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- Claims Specialist - Liability
Description
Description
This position is responsible for investigating claims, determining liability, confirming coverage, assessing damages, and negotiating settlements. It involves managing claims from initiation to resolution, ensuring thorough documentation, and communicating effectively with all parties involved.
Essential Functions
Required Responsibilities*
- Investigates both member and third-party claims, reviewing coverage, setting reserves, determining liability, assessing damages, and initiating claim processes to ensure proper handling and settlement.
- Maintains accurate records of all claims and related activities, ensuring that the claim management system is regularly updated and all documentation is complete.
- Reviews documentation on damaged property, bodily injuries, employment and law enforcement matters, liability, immunity, etc., and determines claims-related damages, prepares releases, and processes payments.
- Communicates regularly with internal staff, Members, claimants, witnesses, repair facilities, contractors, vendors, police, fire departments, special investigators, attorneys, and other parties essential to the claims process.
- Reviews reports from independent adjusters, appraisers, and claimants, ensuring all necessary documentation is provided and properly supported.
- Reviews and handles litigation files, reviews settlement proposals, submits authority requests (as applicable), and prepares settlement documents.
- Identifies and reports on subrogation, salvage, and potential fraud in claims.
Attends mediations and trials as needed for litigation matters.
* The above responsibilities are intended to describe the general nature and level of work being performed by individuals assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required by the position. All employees may have other duties assigned at any time.
Requirements
Job Requirements
Education, Work Experience, Certifications**
Required
- B.A. or B.S. degree in Business, Insurance, Risk Management, or related field
- Years of Experience: 3
- Area of Experience: Claims Processing, Insurance, or related areas
- Active Adjuster License – Texas – Property and Casualty
- Equivalent combinations of education and experience will be accepted
Preferred None
Essential Competencies and Skills**
- Required Experience in the Property and Casualty Insurance Industry
- Valid Texas driver’s license and a good driving record
- Possess knowledge and understanding of relevant laws, rules, and regulations
- Knowledge of insurance principles and the ability to interpret insurance contracts and endorsements to determine coverage eligibility and liability
- Decision-making, problem-solving, negotiation, and conflict resolutions skills
- Proficiency in MS Word
- Proficiency in MS Excel
- Proficiency in MS Outlook
Preferred
None
** To perform this job successfully, an individual must be able to perform each primary responsibility satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary responsibilities.
Supplemental Information
Work Leadership Requirements
This position is not a people manager.
This position does not have indirect reports.
Travel Requirements Occasional overnight travel (by car or air)
Physical Requirements
- Be able to withstand typical office work that includes periods of sitting, standing, typing, etc. indoors.
- In addition to typical office work, must be able to exert up to 10 pounds of force occasionally to move objects.
- Requires close visual acuity to perform an activity such as preparing and analyzing data and figures, viewing a computer screen, visual inspection, assembly of parts, or extensive reading.
- Ability to have a flexible work schedule to meet business needs and be at work on-site during specified or core hours.
- Ability to safely operate a motor vehicle for extended periods, including prolonged sitting, use of hands and feet to operate vehicle controls, and maintaining visual awareness in varying traffic and weather conditions.
- Must be able to operate standard computer hardware.
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Additional Information:
Equal Opportunity: The Texas Municipal League Intergovernmental Risk Pool is an Equal Opportunity Employer and welcomes applications from all qualified applicants. We do not discriminate on the basis of race, color, religion, sex, national origin, age, marital status, medical condition, disability, or sexual orientation.
Reasonable Accommodation: The Texas Municipal League Intergovernmental Risk Pool makes reasonable accommodations for the disabled. If you believe you require special arrangements to participate in the testing process, you must inform the People Resources Department in writing no later than the filing date. Applicants who request such accommodation must document their request with an explanation of the type and extent of accommodation required.
Employer
Texas Municipal League Intergovernmental Risk Pool
Address
1821 Rutherford Lane
First Floor
Austin, Texas, 78754
