Claims Examiner

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🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟢 Junior

📋 Claims Specialist

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Texas Windstorm Insurance Association

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1971

🛡️ Insurance

🤝 Non-profit

Insurance • Non-profit

Texas Windstorm Insurance Association is a not-for-profit insurer that provides windstorm and hail insurance coverage to residential and commercial property owners along the Texas coast who are unable to obtain such coverage in the regular market due to the risk of catastrophic hurricanes. Established under Texas law, TWIA functions as the insurer of last resort, offering policy issuance, claims handling, payments, agent services, and public governance via a board of directors and statutory oversight.

📋 Description

• Investigate, evaluate, negotiate, and resolve low- to moderate-complexity property insurance claims • Deliver exceptional service to policyholders throughout the claims process • Analyze and manage claims by verifying coverage, investigating, and gathering pertinent information to determine exposure • Maintain action plans for appropriate and timely claim resolution according to policies and procedures • Identify and address coverage issues, potential fraud, and subrogation potential • Calculate and assign timely and appropriate claim reserves and monitor reserve adequacy • Conduct detailed damage and bill reviews and control claim expenses • Pay and process claims within designated authority levels, or deny payments where coverage, liability, or compensability does not exist • Enter claim payments and reserves into the computer system with concise and accurate file documentation • Communicate decisions clearly and professionally • Collaborate across departments in a transparent, innovative, and mission-driven environment

🎯 Requirements

• 1+ year experience examining P&C Residential Property • Associate degree or equivalent experience in lieu of a degree • Texas Adjuster License or demonstrated progress toward achieving the license • Preferred: Bachelor’s degree • Preferred: 3.0 cumulative GPA or higher • Preferred: AIC and/or CPCU designation • Bilingual skills preferred: English and preferably Spanish, Mandarin, or Vietnamese • Ability to sit, hear, converse over the telephone, and key frequently on a computer for long periods of time • Ability to participate in limited overnight travel when required

🏖️ Benefits

• Fully remote work environment, allowing contribution from home with no relocation required • Comprehensive medical, dental, vision, group life, AD&D, and dependent life insurance coverage • Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) with a generous annual HSA employer contribution • 401(k) retirement plan with employer matching contributions up to 6% • Pension plan that begins vesting at 5 years of employment • Ongoing training and professional development opportunities sponsored by TWIA • Support to obtain professional certifications • Tuition reimbursement program • Generous paid time off, including vacation, sick leave, paid holidays, and personal days • Flexible scheduling to support work-life balance • Limited overnight travel opportunities, including remote catastrophe claim response efforts, deposition and other legal witness testimony, training programs, work-related activities, and meetings