As a Claims Examiner - Auto, your primary purpose will be to analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability, and evaluating the scope of damages.

Responsibilities

• Process complex auto commercial and personal line claims, including bodily injury, and ensure claim files are properly documented and coded correctly.
• Be responsible for the litigation process on litigated claims.
• Coordinate vendor management, including the use of independent adjusters to assist in the investigation of claims.
• Report large claims to excess carrier(s).
• Develop and maintain action plans to ensure state-required contact deadlines are met and to move the file towards prompt and appropriate resolution.
• Identify and pursue subrogation and risk transfer opportunities; secure and dispose of salvage.
• Communicate claim action/processing with insured, client, and agent or broker when appropriate.

Additional Responsibilities

• Perform other duties as assigned.
• Support the organization's quality program(s).
• Travel as required.

Qualifications

• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Secure and maintain the State adjusting licenses as required for the position.
• Five (5) years of claims management experience or equivalent combination of education and experience required, including in-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.

Skills & Knowledge

• In-depth knowledge of personal and commercial line auto policies, coverage's, principles, and laws.
• Knowledge of medical terminology for claim evaluation and Medicare compliance.
• Knowledge of appropriate application for deductibles, sub-limits, SIR's, carrier and large deductible programs.
• Strong oral and written communication, including presentation skills.
• PC literate, including Microsoft Office products.
• Strong organizational skills.
• Strong interpersonal skills.
• Good negotiation skills.
• Ability to work in a team environment.
• Ability to meet or exceed Service Expectations.

Job Data by YubHub.