Auto Claims Specialist

AI overview

This role uniquely combines technical expertise in auto damage assessment with stakeholder advocacy to ensure timely and fair resolution of claims.

Who are we:

Toyota Insurance is a brand name of Toyota Insurance Management Solutions USA, LLC (TIMS). We are an independent agency specializing in property and casualty insurance for Toyota vehicle owners. We offer insurance through our trusted carrier partners to provide coverage for your Toyota vehicle, home and other assets. Our mission is to improve the Toyota ownership experience by improving the insurance experience.


Job Overview:

We are seeking a detail-oriented and proactive Auto Claims Specialist  to join our team and support the auto property damage claims process. This role combines technical expertise in auto damage assessment with advocacy and coordination between internal and external stakeholders to ensure timely, accurate, and fair resolution. The ideal candidate will possess strong analytical skills, attention to detail, and excellent communication abilities with the desire to grow within the claims and insurance operations field.


Job Responsibilities:

Claims Intake & Documentation:

  • Receive initial auto claim and damage information from internal teams or external parties.
  • Collect, review, and validate all relevant supporting documentation such as police reports, First Notice of Loss (FNOL), recorded statements, and any other applicable claims information for accuracy and completeness.
  • Accurately enter claims and damage data into the claims management system (Nexure).
  • Must have a solid understanding of rideshare insurance policies, including how coverage exclusions apply and impact claims.

File Management & Reporting:

  • Organize and maintain secure auto claim files and records in compliance with company and regulatory standards.
  • Submit loss notices and report claims promptly to insurance carriers.
  • Prepare and submit any additional applicable claims or inquiries as required.

Damage Review & Estimation:

  • Review and document auto damages thoroughly.
  • Analyze and validate repair estimates for vehicle damages.
  • Coordinate with repair shops to discuss damages and confirm accuracy of estimates.

Repair Process Oversight:

  • Examine and evaluate repair processes and timelines.
  • Monitor repairs through completion, ensuring quality and adherence to agreed timelines.

Communication & Collaboration:

  • Serve as the primary liaison between internal departments, vendors, external stakeholders, attorneys, and carriers.
  • Provide clear and timely updates to all parties involved in the claim process.

Claims Evaluation & Escalation:

  • Review claim settlement recommendations for accuracy and fairness.
  • Collaborate with senior claims analyst on complex or high-risk claims and escalate as necessary.


Required Education and Experience:

    • Licensed as an Adjuster in the State of Texas.
    • 3 to 5 years of experience in auto insurance claims, auto claims adjusting, advocacy and/or auto claims estimation.
    • Strong knowledge of insurance policies, auto repair processes and claims regulations.
    • Knowledge of and experience in auto claims involving public or livery passenger conveyance policy exclusions and endorsements.
    • Excellent organizational, time management skills, and communication skills.
    • Strong understanding of the complete auto claims process, from initial intake to final resolution.
    • Ability to work independently with minimal supervision.


    Preferred Skills:

    • Strong analytical and problem-solving abilities.
    • Excellent written and verbal communication skills.
    • Proficiency in Microsoft Office Suite (Excel, Word, Outlook) and claims management systems.
    • Ability to manage multiple priorities and meet deadlines in a fast-paced environment.
    • Insurance agency, brokerage, or agent knowledge and/or experience is a plus.
    • Strong attention to detail and organizational skills.


    Core Competencies:

    • Analytical Thinking: Ability to interpret complex data, identify trends, and make informed decisions to resolve claims efficiently.
    • Attention to Detail: Ensures accuracy in documentation, compliance with regulatory requirements, and thorough investigation of claims.
    • Problem-Solving: Skilled in evaluating claim scenarios and developing effective solutions to minimize risk and optimize outcomes.
    • Communication Skills: Strong written and verbal communication for interacting with internal teams, external partners, and clients.


    Work Environment and Physical Demands:

    • Ability to work within a Team environment under tight schedules.
    • Willingness to work evenings or weekends, as dictated by the needs of the business.


    Compensation: 

    • Base Salary: $46,000-$60,000 based on skills and experience
    • Onsite-Plano office


    What are the Perks?      

    • Medical, Dental & Vision Insurance  
    • Paid Time Off, Paid Holidays and Sick Days          
    • 401(k) Match 
    • FSA and HSA
    • Pet Insurance
    • Life Insurance 


    Degree of Travel:
    None


    Other Duties:

    Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.


    Work Authorization:

    Applicants must be authorized to work for any employer in the U.S. This position does not offer sponsorship or the transfer of sponsorship of employment Visa.


    Learn More:

    Visit our website Toyota Insurance: https://toyotainsurance.com/careers to learn more about our company culture and career opportunities.


    FLSA Job Status:   Exempt      ☐Non-Exempt


    All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


    An Equal Opportunity Employer: Female / Minority / Disability / Protected Veteran / Sexual Orientation / Gender Identity


    EEOC is The Law' Information:

    https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.1

    Perks & Benefits Extracted with AI

    • Health Insurance: Medical, Dental & Vision Insurance
    • Other Benefit: Life Insurance
    • Paid Time Off: Paid Time Off, Paid Holidays and Sick Days
    Salary
    $46,000 – $60,000 per year
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