Insurance Claims Examiner

TSP Talent; El Paso (TX); On-site; USD 42,000 - 65,000; Full time

Job summary

TSP talent in El Paso, TX seeks a Claims Representative to investigate, evaluate, and resolve commercial insurance claims with a focus on exceptional customer service for policyholders, agents, and partners.

You will verify coverage, gather documentation, assess eligibility, evaluate damages, and negotiate settlements while adhering to policies and regulations. Strong communication, attention to detail, and sound judgment are essential to deliver fair outcomes for all stakeholders.

Qualifications

• Detail-oriented with strong investigation and documentation skills.
• Ability to evaluate information accurately and make sound decisions.
• Customer-focused communication and professionalism.
• Negotiation skills to support equitable settlement outcomes.
• Knowledge of compliance practices and insurance claim processes.

Responsibilities

• Verify coverage and assess claim eligibility.
• Gather, review, and document supporting claim information.
• Evaluate damages and determine appropriate claim outcomes.
• Negotiate fair settlements while adhering to applicable policies and regulations.
• Ensure compliance with internal procedures and regulatory requirements.
• Communicate claim status and decisions clearly to all stakeholders.

Skills

Detail-oriented

Investigation skills

Decision making

Customer-focused communication

Negotiation

Job description

Claims Representative (Finance & Insurance)

Investigate, evaluate, and resolve commercial insurance claims with a strong focus on exceptional customer service for policyholders, agents, and partners.

Key Duties

• Verify coverage and assess claim eligibility.
• Gather, review, and document supporting claim information.
• Evaluate damages and determine appropriate claim outcomes.
• Negotiate fair settlements while adhering to applicable policies and regulations.
• Ensure compliance with internal procedures and regulatory requirements.
• Communicate claim status and decisions clearly to all stakeholders.

Qualifications & Skills

• Detail-oriented with strong investigation and documentation skills.
• Ability to evaluate information accurately and make sound decisions.
• Customer-focused communication and professionalism.
• Negotiation skills to support equitable settlement outcomes.
• Knowledge of compliance practices and insurance claim processes.