Claims Representative

Acuity Insurance; Dallas (TX); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

401(k) contribution

Medical insurance

Dental insurance

Vision insurance

Life and disability insurance

Paid time off

Employee Assistance Program

Job summary

Acuity Insurance is seeking entry-level Claims Representatives to start in January 2027. This role involves investigating property, auto or general liability claims, contacting involved parties, and gathering information from agents, doctors and attorneys to determine coverage and liabilities.

On-site training up to 12 weeks will be provided, with expenses covered. A college degree or relevant experience is required, and bilingual Spanish is a plus.

Qualifications

• College degree or equivalent relevant experience.
• Customer Service or Insurance experience preferred.
• Excellent written and verbal communication skills.
• Proven organizational and time management skills.
• Proficient in current computer technology.

Responsibilities

• Investigate, evaluate and resolve assigned multi-line property and liability claims.
• Make timely initial contact with claimants, insureds and involved parties.
• Evaluate policy coverage by applying facts to contract terms.
• Forecast reserves and document activity in claims system.
• Coordinate with outside vendors and manage resources effectively.
• Maintain thorough claim file documentation and accurate activity logs.
• Identify potentially fraudulent claims and refer to SIU as needed.
• Participate in on-site training and/or storm claims duties as required.

Skills

Customer service

Communication skills

Organization

Time management

Bilingual Spanish (preferred)

Education

College degree

Job description

Acuity is seeking a class of entry-level Claims Representatives to start in January 2027. Claims Reps investigate claims to determine specifics surrounding a property, auto or general liability claim. This includes phone contact with involved parties, as well as obtaining information via phone, fax and e-mail from agents, doctors, attorneys and other external parties involved in the claim. The claims investigation and evaluation process includes determining coverage under the insurance policy, evaluating liability, assessing damages, and forecasting reserves, while providing the best in class customer service.

Internal Deadline to Apply: Wednesday, September 30th

Essential Functions

• Proactively investigate, evaluate and resolve assigned multi-line property and liability claims within multiple state venues.
• Make timely and meaningful initial contact with parties involved in the claim, particularly claimants and insureds.
• Accurately evaluate policy coverage by applying claim facts to the policy contract terms.
• Consistently forecast reserves, by setting reserve initially with proper reserve coding and monitoring reserve adequacy throughout the course of the claim, consistent with Acuity's reserve philosophy.
• Thoroughly investigate assigned claims by conducting phone interviews, obtaining recorded statements, securing photos, and obtaining written reports and/or documents.
• Maintain a personal follow-up task on all claim files to assure timely, proactive handling, efficient claim file organization, quality customer service, and proper management of pending claims.
• Accurate and thorough claim file documentation, to consist of timely entry of activity log entries, claims system screen updates, and imaged documentation.
• Identify potentially fraudulent claims and promptly refer suspect claims to the Special Investigations Unit (SIU).
• Participate in internal claims phone queue as assigned.
• Employ and manage outside vendor resources in a cost effective manner.
• Utilize sound judgment and discretion with settlement authority to properly and effectively resolve claims through negotiation, settlement or denial.
• Successfully manage litigation files according to company guidelines.
• Periodically participate in off-hours storm claims duty as dictated by storm claims volume.
• Maintain a positive, professional attitude.
• Engage in claims educational opportunities, both in-house and external, as sponsored by management.
• Always represent Acuity in a professional manner.
• Complete a mandatory training program as determined by Acuity.
• Regular and predictable attendance.
• Perform other duties as assigned.

Education

College degree or equivalent relevant experience.

Experience

Customer Service Or Insurance Experience Preferred.

Training Requirement

Selected candidates will be required to participate in on-site training up to 12 weeks within their first year. All expenses related to this training, including travel and accommodations will be fully covered by Acuity.

Other Qualifications

• Excellent written and verbal communication skills.
• Proven organizational and time management skills.
• Proficient in current computer technology.
• Ability and willingness to provide quality customer service.
• Strong analytical and creative problem solving abilities.
• Ability to work both independently and in collaboration with others.
• Being bilingual in Spanish is preferred, but not required.

*Acuity does not sponsor applicants for U.S. work authorization.*

This job is classified as exempt.

The salary range for this position is $70,000 annually. This salary range is an estimate, and the actual salary will vary based on applicant’s education, experience, knowledge, skills, and abilities.

For this role, Acuity offers a comprehensive benefits package, including a generous 401(k) contribution, medical, dental, vision, life and disability insurance, paid time off, an Employee Assistance Program, and more. A full description of benefits and eligibility will be provided to candidates during the hiring process.

We are an Equal Employment Opportunity employer. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Acuity will include at least one in-person interview during the hiring process for all positions.

If you have a disability and require reasonable accommodations to apply or during the interview process, including for in-person interviews, please contact our Talent Acquisition team at [e-mail]. Acuity is dedicated to offering reasonable accommodations during our recruitment process for qualified individuals.