Casualty Claims Adjuster Fred Loya Insurance - 2.7 Edinburg, TX Job Details Full-time From $60,000 a year 13 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Qualifications Automobile claims Microsoft Excel Microsoft Outlook Customer service Contract interpretation Bachelor's degree Attention to detail Catastrophe claims Full Job Description Company Overview Fred Loya Insurance is a rapidly expanding auto insurance provider dedicated to offering affordable, dependable coverage with a focus on integrity and community engagement. Since its inception, the company has grown into one of the leading Hispanic-owned auto insurance groups in the United States, with a strong presence across multiple states and a commitment to serving local communities. Job Overview The ATR Adjuster investigates, evaluates, negotiates, and resolves assigned casualty claims in accordance with policy provisions, applicable laws and regulations, and Company claims-handling standards. This role manages attorney-represented and unrepresented claims, provides timely and professional service to all parties, maintains accurate reserves and documentation, and works toward fair, efficient, and well-supported claim resolutions. Responsibilities Review and interpret insurance policies, endorsements, and related contract documents to confirm applicable coverage. Investigate claims and determine liability by analyzing reports and supporting documents, conducting telephone interviews, and evaluating negligence and damages. Manage attorney-represented bodily injury claims and as assigned, claims involving unrepresented parties. Evaluate claim exposure and negotiate fair, reasonable, and well-supported settlements with attorneys, claimants, and other authorized parties. Handle Medical Payments and Personal Injury Protection claims in accordance with policy provisions and applicable requirements. Establish and maintain appropriate reserves based on current claim exposure and update reserves as new information becomes available. Maintain a timely, accurate, and complete claim file by documenting contacts, evaluations, decisions, negotiations, and other activities. Communicate coverage, liability, claim status, and settlement decisions clearly and professionally. Deliver courteous, responsive, and solution-focused service throughout the claims process. Manage an assigned pending inventory, prioritize competing deadlines, and complete required follow-up within established service standards. Comply with all Company casualty claims practices, procedures, authority levels, confidentiality requirements, and applicable laws and regulations. Maintain all required adjuster licenses, continuing education requirements, and remain in good standing in each assigned jurisdiction. Perform other duties and special assignments as directed by management. Qualifications Strong analytical, investigative, decision-making, negotiation, and problem-solving skills. Excellent written and verbal communication skills, including the ability to discuss coverage, liability, damages, and bodily injury settlements with attorneys and other parties. Ability to work in a fast-paced environment, adapt to changing priorities, manage current pending inventory, and meet deadlines with limited supervision. Sound judgment, professionalism, discretion, and attention to detail when handling sensitive and confidential information. Proficiency with Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint; ability to learn Company claims systems. Ability to obtain and maintain a Texas All-Lines Adjuster license and any additional licenses required for assigned jurisdictions. Maintain continuing education requirements to maintain adjuster licenses up to date. Ability to read, interpret, and apply insurance policies, contracts, statutes, regulations, and claims procedures. Education & Experience Bachelor's degree from an accredited college or university or 2+ years casualty adjusting experience. Claims handling, insurance, legal, negotiation, or customer service experience preferred. Experience handling bodily injury or attorney-represented claims preferred Join us as a Casualty Claims Adjuster to make a meaningful impact by delivering exceptional service while ensuring fair and compliant claims resolutions! #

CLAIMS Pay:

From $60,000.00 per year

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Education:

Bachelor's (Preferred)

Experience:

casualty adjusting: 2 years (Preferred)

Work Location:

In person