Claims Adjuster Level I

Gainsco, Inc. Dallas , TX 75201

Posted 3 months ago

Are You Driven? We are.

GAINSCO Inc. is a property and casualty insurance holding company. Through our insurance brand, GAINSCO Auto Insurance, we concentrate our efforts on the nonstandard personal automobile market, specializing in minimum-limits personal auto insurance. GAINSCO was established in 1978 as a Texas corporation and is based in Dallas, with a regional office in Miami. Our insurance operations are conducted through MGA Insurance Company Inc., a Texas corporation.

Why Join GAINSCO?

At GAINSCO we are committed to championship performance. This commitment is epitomized by the championship-winning No. 99 racing team we sponsor and is experienced by our customers every day in the way we service their needs. We are driven to provide:

  • An insurance product that is flexible and customizable

  • Superior customer support and claims handling

  • A solid company that customers can rely on

  • A unique culture allowing employees to succeed and develop themselves in a company with real opportunities for advancement

Job Purpose:
To investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of claims and to contribute to a reduced loss ratio

Essential Job Results:

% of Time

Results Expected and Duties Performed
65%

Establishes proof of loss by studying documentation submitted; assembling additional information as required from outside sources such as claimant, witnesses, physician, employer, hospital, and other insurance companies; initiates investigation of liability disputes, as well as questionable claims
25%

Resolves claim by approving or denying documentation; calculating benefits due; initiating payment or composing denial letter
10%

Ensure legal compliance by following guidelines, company policies, and state and federal insurance regulations

Required behaviors for all positions:

  • Communicate with co-workers, management customers, vendors, and others in a courteous and professional manner

  • Conform with and abide by all Company codes, regulations, policies, values, work procedures and instructions

  • Regular attendance

  • Established Tenure preferred

Job Requirements

Education: Bachelor's degree or higher (with two year's work experience within field of major, is preferred).

Experience: Previous Liability Claims experience within an Insurance environment is preferred.

Skills and Abilities: Excellent verbal and written communications skills; ability to manage own time while prioritizing multiple tasks; ability to remain calm when dealing with difficult customers; effective negotiating skills; ability to gather and analyze information in order to evaluate results and choose the best solution to the problem.

Other: A valid State Adjuster's License where required; Bilingual (English/Spanish) preferred; occasional weekend work is required.

Compensation: Competitive salary based on experience. Excellent benefits package: medical, dental, vision insurance, life insurance, short term and long term disability insurance, 401K, Paid Vacation and Holidays.

GAINSCO is an Equal Employment Opportunity Employer


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VIEW JOBS 11/16/2018 12:00:00 AM 2019-02-14T00:00 Are You Driven?® We are. GAINSCO Inc. is a property and casualty insurance holding company. Through our insurance brand, GAINSCO Auto Insurance®, we concentrate our efforts on the nonstandard personal automobile market, specializing in minimum-limits personal auto insurance. GAINSCO was established in 1978 as a Texas corporation and is based in Dallas, with a regional office in Miami. Our insurance operations are conducted through MGA Insurance Company Inc., a Texas corporation. Why Join GAINSCO? At GAINSCO we are committed to championship performance. This commitment is epitomized by the championship-winning No. 99 racing team we sponsor and is experienced by our customers every day in the way we service their needs. We are driven to provide: * An insurance product that is flexible and customizable * Superior customer support and claims handling * A solid company that customers can rely on * A unique culture allowing employees to succeed and develop themselves in a company with real opportunities for advancement Job Purpose: To investigate, evaluate and settle claims, applying technical knowledge and human relations skills to effect fair and prompt disposal of non-attorney represented injury claims and to contribute to a reduced loss ratio Essential Job Results: % of Time Results Expected and Duties Performed 65% Establishes proof of loss by studying documentation submitted; assembling additional information as required from outside sources such as claimant, witnesses, physician, employer, hospital, and other insurance companies; initiates investigation of claims involving complex coverage claims, complex liability, and/or bodily injury claims (non-attorney represented), as well as questionable claims. 25% Resolves claim by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter. Presents evidence at legal proceedings by testifying and producing reports and other documents as evidence 10% Ensure legal compliance by following guidelines, company policies, and state and federal insurance regulations Required behaviors for all positions: * Communicate with co-workers, management customers, vendors, and others in a courteous and professional manner * Conform with and abide by all Company codes, regulations, policies, values, work procedures and instructions * Adherence to company attendance policy * Established Tenure preferred Job Requirements Education: Bachelor's degree or higher (with two year's work experience within field of major, is preferred). Experience: Previous Claims and/or Customer Service experience within an Insurance environment is required. Prior experience interpreting policy language and state statutes is required. Ideal candidate will have a proven track record of making sound coverage and liability decisions based on facts presented by customers and/or through additional fact gathering and investigations. Experience in handling minor to moderate bodily injury claims is preferred (either attorney represented and/or non-attorney represented). Skills and Abilities: Excellent verbal and written communications skills; ability to manage own time while prioritizing multiple tasks; ability to remain calm when dealing with difficult customers; effective negotiating skills; ability to gather and analyze information in order to evaluate results and choose the best solution to the problem. Other: A valid State Adjuster License where required; Bilingual (English/Spanish) preferred; occasional weekend work may be required. Compensation: Competitive salary based on experience. Excellent benefits package: medical, dental, vision insurance, life insurance, short term and long term disability insurance, 401K, Paid Vacation and Holidays. GAINSCO is an Equal Employment Opportunity Employer Gainsco, Inc. Dallas TX

Claims Adjuster Level I

Gainsco, Inc.