Claims Examiner I

Tihinsurance is hiring a Claims Examiner I for a full-time role based in Fort Worth, TX. This position centers on carefully evaluating and resolving insurance claims so that decisions remain accurate, fair, and timely.

What This Role Involves

As a Claims Examiner I with Tihinsurance in Fort Worth, TX, you will support the day-to-day claims process by reviewing submissions, verifying supporting materials, and applying policy language to reach sound conclusions. The work blends careful investigation with clear documentation, giving candidates the chance to build foundational examining skills while helping resolve claims efficiently near Fort Worth.

Your Responsibilities

• Examine claim files for completeness, accuracy, and alignment with policy terms
• Gather additional details from claimants, providers, or other relevant parties as needed
• Assess coverage and determine appropriate next steps according to established guidelines
• Prepare recommendations for payment, adjustment, or denial while documenting rationale thoroughly
• Update claims systems with activity notes, decisions, and correspondence in a timely manner
• Coordinate with colleagues, external parties, and support staff to move files forward
• Respond professionally to status inquiries and maintain clear communication throughout the claim lifecycle
• Follow company procedures, regulatory requirements, and quality standards on every assignment

What We're Looking For

• Keen analytical skills and close attention to detail when reviewing documents and data
• Solid written and verbal communication abilities for interacting with claimants and teammates
• Comfort using computers, office software, and claims or case-management tools
• Capacity to organize multiple files, prioritize tasks, and meet deadlines consistently
• Foundational grasp of insurance concepts and claims-handling workflows
• Problem-solving orientation paired with a commitment to fair, factual decision-making

Why Join Tihinsurance

Tihinsurance is hiring for this Claims Examiner I role and offers a supportive team environment where Fort Worth, TX team members can grow practical examining expertise while contributing directly to reliable claim outcomes.

Next Steps

To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there.