Casualty Claims Specialist

Position Overview:
PRIORIS Claims Management Solutions is seeking highly motivated Casualty Claims Specialists with prior casualty and bodily injury experience. In this role, you will handle various bodily injury claims with technical precision and a strong commitment to exemplary customer service.

You will lead the claims process by conducting timely investigations, analyzing accident details and medical documentation, negotiating settlements, and leveraging available resources to resolve claims efficiently. The ideal candidate demonstrates adaptability, a willingness to learn, and the ability to thrive in a fast-paced, collaborative environment.

Work Schedule:
This position requires an in-office presence Monday through Friday from 8:00 AM to 5:00 PM. Applicants should be able and willing to adhere to this schedule consistently.

Key Qualifications:

• Minimum of two (2) years of successful bodily injury claims handling experience.
• Strong investigative, analytical, and negotiation skills to achieve fair and efficient resolutions.
• Proficiency in Microsoft Office programs, including Word, Excel, PowerPoint, and Outlook.
• Excellent customer service and professional communication skills, both oral and written.
• Proven ability to follow and comply with Department of Insurance guidelines and requirements.
• Outstanding time management skills, with the ability to prioritize multiple tasks in a high-volume, metric-driven environment.
• Willingness to engage directly with customers via phone.
• Current and valid Texas Adjuster license (All-Lines or Property and Casualty) required.

Primary Responsibilities:

• Deliver exceptional customer service while guiding customers through the claims process.
• Collaborate with the Auto Liability Claims Team to verify coverage and policy provisions before authorizing payments.
• Identify potential fraud indicators and escalate cases when necessary.
• Utilize claims tools to evaluate liability and damages with precision.
• Negotiate settlements with insureds, claimants, and attorneys.
• Authorize payments within your authority, or escalate higher-value claims for approval.
• Actively participate in weekly and monthly claim assemblies.
• Communicate findings to management for high-exposure or complex claims.
• Ensure compliance with legal, regulatory, and internal guidelines.
• Perform additional duties as assigned.

Equipment Operation:

• Operate standard office equipment, including computers, copiers, fax machines, telephones, and printers.

Physical Requirements:

• Typical office environment, involving walking, standing, and prolonged sitting at a computer.

Benefits:
As a valued team member at PRIORIS Claims Management Solutions, you’ll enjoy:

• Health, dental, and vision insurance.
• Life insurance.
• Paid vacation and sick leave (PTO).
• Paid licensures.

How to Apply:
Ready to join a thriving team? Submit your application today and take the next step toward building a rewarding career with PRIORIS Claims Management Solutions.