Claims Representative Jobs in Texas

Job Title: Bodily Injury Claims Specialist - Houston, TX Company: Liberty Mutual Group Location: Houston, TX Description: Boston-based Liberty Mutual Group is a diversified global insurer and fifth largest property and casualty insurer in the U.S. based on 2008 direct written premium. The Company also ranks 86th on the Fortune 500 list of largest corporations in the U.S. based on 2008 revenue. As of December 31, 2008, Liberty Mutual Group had $104.3 billion in consolidated assets, $94.2 billion in consolidated liabilities and $28.9 billion in annual consolidated revenue.Liberty Mutual Group offers a wide range of insurance products and services, including personal automobile, homeowners, workers compensation, commercial multiple peril, commercial automobile, general liability, global specialty, group disability, assumed reinsurance, fire and surety.Liberty Mutual Group (www.libertymutualgroup.com) employs over 45,000 people in more than 900 offices throughout the world.Advance your Claims career at Liberty Mutual - A Fortune 100 Company!  Are you looking for an opportunity to join a Bodily Injury claims adjusting team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual has an excellent entry level claims opportunity available.As a Bodily Injury Claims Specialist, you will help people resolve problems and live safer more secure lives. You will get the opportunity to use your investigative and negotiation skills in a fast paced environment while protecting the assets of the company.  We offer variety in your position - in the people you interact with and the cases you handle. This position concentrates on general liability and auto liability with an opportunity to handle both property and injury losses and litigated cases. In addition to a wide range of benefits, as a direct employee, your insurance education and training are paid by Liberty Mutual.   Responsibilities:  In this Claims Specialist role you will: Assess policy coverage, contact insured,  determine and establish reserve requirements Review and set-up claims in the tracking system and describe the loss to reflect actual circumstances Plan and conduct investigations (including but not limited to interviewing parties involved, collecting and evaluating documentation and securing evidence and protecting the chain-of-custody) to analyze coverage, determine liability, compensability and damages of claims Determine need for independent adjusters, cause and origin experts and independent medical examiners. Evaluate claim for potential fraud Assess actual damages associated with claims and conduct negotiations to settle claims  May be involved with litigation as necessary.     Qualifications:  Ability to analyze variables, such as medical records and legal documentation Ability to communicate effectively with people from all backgrounds and uphold our high standard of customer service Negotiation and settlement skills Bachelors degree required, continuing insurance education desired 1-3 years of prior work experience Hard work, honesty, integrity and unwavering business ethics Detail-oriented organizational skills in a multi-tasking environment Success driven individual who has demonstrated success in a claims adjusting role Benefits: We recognize that talented people are attracted to companies that provide competitive pay, comprehensive benefits packages and outstanding advancement opportunities. For this reason we offer a Comprehensive Benefits Plan that includes the following: 401K and Company paid pension planMedical coverageDental coveragePaid time-offPay-for-PerformanceDiscounts on automobile and homeowner's insuranceDiscount fitness membershipsFlexible spending accountsTuition reimbursementVision care coverageWork/Life resourcesCredit Union membershipEmployee and Dependent life insuranceDisability insuranceLong-term care insurance  Overview: We believe strongly that commercial success can be achieved in a manner consistent with principles and ideals that bind us together as one company, that set us apart from our competitors, and that in the end will allow us to say we have succeeded commercially by doing the right thing the right way.   We believe that the Company's success is inextricably linked to our employees' satisfaction and success: satisfaction that they work for an industry leader committed to improving safety, satisfaction that they work for a company that does the right thing, and satisfaction that the company will reward them for their contributions and provide opportunities for personal growth and success.   We believe our employees take pride in knowing that they help people live safer more secure lives everyday.   Responsibility. What's your policy? Additional Information:Travel Percentage: 10%

Job Title: Claims Specialist III-Construction Defect Company: Zurich NA Location: Dallas, TX Description: Claims Specialist III-Construction DefectPosition ID 21725Work Location TX - DallasTelecommute NoEmployment Status Full-TimeEstimated Travel MinimumRelocation Available NoJob SummaryUnder limited supervision, handles construction defect commercial insurance claims of medium to high exposure and complexity within specific limits and authority. Verifies applicable coverage and liability. Sets appropriate reserves within authority level. Manages litigation. Handles multi-party claims. Negotiates settlements within authority limit. Hires counsel; oversees litigation; negotiates litigation settlements. Serves as a mentor to lower level claims associates. Develops and maintains positive customer relationships; anticipates customer needs and monitors trends in order to recommend changes.Job Qualifications8 or more years of Commercial Claims handling experience with a minimum of 3 or more years General Liability experienceIn-depth knowledge of the insurance industry, claims, and the insurance legal and regulatory environmentPossesses a functional and developing knowledge of the legal statutes and proceduresDisplays a thorough functional knowledge and skill of construction defects insurance claims handlingCoverage and case law knowledgeProficient computer skillsVerbal and written communication skillsProblem solving skillsPREFERRED QUALIFICATIONS:Bachelors Degree or EquivalentConstruction Defect claims handling experience

Job Title: Claims Associate Company: ACE Limited/ACE INA Location: Irving, TX Description: ACE GroupThe ACE Group of Companies is one of the worlds leading global commercial property and casualty insurance and reinsurance organizations, with 16,000 employees worldwide and offices in more than 50 countries.ACE serves the property and casualty insurance needs of businesses of all sizes in a broad range of industries. We also provide specialized insurance products—such as personal accident, supplemental health and life insurance—to individuals in select countries. Our reinsurance operations include both property and casualty and life companies.Details of this critical opening follow:Claims AssociateUnder the direction of the Claims Team Leader investigates and settles claims promptly, equitably and within established best practices guidelines.MAJOR DUTIES & RESPONSIBILITIES:Duties may include, but are not limited to:* Receive assignments. * Review claim and policy information to provide background for investigation and may determine the extent of the policy’s obligation to the insured depending on the line of business.* Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information.* Depending on line of business may inspect and appraise damage for property losses or arranges for such appraisal.* Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company’s obligation to the insured under the policy contract.* Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc.* Sets reserves within authority limits and recommends reserve changes to Team Leader.* Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions. * Prepares and submits to Team Leader unusual or possible undesirable exposures. * Assists Team Leader in developing methods and improvements for handling claims.* Settles claims promptly and equitably. * Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims. * Informs claimants, insureds/customers or attorney of denial of claim when applicable.* May assist Team Leader and company attorneys in preparing cases for trial by arranging for attendance of witnesses and taking statements. Continues efforts to settle claims before trial.* Refers claims to subrogation as appropriate. May arrange for salvage disposition or other recovery proceedings as necessary by line of business.* May participate in claim file reviews and audits with customer/insured and broker.* Administers benefits timely and appropriately. Maintains control of claim’s resolution process to minimize current exposure and future risks* Establishes and maintains strong customer relationsDepending on line of business, other duties may include:* Maintaining system logsSCOPE INFORMATION: (include operating budget, revenue goals, reporting relationships, # of direct/indirect reports, etc.) The position reports directly to a Claims Team Leader or other member of claims management.DESIRED QUALIFICATIONS:* 0-2 years experience handling claims in a relevant line of business or experience as a claims assistant in a relevant line of business; recent college graduate.* Basic knowledge of claims handling and familiarity with claims terminologies.* Effective negotiation skills.* Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc in a positive manner concerning losses.* Ability to self motivate and work independently.* Knowledge of ACE products, services, coverages and policy limits, along with awareness of ACE claims best practices.* Knowledge of applicable state and local laws related to line of business handled.ACE offers a competitive salary plus cash bonus, equity opportunities and a comprehensive benefits package including life, health, dental, vision, a generous retirement savings plan with a generous company match, disability coverage, stock purchase plan, flexible spending accounts, tuition reimbursement, and business casual dress.Sound like the right job for you? For consideration, please apply below. If you would like additional information about the ACE Group, please visit our website at www.acelimited.com

Job Title: MD Master Claims Rep (38951) Company: Nationwide Insurance Location: Odessa, TX Description: **This field position will support material damage claims near Odessa, TX area (mid-west and west TX)and will have daily travel. Company car is provided. Ideal candidate will have: - 4 to 5 years experience with collision, - estimating skills (prefer Pathways) - excellent customer service, - ability to resolve issues, - ability to work independently, - bi-lingual skills (Spanish a plus). JOB SUMMARY: Investigates, evaluates, negotiates and brings to a final resolution personal lines material/physical damage of a moderate to severe nature. Responsible for the handling of claims in accordance with prescribed authorization and claims best practices. LOCATION: Property Casualty Claims Standard RELATIONSHIP: Reports to Claims Manager JOB RESPONSIBILITIES: 1. Handles to conclusion claims involving moderate to severe material/physical damage. 2. Determines proper policy coverages and applies best claims practices to conclude assigned cases in accordance with company guidelines. Adheres to high standards of professional conduct while providing delivery of superior claims service. 3. Participates in preferred/direct repair shop claims management. 4. Establishes and authorizes adequate reserves and claims payments within the delegated authority. 5. Maintains current knowledge of: multiple insurance lines; court decisions; current guidelines in the claims function; and policy changes and modifications. This may require attendance at various seminars and/or training sessions. 6. Initiates and conducts follow-ups via proficient use of claims systems and related business systems. 7. Submits administrative reports as required. 8. Properly maintains all assigned company equipment. 9. Performs all other duties as required. NOTE: Representatives may be assigned a claims segment such as: fire/ theft, total loss direct repair shop, etc. JOB REQUIREMENTS: Education/Knowledge: Undergraduate degree preferred. On-going job-related continuing education preferred. State licensing where required. Successful completion of required claims certification schools/courses. Insurance company operations and multiple property casualty insurance lines of business. Material/physical damage repair processes, vendor management, customer service techniques, and all related claims systems Demonstrated knowledge and adherence to best claims practices. Experience: Four years related experience in material/physical damage claims handling or related automotive repair industry experience. Skills: Analytical skills necessary to make decisions and resolve conflict in such areas as application of coverage to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions. Ability to establish repair requirements and cost estimates for material damage and property losses. Ability to educate and successfully negotiate BI claims. Organizational skills to effectively prioritize work. Command of written and verbal communication skills for contact and/or negotiate with policyholders, claimants, repairpersons, attorneys, agents and the public in general. Ability to operate a PC and related software. Staffing exceptions to the above minimum job requirements must be approved by: Claims Director and Human Resources Representative JOB CONDITIONS: Overtime Eligibility: Eligible (Nonexempt). Working Conditions: Field or office environment. Representatives may be required to operate an automobile and have a valid driver's license with a safe driving record. Must be able to make physical inspections of accident scenes and property loss sites. Must be able to climb ladders, balance at various heights, stoop, bend and/or crawl to inspect vehicles and structures. Must be able to work out-of- doors in all types of weather. Must be willing to work irregular hours and to travel with possible overnight requirements. May be on-call. Must be available to work catastrophes (CAT). Extended and/or non-standard hours as required. ADA: The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties. Credit Check: Due to the fiduciary accountabilities within this job, a valid credit check and/or background check will be required as part of the selection process.

Job Title: Bodily Injury Claims Specialist - Houston, TX Company: Liberty Mutual Insurance Company Location: Houston, TX Description: Advance your Claims career at Liberty Mutual - A Fortune 100 Company!Are you looking for an opportunity to join a Bodily Injury claims adjusting team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual has an excellent claims opportunity available.As a Bodily Injury Claims Specialist, you will help people resolve problems and live safer more secure lives. You will get the opportunity to use your investigative and negotiation skills in a fast paced environment while protecting the assets of the company. We offer variety in your position - in the people you interact with and the cases you handle. This position concentrates on general liability and auto liability with an opportunity to handle both property and injury losses and litigated cases. In addition to a wide range of benefits, as a direct employee, your insurance education and training are paid by Liberty Mutual.Responsibilities:In this Claims Specialist role you will:Assess policy coverage, contact insured, determine and establish reserve requirementsReview and set-up claims in the tracking system and describe the loss to reflect actual circumstancesPlan and conduct investigations (including but not limited to interviewing parties involved, collecting and evaluating documentation and securing evidence and protecting the chain-of-custody) to analyze coverage, determine liability , compensability and damages of claimsDetermine need for independent adjusters, cause and origin experts and independent medical examiners.Evaluate claim for potential fraudAssess actual damages associated with claims and conduct negotiations to settle claimsMay be involved with litigation as necessary.

Job Title: Insurance Claim Specialist Company: Manpower Location: Quinlan, TX Description: Inside adjuster; or has worked closely with Outside and Inside Insurance Adjusters to process homeowner claims for natural occurrences: Wind, Hail, Tornado, etc.Fluent in insurance language and policies.Minimum of Intermediate usage in Microsoft Office Suite 2003 or 2007. Will need to definitely know MS Excel and how to setup and handle formula calculations.Excellent with numbers.Excellent people and phone communications skills.Knowledge of Xactimate Estimating Software a plus but not required. Position will be in Quinlan, TX Temp to hire / resume requiredPrevious experience required in insurance industry, excellent customer service, people & phone skill, MS Office 2003 / 2007, Excel required, Knowledge of Xactimate Estimating Software MUST submit resumeExcellent with numbers must have previous homeowners claims experience. Fluent in insurance language and policies. Excel & Word neededManpower is an Equal Opportunity Employer (EOE/AA)

Job Title: Claim Rep, Auto Damage Company: Travelers Location: Houston, TX Description: Committed.  Competitive.  Constructing our Future. That's Travelers.  We are one of the leading insurance companies in the United States.  Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees.  You will find Travelers to be full of energy, and a workplace in which you truly can make a difference.   SUMMARY: Handle 1st and 3rd party Personal Insurance and Business Insurance claims.  Manage claims for automobiles, a variety of heavy, specialty and mobile equipment and non-auto related property damage (i.e.: mail box, fence, and indirect damages such as down time and business interruption.)  Claims will have varying degrees of complexity and severity (I.e.: coverage issues, multi-car, fatalities, liability determination, etc). PRIMARY DUTIES: - Handle all types of vehicles including automobiles, and a variety of heavy and mobile equipment (i.e. Cranes,  tractor trailers, construction, agricultural equipment) at every severity level including other property damage i.e.: guard rails, mail boxes and any property within the vehicle. - Handle vehicle claims with varying degrees of complexity and severity (I.e.: coverage issues, multi-car, fatalities, liability determination, etc).  - Review and analyze coverage and apply policy conditions, provisions, exclusions and endorsements, pertinent to a variety of vehicle damage claims. Recognize and apply how jurisdictional issues impact the claim (i.e.: negligence laws, financial responsibility/limits, immunity, etc.)  Manage deductibles and coverage limits. - Contact appropriate parties to obtain relevant facts necessary to determine coverage, causation/damages, nature and extent of injuries and exposure with respect to the various vehicle coverage provided.   - Investigate facts to establish negligence, determine liability, other sources of recovery and negotiate resolutions as appropriate. Manage fire, theft and other claims that require specialized investigation and utilization of internal and external experts in accordance with local laws.  - Request the appropriate inspection type based on the details of the loss to effectively and efficiently resolve the claim (i.e.: conciergeclaim, appraisal, heavy equipment, property task assignment).  When a Total Loss is determined, authorize payment through the Total Loss representative. - Conduct damage management including properly managing the repair process i.e.: mitigating storage, rental, early tow to salvage and other related expenses by working closely with appraisers, rental facilities, body shops,  repair facilities and other vendors.  - Establish timely and maintain appropriate claim and expense reserves. - Develop and continually update a plan of action including maintaining an effective diary to bring the claim to resolution in a timely manner. Manage file inventory by utilizing an effective diary system and documenting claim file activities in accordance with established procedures.  - Write denial letters, Reservation of Rights and other routine and complex correspondence to insured's and claimants. - Determine settlement amounts based on independent judgment, estimation of actual cash value and replacement value, appraisals, application of applicable limits and deductibles.  - Negotiate and convey claim settlements within authority limits to insureds. - Meet all quality standards and expectations per Best Practices. - Comply with state specific regulations. -  Provide quality customer service to meet the needs of the insured, claimant, all internal and external customers.  Fulfill specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC). -  Recognize and forward appropriate files to subject matter experts i.e.: SIU, engineer, staff/general counsel, heavy equipment, construction, property, CAT mgmt, fire investigator, Independent Adjuster, and accident reconstruction for their review and consult.  Identify subrogation opportunities; determine appropriateness of the demand and negotiate adverse subrogation and arbitration. - Handle litigation on appropriately assigned cases. Develop litigation plan with staff or panel counsel, and track and control legal expenses; Review conciliations and prepare submissions for arbitration hearings. -  May participate with Auto ERT during extreme weather events.- - Effectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolution. EDUCATION/COURSE OF STUDY: College degree or equivalent business experience CERTIFICATES/DEGREES: Adjusters license (where applicable) COMMUNICATION SKILLS: Strong verbal and written communication skills COMPUTER SKILLS: Hardware and software skills to utilize and leverage claim and adjusting technology OTHER: Medical terminology knowledge (helpful) Customer service and empathy skills Solid analytical and decision making skills Math skills Excellent negotiation skills and ability to effectively handle conflict Strong organization and time management skills Ability to multi-task and to adapt to a changing environment Ability to effectively handle conflict Attention to detail ensuring accuracy. Strong investigative skills and creativity to achieve optimal resolution

Job Title: Insurance Claims Representative Company: Confidential Location: Dripping Springs, TX Description: INSURANCE CLAIMS REPRESENTATIVE Rapidly growing hearing aid company has an opening for an insurance claims representative in its Dripping Springs corporate office. Ideal candidates will have strong computer skills and experience filing private insurance claims and Medicaid claims. Experience appealing and verifying claims preferred. Qualified candidates may fax resumes to Holly at Register to View .

Job Title: Claims Assistant III Company: New York Life Insurance Compan Location: Dallas, TX Description: Description:The position is responsible for performing claims administration and providing customer service to New York Life policy owners, beneficiaries, Agents, and internal staff. The incumbent answers incoming calls regarding life and annuity claims. They will perform basic level research as well as create/maintain documentation pertaining to claims.Key Responsibilities:- Answer incoming calls- Make outbound call to Agents- Prepare, produce, and ensure accuracy of all claims documentation - Respond to inquiries from clients or Agents, regarding reports of death or disability- Research and resolution of basic policy information Strong organizational skills and product knowledge