Claims Examiner

🔥 0 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $56.5k - $102.2k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Mercury Insurance

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1962

🚘 Automotive

💼 Consulting

📦 Logistics

Automotive • Consulting • Logistics

Mercury Insurance is a leading provider of insurance products, focusing on protecting individuals and their assets with a commitment to privacy and customer service. The company operates through independent agents and offers a range of insurance services including auto, home, and other personal insurance products. Mercury Insurance prioritizes the security of personal information and compliance with privacy laws, ensuring that customer data is handled with care and only shared when necessary for account servicing or as legally required.

📋 Description

• Evaluate, negotiate, and settle low to high complexity bodily injury claims • Prevent unnecessary exposure to the Company and Policyholders • Conduct complete investigations to determine liability, damages, injuries, and applicability of state laws and regulations • Negotiate, settle, and authorize payment for complex injury claims with legal counsel and unrepresented parties • Investigate and analyze medical records, law enforcement reports, and other extensive records • Conduct witness interviews to determine claim value and set or maintain reserves • Evaluate liability, venue, opposing counsel, legal risk, anticipated expenses, and other claim-value factors • Research and respond to customer inquiries and concerns throughout the life of a claim • Work with medical and technical experts and outside counsel to obtain reports and opinions • Coordinate settlement, mediation, and arbitration with attorneys for pre-litigation cases • Handle litigated cases • Potentially support legal counsel at depositions, mediations, arbitrations, and trials as Company Representative • Ensure regulatory compliance across multiple states

🎯 Requirements

• High School Diploma or GED • You may be required to obtain a Company sponsored Adjuster’s license to handle claims, to be secured upon hire • Prior experience investigating, evaluating, negotiating, and settling moderately to highly complex claims • Or equivalent combination of education and/or experience • Thorough knowledge and comprehension of Mercury claims handling policies and procedures • Analytical assessment of causation and exposure based on complex fact patterns and extensive bodily injuries and property damage • Excellent written and verbal communication skills • Critical attention to detail and strong organizational skills • Ability to plan and control workload time effectively • Ability to prioritize tasks and switch focus as needed • Sound judgment in dealing with customers, claimants, and legal counsel • Ability to assess risk and make qualified decisions • Conflict resolution and negotiation abilities • Ability to conduct detailed and complicated investigations • Ability to collaborate well with others • Ability to build rapport and demonstrate emotional intelligence • Self-motivation and accountability while working remotely • Demonstrated proficiency with MS Office products (Outlook, Word) and claims related software • Dedicated workspace free from distractions • Preferred: Bachelor’s Degree • Preferred: 3+ years related experience • Preferred: Knowledge of medical and legal terminology, and applicable laws • Preferred: Ability to improve processes through technology • Preferred: Knowledge of claims compliance across multiple states

🏖️ Benefits

• Competitive compensation • Flexibility to work from anywhere in the United States for most positions • Paid time off (vacation time, sick time, 9 paid Company holidays, volunteer hours) • Incentive bonus programs (potential for holiday bonus, referral bonus, and performance-based bonus) • Medical, dental, vision, life, and pet insurance • 401 (k) retirement savings plan with company match • Engaging work environment • Promotional opportunities • Education assistance • Professional and personal development opportunities • Company recognition program • Health and wellbeing resources, including free mental wellbeing therapy/coaching sessions, child and eldercare resources, and more • Reasonable accommodations for qualified individuals with disabilities