Claims Relationship Specialist

We are Hiring! Claims Relationship Specialist

Location: Texas (remote)

Why choose Palomar?

Palomar is a rapidly growing and innovative insurer focused on providing specialty insurance to residential and commercial customers. Palomar welcomes the best and brightest to our thriving team. Guided by an entrepreneurial spirit, Palomar is building a dynamic and diverse team.

Join a company built on a culture of agility, innovation and authenticity that delivers peace of mind and protection to individuals and businesses impacted by adversity.

Want to learn more about our exciting journey? https://ir.plmr.com/corporate-profile/default.aspx

The Details: The Claims Relationship Specialist will report directly to the VP, Claims, and will support the day-to-day processing of new and pending claim assignments. The Claims Relationship Specialist will primarily work with the TPAs along with adjusters, agents, clients, vendors, and partners while managing the FNOL inbox to provide excellent customer experience.  

What will you do?

  • Day to Day processing of new claims (FNOL) assignments
  • Pull Policy documents
  • Review applicable coverages 
  • Follow up on Adjusters pending claims 
  • Answer agent questions and follow up on claims 
  • Review letters for accuracy
  • Respond to all emails in the Claims inboxes
  • Answer agent questions regarding claims and coverages 
  • Day to day processing of FNOL assignments and follow ups on pending claims.
  • Other responsibilities may include reviews of claims processing, pending analysis, and pending management, phone calls to TPA’s, weekly meetings on aged pending, etc. 

What we are looking for:

  • Education/Certification
  • Valid TX adjusters license – the ability to be licensed in other US states within 6 months 
  • 3+ years of Claims handling experience 
  • Bachelor’s degree required
  • Claims Adjusting experience in investigating commercial/residential property claims, evaluate damages, determine coverage, set accurate loss cost estimates, control the insured’s exposures and losses, manage consultants, and achieve a prompt, fair and equitable settlement according to fair claims handling requirements. 
  • Working knowledge of inland Marine coverages and claims handling including prompt, thorough and fair investigations by obtaining relevant facts to determine coverage, origin, and extent of loss. 
  • Experience with Negotiating settlement of claims with varying complexity and perils.
  • Excellent customer and interpersonal skills and the ability to work with all levels in a claims department.
  • Deep understanding and application of relationship building. 
  • Ability to communicate and discuss claims investigation. 
  • Ability to handle sensitive information with discretion. 
  • Ability to interface with various levels of management, 
  • Technical claims knowledge and strong analytical skills required 
  • High accountability and follow up with TPA Adjusters 
  • May participate in quality assurance file review sessions and serve as a technical resource for less experienced claims personnel. 
  • Will be called upon for catastrophe duty
  • Assign FNOL and handle a pending of Property damage claims
  • Proficiency in maintaining a good rapport with adjusters, agents, clients, vendors, and partners.
  • Excellent written and verbal communication skills 
  • High level of organization and attention to detail 
  • Strong decision making and problem-solving skills 
  • Ability to multitask and handle competing priorities 
  • Ability to work independently and within a group setting
  • Must learn quickly as well as be able to multitask
  • Must be motivated and possess a sound work ethic
  • Proficiency using Microsoft Windows, Word, Excel, and customized programs for claims handling
  • Project Management experience is a plus

We love people who want to:

  • Build strong relationships through transparency, trust, and respect for each other.
  • Work in an agile environment, with a resilient mindset to find creative solutions to challenges.
  • Collaborate and celebrate diverse perspectives, promoting inclusivity and equality. 
  • Do the right thing with strong conviction and integrity.
  • Be bold and innovative to help make an impact.
  • Zoom in and out between strategic and tactical
  • Demonstrable track record of working autonomously and driving progress
  • Be intellectually curious, think creatively, and pragmatic

If you thrive in a dynamic environment, and like working with happy, authentic, talented people, you’ll enjoy a career with Palomar!

What will you get in return?

  • Full Suite of Medical Benefits 
  • Long Term Financial Incentives – STOCK! 
  • 401k with 3% automatic Employer Contributions 
  • Competitive PTO + Holiday Program
  • Hybrid Work Environment 
  • Work From Home Stipend 
  • Professional Development Assistance  
  • Headspace Paid Subscription
  • Career Exploration Opportunities
  • Regular company-wide social events (even virtually!)
  • To learn more visit us at www.plmr.com 

Diversity at Palomar

At Palomar, we are committed to diversity, equality and inclusion in all facets of the organization. We have built an open culture that celebrates the diversity of our workforce, while actively championing equality and inclusion practices that make us a company people want to work with and work for.

We believe that diversity, equality and inclusion yields greater organizational creativity and productivity, which helps us serve our customers and partners more effectively. Delivering on our diversity commitment returns greater value to our shareholders and ultimately makes a positive impact to the communities in which we do business and to the people who live in them

#PalomarPride #Insurancejobs #hiring #startup 

Accommodations:

Palomar will consider reasonable accommodations to ensure a qualified applicant with a disability can be considered for the position. Palomar will also consider necessary modifications to the physical work environment, or to the way a job is usually performed, so an individual with a disability can perform the essential functions of the position. Additional accommodations will be considered that enable an employee with a disability to enjoy equal benefits and privileges of employment like those that are enjoyed by other employees without disabilities.

For more information about our company, visit us at www.plmr.com. Palomar is an Equal Opportunity Employer.

 No phone calls or agency solicitation please

CCPA Job Applicant: 

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