Claims Adjuster
3 days ago
Under the direct supervision of the Safe Choice Claims Manager, the Claims Adjuster is responsible for the review, analysis, and processing of assigned claims within their authority limits and consistent with policy and legal requirements. The goal of the position is to provide prompt, efficient delivery of quality service while protecting the assets of the organization. The Claims Adjuster's primary duty includes the exercise of discretion and independent judgment with respect to matters of significant financial impact and confidentiality.
HYBRID position - 2 days onsite each week - Dallas, TX
Essential functions of the role:
- Promptly investigate assigned non-subscription claims to assess liability and entitlement to benefits.
- Confirm applicable coverage; maintain compliance with ERISA plan document, insurance policies, and procedure manuals. Take recorded statements, establish reserve requirements, identify subrogation potential, maintain diary.
- Review and evaluate medical and loss wages, conduct thorough investigation of the claim through contact with witnesses. Provide status reports to management as needed.
- Resolve complex, severe exposure claims, using high service oriented file handling.
- Responsibility for the preparation of summaries and files for denials, appeals, medical opinions, subrogation, and litigation.
- Collection of documents and summarizing information.
- Providing presentations for committee meetings and any required correspondence.
- Applying technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.
- Assign surveillance on appropriate claims.
- Identifying claims with possible recovery from third parties.
- Maintains communication with doctors, attorneys, safety specialist, and nurse specialist and outside vendors to provide prompt, economical, and professional handling of all claims.
- Talking to others to convey information effectively.
- Communicating effectively in writing as appropriate.
- Provide and Coordinate training with HR team.
- Work with Claims Manager for improvements in processes to increase proficiency and supervise effective resolution of all claim inquiries.
- Responsible for the approval of lost wages for payroll and for all approvals of medical bills per claim file.
- Pay and process claims within designated authority level.
- Performs other position appropriate duties as required in a competent, professional, and courteous manner.
Key success factors:
Can substitute Bachelor's degree for years of experience. Texas All Lines Adjuster License, Non-subscription Experience Preferred.
Benefits:
- Immediate eligibility for health and welfare benefits.
- 401(k) savings plan with dollar-for-dollar match up to 5%.
- Tuition Reimbursement.
- PTO accrual beginning Day 1.
Note: Benefits may vary based upon position type and/or level.
Qualifications:
- Education: H.S. Diploma/GED Equivalent.
- Experience: 5 Years of Experience.
-
Daily Claims Adjuster
3 days ago
Dallas, TX, United States CENCO CLAIMS LLC Full timeCENCO is a leading provider of claims solutions, partnering with top insurance carriers to deliver reliable and efficient claims handling. We are looking for Daily Claims Adjusters to assist with residential and commercial property claims across the Southwest region. This role is ideal for adjusters seeking steady assignments and the flexibility of...
-
Desk Adjuster Dallas Texas
7 days ago
Dallas, TX, United States CENCO CLAIMS LLC Full timeAbout Us: Cenco Claims is a growing property and casualty adjusting firm providing professional claim services to insurance carriers nationwide. We are known for our fast, accurate, and customer-focused approach to claims handling. Job Overview: We are seeking experienced Desk Adjusters to manage property claims with efficiency and professionalism. This role...
-
Desk Adjuster Dallas Texas
20 hours ago
Dallas, TX, United States CENCO CLAIMS LLC Full timeAbout Us: Cenco Claims is a growing property and casualty adjusting firm providing professional claim services to insurance carriers nationwide. We are known for our fast, accurate, and customer-focused approach to claims handling. Job Overview: We are seeking experienced Desk Adjusters to manage property claims with efficiency and professionalism. This role...
-
Desk Adjuster Dallas Texas
3 days ago
Dallas, TX, United States CENCO CLAIMS LLC Full timeAbout Us: Cenco Claims is a growing property and casualty adjusting firm providing professional claim services to insurance carriers nationwide. We are known for our fast, accurate, and customer-focused approach to claims handling. Job Overview: We are seeking experienced Desk Adjusters to manage property claims with efficiency and professionalism. This role...
-
Desk Adjuster Dallas Texas
3 days ago
Dallas, TX, United States CENCO CLAIMS LLC Full timeAbout Us: Cenco Claims is a growing property and casualty adjusting firm providing professional claim services to insurance carriers nationwide. We are known for our fast, accurate, and customer-focused approach to claims handling. Job Overview: We are seeking experienced Desk Adjusters to manage property claims with efficiency and professionalism. This role...
-
Claims Adjuster
7 days ago
Dallas, TX, United States AmTrust Financial Full timeClaims Adjuster - Workers CompensationJob Locations US-TX-DallasRequisition ID 2025-18689Category Claims - Workers CompensationPosition Type Regular Full-TimeOverviewThe experienced Workers Compensation Lost Time Adjuster is responsible responsible for the prompt and efficient investigation of a reported workplace incident, accident or injury. The...
-
Claims Adjuster
18 hours ago
Dallas, TX, United States AmTrust Financial Full timeClaims Adjuster - Workers CompensationJob Locations US-TX-DallasRequisition ID 2025-18689Category Claims - Workers CompensationPosition Type Regular Full-TimeOverviewThe experienced Workers Compensation Lost Time Adjuster is responsible responsible for the prompt and efficient investigation of a reported workplace incident, accident or injury. The...
-
Claims Adjuster
5 days ago
Dallas, TX, United States AmTrust Financial Full timeClaims Adjuster - Workers CompensationJob Locations US-TX-DallasRequisition ID 2025-18689Category Claims - Workers CompensationPosition Type Regular Full-TimeOverviewThe experienced Workers Compensation Lost Time Adjuster is responsible responsible for the prompt and efficient investigation of a reported workplace incident, accident or injury. The...
-
Claims Adjuster
19 hours ago
Dallas, TX, United States CloudTrucks Full timeJoin to apply for Claims Adjuster - High Exposure role at CloudTrucks Were looking for a Claims Adjuster to own and drive the end-to-end claims process. This role will be responsible for managing the end-to-end claims process with a strong focus on accuracy, communication, and timely resolution. You will collaborate closely with Drivers, Operations teams,...
-
Claims Adjuster
19 hours ago
Dallas, TX, United States CloudTrucks Full timeJoin to apply for Claims Adjuster - High Exposure role at CloudTrucks Were looking for a Claims Adjuster to own and drive the end-to-end claims process. This role will be responsible for managing the end-to-end claims process with a strong focus on accuracy, communication, and timely resolution. You will collaborate closely with Drivers, Operations teams,...
