CRC Insurance Services, Inc. Claims Examiner Trainee in Fort Worth, Texas
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Regular or Temporary:
Language Fluency: English (Required)
1st shift (United States of America)
Please review the following job description:
The incumbent is required to successfully complete the Company developed training program. The incumbent is responsible for continually demonstrating the progressive ability to perform the required essential job functions, as well as grow in the ability to process, evaluate, negotiate, adjust and resolve non-complex, standard claims in accordance with prescribed authority and best claims practices.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
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. With supervisor approval, negotiate with policyholders to settle claims of limited monetary value.
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.
Establish voice to voice communication within 24 hours. Maintain effective communications with the Customer at all times.
Under supervisor authority, negotiate with policyholders to settle claims of limited monetary value.
Maintain company reputation and integrity of insurance products by complying with federal and state regulations, Company protocol, and service standards. Maintain current knowledge of regulations and issues, industry activity, and trends.
The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Associate's degree (A.A. or A.S.) or equivalent from a two-year college, business school, or technical school
Adjusters License for states in which the Company conducts business
Must successfully complete the Company training program and achieve a passing score on all claims training exams
- Fluency in Spanish
CRC is an Equal Opportunity Employer and considers all qualified applicants regardless of race, gender, color, religion, national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law.
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CRC Insurance Services, Inc.
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