Insurance Claims Examiner

5 days ago


El Paso, Texas, United States Fred Loya Insurance Full time

About the Role

Fred Loya Insurance is seeking a highly skilled and detail-oriented Claims Adjuster to join our team. As a Claims Adjuster, you will play a critical role in investigating and resolving insurance claims in a fair and timely manner.

Key Responsibilities

  • Investigate and verify coverage by analyzing documents, conducting thorough interviews, and gathering evidence.
  • Determine liability by analyzing complex coverage and liability claims, and making informed decisions.
  • Provide exceptional customer service to all parties involved in the claims process, ensuring a positive experience.
  • Manage multiple cases simultaneously, maintaining accurate records and adhering to company procedures.
  • Stay up-to-date with industry developments and regulatory requirements, ensuring compliance with all relevant laws and regulations.
  • Collaborate with internal stakeholders, including underwriters, agents, and other claims professionals, to resolve claims efficiently.

Requirements

  • Must be able to read and understand complex contracts, and be proficient in handling high-stakes coverage and liability claims.
  • Must be able to adapt to changing circumstances and handle a fast-paced environment with ease.
  • Must possess excellent communication skills, both written and oral, to effectively discuss coverage, liability, and bodily injury settlements with attorneys and other stakeholders.
  • Customer Service experience is essential, with a proven track record of delivering exceptional service.
  • Proficiency in Microsoft Office applications, including Word, Excel, PowerPoint, Access, and Outlook, is preferred.
  • A Texas Adjuster's license is required, and bilingual skills in English and Spanish are highly valued.


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