Claims Adjuster

Maple Grove Corp.; Houston (TX); On-site; USD 55,000 - 79,000; Full time

Benefits offered by this job

Health insurance (medical, dental, and

Vision plan

Retirement plan with employer matching

Professional development opportunities

Job summary

Maple Grove Corp. in Houston, TX is seeking a Claims Adjuster for a full-time role. You will evaluate insurance claims, determine liability, and negotiate settlements.

Daily tasks include assessing claim details, interviewing witnesses, and communicating with policyholders and insurers. You will review documentation and recommend approvals or denials. The company offers health, dental, and vision insurance, a retirement plan with employer contributions, and professional development opportunities

Qualifications

• Must have high school diploma or equivalent.
• Prior insurance claims or customer service experience preferred but not mandatory.
• Strong communication skills are essential for effective interaction with clients and colleagues.
• Detail-oriented with meticulous claims processing and data accuracy.

Responsibilities

• Investigate and assess insurance claims to determine coverage and liability.
• Interview policyholders, witnesses, and other parties to gather information.
• Review medical records, accident reports, and related docs to support decisions.
• Negotiate settlements with clients and other parties to reach fair outcomes.
• Maintain accurate records of all claims and settlements.

Skills

Communication skills

Attention to detail

Problem solving

Interpersonal skills

Claims software proficiency

Education

Bachelor's degree or equivalent experience

High school diploma or equivalent

Job description

Maple Grove Corp. is hiring a Claims Adjuster in Houston, TX. This full-time position offers a salary range of $55,000 to $79,119 per year. The role involves evaluating insurance claims, determining liability, and negotiating settlements.

Daily tasks include assessing claim details, interviewing witnesses, and communicating with policyholders and insurers. You will also review supporting documentation and make recommendations for claim approval or denial.

You will work in a team environment within our Houston office. The role requires attention to detail and the ability to handle multiple tasks in a fast-paced setting.

The annual salary range for this position is between $55,000 and $79,119. Employees can expect comprehensive health insurance coverage, including medical, dental, and vision plans, as well as access to a retirement savings plan with employer contributions. Additionally, the company offers various professional development opportunities, such as workshops, training programs, and access to online learning platforms, to help employees enhance their skills and advance their careers.

Candidates seeking this position must possess a high school diploma or its equivalent. While prior experience in insurance claims or customer service is preferred, it is not mandatory. Strong communication skills are essential, as candidates will need to effectively interact with clients and colleagues. Additionally, a detail-oriented approach is crucial, as the role involves meticulous work in processing and managing insurance claims. The ability to maintain accuracy and attention to detail is vital for the success of this position.

Responsibilities:

• Investigate and assess insurance claims to determine coverage and liability.
• Interview policyholders, witnesses, and other relevant parties to gather information.
• Review medical records, accident reports, and other documentation to support claim decisions.
• Negotiate settlements with clients, adjusters, and other parties to reach fair agreements.
• Maintain accurate and up-to-date records of all claims and settlements.
• Provide exceptional customer service to policyholders throughout the claims process.
• Stay informed about industry trends, regulations, and best practices in claims adjustment.
• Collaborate with internal teams to ensure efficient and effective claims processing.

Qualifications:

• Bachelor's degree in a related field or equivalent experience.
• Previous experience as a Claims Adjuster or similar role in the insurance industry.
• Strong understanding of insurance policies, coverage, and legal considerations.
• Excellent communication and interpersonal skills to effectively interact with clients and other stakeholders.
• Detail-oriented with a keen eye for accuracy and attention to detail.
• Strong problem-solving and decision-making skills to handle complex claims situations.
• Proficiency in using relevant software and tools for claims processing and record-keeping.
• Valid driver's license and clean driving record, as travel to claim sites may be required.