Claims Adjuster Job at Allied Solutions, Plano, TX

cDc4Y1N4RHB5NEF4L3NRQUdrRlkxczUwQkE9PQ==
  • Allied Solutions
  • Plano, TX

Job Description

The Claims Adjuster position is responsible for the investigation, negotiation, evaluation, disposition and settlement of semi-complex claims and moderate exposures on non-traditional claims products. Claims adjuster must calculate and adjudicate claims with minimal to no automation support. This role will be supported with ongoing coaching from leaders while managing routine to mid-level assignments and will manage a heavy case load of claims with a specific determined financial limit up to $25,000.

Job Duties and Responsibilities:

Adjudication of Claims

  • Investigate and determine appropriate application of coverage.
  • Complies with timeliness, accuracy and service standards of the company and underwriters.
  • Accurately evaluate and determine settlement of semi-complex claims.
  • Review all claim assignments in detail.
  • Ensure proper diary management on all claims.
  • Ability to utilize multiple systems for claims handling/adjudication process.
  • Follow all regulatory and jurisdictional requirements associated with state regulations and guidelines.
  • Develop a strong understanding of collateral protection insurance coverages and policies.

Service Delivery to Customers

  • Provide quality customer service to all clients.
  • Promptly answer inbound calls.
  • Maintain a record of call regarding claims in appropriate system.
  • Effectively communicate to clients/borrower.
  • Promptly and efficiently respond to all email communications (4-8 hrs).
  • Follow policy/procedures regarding calls.

Thorough understanding of claims compliance and state mandated regulations

  • Obtain Property & Casualty (P&C) License required in states where Allied does business.
  • Follow state by state requirement on continuing education.
  • Follow mandates required by state statues and regulation regarding claims adjudication.

Qualifications (Education, Experience, Certifications & KSA):

  • High School Diploma or GED required
  • Minimum of two years of financial services or related insurance field experience.
  • Must obtain and maintain a residence adjusters license
  • Excellent oral, written, decision-making and organizational skills

The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with a job.



#LI-SJ1

#LI-Onsite

We offer our employees a robust compensation package! Our comprehensive benefits include: medical, dental and vision insurance coverage; 100% company-paid life and disability coverage, 401k options with company match, three weeks PTO by the end of the first year and much more. Allied proudly promotes from within as part of a strong commitment to providing career growth opportunities for employees of all levels. Our diverse business portfolio allows employees broad career options with the advantage of staying with the same organization.


All qualified candidates will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.

Job Tags

Similar Jobs

GreatAuPair LLC

Senior Caregiver Job at GreatAuPair LLC

Get hired for Jonathan's seniorcare Job in Stamford, CT. European caregiver. Find seniorcare care work in Stamford.

Confidential

Job Opportunity: Science Teacher for Regional Academic Summer School- DCB1986- 23 Job at Confidential

 ...Science Teacher for Regional Academic Summer School- DCB1986- 23 Anticipated Vacancy: Science Teacher Regional Academic Summer School POSITION : Science Teacher LOCATION(S): Alternative High School QUALIFICATIONS... 

Coach

Visual Merchandising Supervisor Job at Coach

The Visual Merchandising Supervisor at Coach in New York will lead a team to implement visual strategies that enhance the brand's image and drive sales. This role requires experience in luxury retail, strong leadership skills, and the ability to analyze sales data to inform... 

Cardinal Health

Warehouse Associate - Inbound (2nd Shift) Job at Cardinal Health

 ...equipment in the facility includes order picker (cherry picker), forklift, reach truck, turret truck, pallet jack, and walkie rider...  ...Qualifications We are open to candidates with little to no warehouse experience. If you are comfortable working in a fast-paced, goal-oriented... 

Cook Children's Health Care System

Advanced Care Technician/Paramedic - Emergency Department Job at Cook Children's Health Care System

Location: Medical Center - Fort Worth Department: Emergency Dept Shift: Third Shift (United States of America) Standard Weekly Hours: 36 Summary: To provide care to patients at Cook Children's Medical Center under the direction of the medical director...