Claims BI Direct Adjuster

As a BI Fast Track Rep, you will review injury claim information from the FNOL unit and immediately respond in person to meet with injured parties, complete the investigation, and resolve the claim. This requires strong organizational abilities and empathetic interpersonal skills. 

Candidates should be able to perform duties independently with a high level of accountability for timely and accurate results. Successful candidates will be computer literate and will enjoy working with customers, be effective at listening and communicating, and have confidence in resolving issues and negotiating fair settlements.

Job Details:

• Employment Status: Permanent/ Full Time
• Job Location: Brownsville, Texas (MGA)
• Hours of Operation: Monday – Friday 8:00 – 5:00 (can vary depending on projects, assignments and other tasks)

Job Duties & Responsibilities:

• Investigate, evaluate, negotiate and settle auto claims, in accordance with Texas Tort Law, in an assigned area to include verification of coverage, legal liability and extent of damage to persons, and property, which may require contact by telephone, correspondence or in person.
• May require the preparation of written or computerized estimates in loss settlement.
• Handle a high volume of claims in a virtual or centralized call center environment.
• Ensure integrity of investigations by developing accurate and relevant investigation material and data acquisition.
• Ensure that all compliance requirements for claims handling correspondence are met in a timely and professional manner.
• Issue payments as per discretionary settlement authority limits.
• Adjust reserves adequately on all new and existing claims.
• Assess comparative negligence
• Adjust reserves properly and understand their impact on a claim
• Issue payments within authority and request more as needed
• Protect lienholders as needed
• Handle claims in a timely manner and in accordance with Texas compliance rules
• Refer files to SIU as needed
• Send Reservation of Rights letters as needed

Education & Experience:

• Bachelor’s Degree in Business, Communications, Criminal Justice or equivalent work experience. (1-2 years of work experience per year of college education).
• Two years of claim adjusting experience 
• Working knowledge of relevant statutes, case law and regulations relating to insurance.
• Current Adjuster License in Texas and other states (Candidate must otherwise be able to obtain a Texas Adjuster License)
• Coordinates with outside sources to obtain information to aid in claim resolution.
• Recommends appropriate resolution of coverage issues to management.
• Uses in-depth knowledge of medical and liability issues to handle claims within authority.
• Applies knowledge of policies and procedures when determining coverage and concluding claims.
• Proficient in computer window-based programs with excellent navigation skills.
• Ability to multi-task and prioritize in a fast-paced, high volume call center environment.
• Excellent communication skills both oral and written.

Required: High school diploma and 4 years related claims experience required. Appropriately licensed and/or certified in all states in which claims are being handled. Knowledge of accepted industry standards and practices. Experience with related claims and business software.

Preferred: Bachelor's Degree preferred. Bilingual Spanish a plus.

Behaviors: Excellent judgement and decision making skills to ensure claims are resolved in the best interest of the Company. Ability to combine pieces of information to form conclusions necessary to determine coverage, evaluate liability and evaluate damage exposures to ensure the claims are paid in a fair and equitable manner.

We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. 

Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve:

• Medical/dental/vision plans, which start from day one!
• Life and accident insurance
• 401(K) and Roth options
• Tax-advantaged accounts (HSA, FSA)
• Educational expense reimbursement
• Paid parental leave

Other benefits include:

• Digital mental health services (Talkspace)
• Flexible work hours (availability varies by office and job function)
• Training programs
• Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
• Charitable matching gift program
• And more...

**The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.

We value inclusion and diversity

Click Here to review our U.S. Eligibility Requirements

Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.

Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.

Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws.

Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.