Wellington Insurance Services, Inc.

Claims Examiner II/III

US-TX-Fort Worth
# of Openings
2
Category
Claims

Overview

Wellington Insurance Group is looking to add an experienced Examiner II and/or III to investigate, evaluate, negotiate, and resolve complex, personal lines property claims. This individual must be able to provide exceptional customer service, as well as handle claims in accordance with prescribed authority and best claims practices.

Responsibilities

Essential Functions:

  • Adjust major and complex losses in their entirety, but may also adjust standard losses.  
  • Develop relationships with customers via telephone, investigate insurance policy coverage, determine cause of loss, and document activity on each claim to come to a resolution quickly and accurately.
  • Identify, analyze, and resolve coverage issues according to established Company protocol, including thorough policy review and analysis of application to the individual claim.
  • Develop and direct investigative plans. Conduct timely and detailed investigations that include scene investigation (e.g., photos, diagrams, blueprints, maps), statements, official reports (e.g., police, fire, weather, hail), and ownership documents (e.g., tax liens, judgments, encumbrances). Identify alleged and actual damages, identify potential liable parties, recognize and address potential fraud.
  • Conduct thorough damage development, leading to timely and adequate evaluations, including appraisals/estimates, business records, invoices, detailed inventory, purchase records, receipts, credit card statements, and ALE documents. Develop appropriate methods of repair/replacement, verify ownership, and apply any special limitations.
  • Negotiate with policyholders to settle claims.
  • Perform technical reviews of appraiser and contractor property damage estimates.
  • Partner with SIU and Subrogation to identify questionable claims and subrogation opportunities. Assist or prepare files for suit, trial, or subrogation.
  • Support work-load surges due to weather-related events as needed.
  • Ability to train and mentor entry-level examiner employees.

Qualifications

Job Requirements:

  • Two (2) to five (5) years related, applicable experience.
  • Associates degree (A.A. or A.S.) or equivalent from a two-year college, business school, or technical school.
  • Texas Property/Casualty Adjuster license.
  • Fluency in Spanish preferred.

 

Disclaimer: This document describes the minimum essential duties, responsibilities, skills, abilities, effort, and working conditions of the position. It in no way implies that these are the only functions to be performed by the incumbent and the functions may be modified by the supervisor at any time to meet Company needs. Workers are required to follow any other job-related instructions and to perform any job-related functions requested by a supervisor or manager. Unless otherwise indicated, all job-related functions will be performed on-site at the Employer’s facility. Successful performance requires that the incumbent possess and utilize the abilities and skills described. All functions are subject to reasonable modification to accommodate individuals with disabilities. Some functions may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or others.

 

TOBACCO USERS NEED NOT APPLY. 

 

Criminal background check, credit reporting disclosure and drug testing may be required.

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