Claims Adjuster - Bodily Injury

Pronto General Agency, LTD, is a managing general agency based in South Texas and established in 2005. From its inception, Pronto has been committed to providing high value auto and homeowners insurance through competitive pricing, superior claims handling, and excellent customer service.  Pronto has emerged in the insurance market through its captive agencies, independent agents, and franchise locations.

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.
Resolve a large volume of claim calls and maintain claim handling policies and practices.
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
Set up and review estimates
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 complex claim adjusting experience involving bodily injuries.
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.
Exhibits a high level of skill and knowledge for claims requiring specialized handling including identifying issues that may require the use of independent experts or vendors.
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.

Pronto Insurance offers our Full Time Employees the following benefits:

Competitive Compensation Plan
Medical, Dental, Vision Plan
Disability & Life Insurance
401(k) Retirement Plan
Paid Vacations, Personal Days & 6 Paid Holidays

We are looking for talented, energetic, open minded individuals to join a growing team at Pronto Insurance. A successful candidate for the position of Bodily Injury Adjuster, will be able to show the ability to think flexibly, take initiative to make things happen within their control and influence. They will need to demonstrate a high level of customer focus and drive to serve. They will be self-engaged and will hold themselves accountable for their results. They must be team oriented and continuously looking for ways to improve their performance. If you fit these qualifications, then we want you on our team.