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Expect discussion of how you would examine a claim for coverage, validate supporting data, and decide what to pay, reserve, or escalate within authority limits. Be ready to walk through reviewing medical bills, police reports, or property-damage estimates and explaining how you would document findings.
Interviewers may also probe communication: correcting incomplete claim information with an agent or claimant, handling a questionable claim through interviews or correspondence, and balancing fair settlement with loss-control goals. Use concrete examples of careful documentation and system data entry when you have them.
This Fort Worth Claims Examiner I opening at Tihinsurance suits candidates who like structured analytical work: reading files, checking coverage and liability, and processing settlements with clear written notes. It is less likely a fit for people seeking remote work (the listing is not marked remote) or purely client-facing sales roles.
Strong matches usually enjoy detail-heavy record review, professional correspondence with multiple parties, and consistent application of company claim procedures. Interest in insurance claims operations—and comfort with computer claim systems—matters more here than a long public company profile, which is not available in the data provided.
At Tihinsurance, a typical day as a Claims Examiner I might include reviewing claim forms and related records to confirm coverage, then analyzing investigation materials and documenting findings and recommendations for fair, timely settlement.
Work often centers on verifying data used in settlements, reviewing police reports, medical records and bills, or property-damage estimates, and interviewing or corresponding with agents, claimants, witnesses, physicians, or other parties when details are incomplete or a claim looks questionable. Within designated authority, a Claims Examiner I may pay and process claims, update reserves and payments in the claims system, and keep concise file notes so cases move according to company practices.
Success in a Claims Examiner I role at Tihinsurance in Fort Worth is grounded in the core examining tasks: reading coverage and claim records carefully; analyzing investigation results; applying consistent settlement procedures; assessing liability from police, medical, or property-damage evidence; communicating clearly with claimants and other parties; and entering accurate payments, reserves, and notes in claims systems.
No specific certification or training products were supplied for this listing. Candidates should prioritize claim-file accuracy, coverage literacy, and professional correspondence skills, and verify any employer-preferred credentials directly with Tihinsurance.
The role is listed in Fort Worth, Tarrant County, Texas, and is not marked as remote.
Core work includes examining claim forms for coverage, analyzing investigation findings, verifying settlement data, reviewing police or medical or property records, corresponding with claimants and related parties, and entering payments, reserves, and documentation in a claims system.
No salary figures or pay ranges were included in the structured data for this job, so compensation should be confirmed with Tihinsurance.
Tihinsurance (tihinsurance.com) is the employer named on the listing for this Claims Examiner I position in Fort Worth.
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Website: tihinsurance.com
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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.
Generated for personal interview prep · 2026-07-18 UTC · getajob.ai