Senior Casualty Examiner
Remote - Texas, United States
At DUAL North America, our core values dictate how we live and work. We are a group with independence and people at its heart and we are a home for talent with a unique culture: the biggest small company in the world.
The focus on being a People First business has always been at the very heart of the Group; Our vision was to create an independent business with a unique culture and one that would survive and thrive as a business controlled by the people working for it. And finding the most talented and entrepreneurial people to join the Group has been and will continue to be key.
DUAL North America, Inc. is seeking a
Senior Casualty ExaminerClassification: Exempt
Division: Claims
Reports to: Claims Manager
Travel: 0-25%
Location: Remote
Pay Range: $80,000-$85,000
Role overview:
All Residential Casualty Adjusters are expected to provide high quality product and excellent customer service to all policyholders and/or claimants, which will ultimately result in satisfied customers for the Company.
The position will include responsibilities resolving claims direct as the assigned adjuster as well as reviewing and approving the work completed by independent adjusters. The ideal candidate must have the ability to prioritize their claims and work to conclude claims with minimal oversight. Prior experience working with both liability coverage and medical payment coverage is a must. Working successfully in a remote capacity is also a must.
Essential Functions:
Manages, processes, and resolves claims assigned by others.
Investigates and evaluates negligence claims and settles claims within prescribed authority.
Communicates with policyholders, witnesses, and claimants, or their legal representatives in order to gather information regarding claims and refers tasks to auxiliary resources as necessary and throughout the life of the claim.
Responds to various written and telephone inquiries including status reports.
Promptly evaluates and responds to time limit demands or notifies management of same.
Ensures adequacy of reserves.
Acts as the subrogating party, on behalf of the Company, when subrogation is identified.
Confirms or denies liability coverage after conducting a reasonable investigation and advises policyholders and claimants as to proper course of action.
Makes effective use of loss management techniques.
Negotiates settlements with attorneys, claimants, and/or co-defendants.
Arranges for expert inspections involving third party or potential fraud actions as needed.
Updates files and provides comprehensive reports as required.
Identifies and recommends referral of potentially fraudulent claims to the SIU.
Input payment, if the claim settlement is within approved authority level, or request authority as needed through the Claims Manager, based on each individual claim.
Utilize all available reports to manage pending claims and continue to track them through completion.
Review all recovery possibilities that may be available, including salvage and subrogation, placing all parties on notice of the potential recovery.
Obtain recorded interviews from applicable parties for a claim.
Ability to secure expert reports.
Key Requirements:
Bachelor’s degree in related field from an accredited institution preferred
Prior remote employee experience preferred
Must have current and valid Texas adjuster’s license
Basic knowledge of liability principles and policy knowledge.
Excellent verbal and written communication skills
Ability to empathize with customers and agents
Ability to operate PC and related software applications efficiently
Ability to learn and train if experience is minimal
If you do not meet all the qualifications for this role, we still encourage you to apply, as we are always looking for diverse talent to join our growing team.
What we offer:
A career that you define. Yes, we offer all the usual rewards and benefits - including medical, dental, vision, a wide variety of wellbeing offers, competitive salary, unlimited PTO, 401k with company match, paid volunteer days and more.
We provide an environment where new ideas are encouraged and celebrated, where people who want to have a real hand in our success thrive. We want people who want to make a difference - not just in the workplace, but in the industry and in the wider community.
EEO Statement:
We consider our people our chief competitive advantage and as such we treat colleagues, candidates, clients, and business partners with equality, fairness, and respect. DUAL North America provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. DUAL will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Job Profile
Competitive salary Dental Flexible environment Independence Medical Paid volunteer days People-first culture Remote work Unlimited PTO Vision
Tasks- Communicate with policyholders
- Investigate negligence claims
- Manage and resolve claims
- Negotiate settlements
- Review independent adjusters' work
Claims management Communication Customer service Fraud detection Investigation Liability coverage Medical payment coverage Negotiation Remote work Reporting Subrogation Written communication
EducationBachelor's degree Business Related Field
CertificationsAdjuster’s License Texas Adjuster’s License
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9