Description

Job Brief: This position is responsible for providing first-party property claim service to members.

Description: It involves managing claims from initiation to resolution, ensuring thorough documentation, and communicating effectively with all parties involved.

Required Responsibilities*

• Investigates Member property claims by reviewing coverage, setting reserves, confirming liability, and assessing damages to ensure fair and timely resolution.
• Maintains accurate and complete records for all assigned claims, documenting actions and communications in the claim management system.
• Evaluates documentation and correspondence related to coverage, liability, and damages; prepares releases, processes payments, and issues Reservation of Rights letters when applicable.
• Communicates with Members, vendors, contractors, independent adjusters, and other involved parties to gather information, provide updates, and facilitate claim resolution.
• Reviews reports and supporting documentation from independent adjusters, appraisers, and Members to ensure accuracy and compliance with established standards.
• Coordinates with internal partners such as Underwriting, Loss Prevention, Subrogation, and Legal to ensure effective claim handling and resolution.
• Provides guidance to Members on claim inquiries and coverage questions, ensuring professional and responsive customer service.
• Supports catastrophe operations and workload surges as needed, which may include working irregular hours during major events or high-volume periods.
   
   * 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. 
   

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.  
• Climbing ladders, balancing at heights, working in confined spaces and lifting up to 30 pounds.
• Ability to have a flexible work schedule to meet business needs and be at work on-site during specified or core hours. 
• Must be able to operate standard computer hardware.  

Education, Work Experience, Certifications** 
Required 

• B.A. or B.S. degree in Business, Insurance, Risk Management, or related field 
• Years of Experience: 2 - 4  
• Area of Experience: Claims Processing, Insurance, or related areas 
• Active Adjuster License – Texas – Property and Casualty

Preferred 

• None 

Essential Competencies and Skills** 
Required 

• Experience in the Property and Casualty Insurance Industry
• Valid 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 resolution skills.
• Proficiency in MS Word
• Proficiency in MS Excel
• Proficiency in MS Outlook
• Proficient in Xactimate
• Advanced knowledge of property claims contracts 
• Intermediate property construction knowledge 
• Experience as a Staff Property Adjuster 

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.