Senior Claims Examiner

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🤠 Texas – Remote

🤠 Texas – Remote

⏰ Full Time

🟠 Senior

📋 Claims Specialist

👻 Ghost score 12%

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.

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Texas Windstorm Insurance Association

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 1971

💼 Consulting

📦 Logistics

🛡️ Insurance

Consulting • Logistics • Insurance

Texas Windstorm Insurance Association is a not-for-profit insurance entity that provides windstorm and hail insurance to homeowners 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 administers policies, claims handling, payments, agent support and public reporting as the insurer of last resort for wind and hail exposure in designated coastal areas.

📋 Description

• Lead the investigation and resolution of complex commercial property claims • Demonstrate a customer-centric attitude • Analyze and manage claims by verifying coverage, investigating, and gathering pertinent information to determine claim exposure • Maintain action plans for appropriate and timely resolution according to established 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 when no coverage, liability, or compensability exists • Enter claim payments and reserves into the computer system with concise and accurate file documentation • Communicate decisions clearly and professionally • May provide training, coordination, and investigation of potential fraudulent activity for the Association

🎯 Requirements

• Bachelor’s degree or 6+ years of relevant work experience • Texas Adjuster License • Must obtain the Associate in Claims designation within two years of the date of hire/promotion, or the Chartered Property Casualty Underwriter designation within three years of the date of hire • Ability to sit, hear, converse over the telephone, and key frequently on a computer for long periods of time • May require extended hours, overnight travel, and remote work outside the office during catastrophic storm events • Preferred: Bilingual, preferably Spanish and/or Asian Languages (such as Mandarin, Vietnamese, etc.) • Preferred: Building contractor, roofing contractor, or restoration contractor background • Preferred: Residential/Commercial Property estimating software experience

🏖️ Benefits

• Fully remote work environment 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