Essential Job Functions and Responsibilities

• Investigates and maintains claims:
• Reviews and evaluates coverage and/or liability.
• Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records or other documents) in the investigation of claims.
• Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions or trials as necessary.
• May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority.
• Conveys simple to moderately complex information (coverage, decision, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations.
• Ensures that claims payments are issued in a timely and accurate manner.
• Ensures that claims handling is conducted in compliance with applicable statues, regulations and other legal requirements, and that all applicable company procedures and policies are followed.
• Performs other duties as assigned.

Job Requirements

Education: Bachelor’s Degree or equivalent experience.

Field of Study: Liberal Arts, Business or a related discipline.

Experience: Generally, 6 months to 3 years of related experience.

Workers Compensation license required

Texas experience preferred but not required