interpersonal skills to be capable of dealing with external sources and all levels of team members.Experience:Working knowledge of claims and familiarity with claims terminology gained through equivalent industry experience and/or through specialized courses of study (Associates in Claim designation). Workers Compensation (WC)In addition to a competitive salary, Crawford offers you: Career advancement potential locally, nationally and internationally. Crawford & Company has more than 700 location in 63 countries On-going training opportunities through every stage of your career Strong benefits package including health, dental, and life insurance; employee stock purchase plans; tuition reimbursement and so much more. Crawford & Company participates in E-Verify and is an Equal Opportunity Employer. M/F/D/V

Job Title: Property Claims Examiner (302514-773) Company: ZC Sterling Location: Dallas, TX Description: 302514-773 Job Description ZC Sterling Corporation ZC Sterling and its subsidiaries have served the mortgage industry for more than 30 years and the homebuilder industry for more than 55 years. ZC Sterling's philosophy of service-driven innovation is what makes us a leading provider of specialty insurance and outsourcing solutions provider for the mortgage, homebuilder and insurance industries. ZC Sterling's industry-recognized serviced are provided by more than 1200 employees from offices across the country in Atlanta, Georgia; Irvine, California; West Hills, California; Raleigh, North Carolina; Jacksonville, Florida; Harlan, Iowa; Lincoln, Nebraska; Dallas, TX. Property Claims Examiner SUMMARY:Responsible for handling of all aspects of a claims file from beginning to conclusion.SPECIFIC DUTIES: Interprets the insurance contract and applies to the exposures presented with each claim. Investigates all issues to determine cause, scope, damages, and subrogation potential. Manages an inventory of claim files to ensure timely resolution of all assigned claims. Maintains files in an organized manner. Documents all activity to support the outcome of the claim file. Evaluates and negotiates the resolution of claims, while mitigating damages, to achieve cost effective claim outcomes. Controls allocated expenses to the claim file. Directs, controls, and manages the work of vendor partners to ensure their work meets our quality expectations. Creates a high level of policyholder satisfaction. Operates in a team environment. Supports other team members to enhance overall team productivity. Leads and participates in committees or special projects. Performs all other duties as assigned. Regular, predictable attendance required. WORKING RELATIONSHIPS:INTERNAL: Claim Sr. Management, Claim Handlers, Claim Support Staff, IT staff and Management, Human Resources, Product Management, Policy Services and others. EXTERNAL: Customers, Customer Representatives, Vendors and Trading Partners REQUIRED KNOWLEDGE AND SKILLS: 4-year college degree, and/or professional insurance designations, and/or relevant long term experience preferred. Minimum of 1-2 years experience handling insurance claims preferred. Ability to work under tight deadlines and handle multiple tasks simultaneously. Strong interpersonal, written and verbal communication skills. Proficiency with MS Office Suite SPECIAL DEMANDS OR WORKING CONDITIONS: Workload is subject to deadlines. Required Experience     At ZC Sterling, our employees are our greatest asset. Like any company or individual, ZC Sterling wants to protect its assets. That’s why we offer a comprehensive and competitive benefit program to our employees.  Our benefits include Medical, Dental, company paid vision (employee coverage), STD, LTD and 2x’s salary life insurance.  We also offer:  Casual Dress, Discount Banking/Credit Union, Service Awards, Team & Individual Recognition Bonuses and Work/Life Balance. ZC Sterling is an equal opportunity employer. It is the policy of ZC Sterling that all employees and applicants for employment will be treated in all respects on the basis of their merit and qualifications and without regard to their race, color, national origin, age, disability, sexual orientation, religion, gender, military status, marital status or ancestry. Job Location Dallas, TX, US. Position Type Full-Time/Regular