Field Claims Investigator & Settlements Specialist

Texas Farm Bureau - Insurance Agents; Robstown (TX); On-site; USD 55,000 - 90,000; Full time

Job summary

Texas Farm Bureau Casualty Insurance Company in Texas seeks a skilled Claims Representative to investigate, evaluate, and settle claims fairly and promptly, ensuring coverage is confirmed and properly documented. You will coordinate with insureds and providers, submit timely reports, and guide complex cases through to resolution.

Responsibilities include involving experts as needed, handling subrogation and potential fraud referrals, and maintaining high service standards with thorough file

Qualifications

• Four-year degree from an accredited college or university.
• All Lines Adjuster license from the Texas Department of Insurance, maintained or the ability to obtain.
• Acceptable credit rating.
• Effective knowledge of basic computer applications, especially Microsoft Office Suite.
• Effective interpersonal verbal skills, both face-to-face and over the phone.
• Ability to plan, organize, and complete detailed work independently or in a team environment.
• Valid Texas driver's license and driving record at hire which would not place the employee on probation.

Responsibilities

• Confirm status of policy and coverage.
• Investigate, evaluate, and settle claims while applying technical knowledge and human relations skills.
• Answer calls and complaints promptly.
• Investigate and submit coverage questions and Agents' error and omission claims to the District Claims Manager.
• Submit required reports on each assigned claim to the District Claims Manager in a timely manner.
• Recognize the need for experts and report to the District Claims Manager.
• Advise the District Claims Manager of new lawsuits and assist in defense preparation as necessary.
• Recognize potentially fraudulent claims and report to District Claims Manager and Special Investigations Unit.
• Evaluate, set, and recommend reserves consistent with company policies.
• Enter claim payments, reserves, and new claims into the computer system with proper documentation.
• Present cases and participate in claim committee discussions when required.

Skills

Interpersonal communication

Planning & organization

Detail-oriented

Teamwork

Education

Bachelor's degree

All Lines Adjuster license

Tools

Microsoft Office Suite

Job description

Texas Farm Bureau Casualty Insurance Company in Texas seeks a skilled Claims Representative to investigate, evaluate, and settle claims fairly and promptly, ensuring coverage is confirmed and properly documented. You will coordinate with insureds and providers, submit timely reports, and guide complex cases through to resolution.

Responsibilities include involving experts as needed, handling subrogation and potential fraud referrals, and maintaining high service standards with thorough file