Claims Adjuster Level III
GAINSCO Auto Insurance markets non-standard private passenger automobile products through retail agencies, in Texas, New Mexico, Arizona, Oklahoma, Florida, Georgia, South Carolina, Tennessee, Utah and Virginia. GAINSCO Auto Insurance has fully integrated insurance capabilities, including marketing, underwriting, customer service and claims handling. Our operations are bilingual (English/Spanish).
Due to company growth, GAINSCO Auto Insurance has an opening for a Claims Adjuster Level III in our Miami, FL office (located in Doral). We are looking for driven individuals who want career advancement and the opportunity to make a significant impact on our leading organization.
By joining GAINSCO, you will become part of a dynamic and growing organization that has been recognized as one of the Top Workplaces in Dallas and Miami. In 2015, the GAINSCO Dallas home office was one of only 150 companies in the Dallas/Ft. Worth area to be recognized by the Dallas Morning News as a Top Workplace 2015. The Miami office was also recognized as one of the Top 35 Workplaces in its size category.
Our culture attracts engaged individuals who have a desire to contribute and succeed in a dynamic, exciting and growing team environment. Our culture encourages individuals to grow their skills as they build their careers. Come join us and become a champion with GAINSCO.
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 Duties:
- 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.
- 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.
- Ensure legal compliance by following guidelines, company policies, and state and federal insurance regulations
Education: Bachelors degree or a minimum 10+ years handling auto bodily injury claims
Experience: Previous claims experience within an Insurance environment, handling minor to moderately severe attorney represented injury claims 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.
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 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. All offers are contingent upon a background investigation (including employment, education, criminal and DMV verification- when applicable) and a pre-employment drug test with results satisfactory to GAINSCO. No Agencies Please.
GAINSCO is an Equal Employment Opportunity Employer