As a Claims Examiner, Auto | Commercial Bodily Injury, you will analyze and process complex bodily injury auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability, and evaluating the scope of damages.

Key Responsibilities:

• Process complex auto commercial and personal line claims, including bodily injury, and ensure claim files are properly documented and coded correctly.
• Handle litigation process on litigated claims.
• Coordinate vendor management, including the use of independent adjusters to assist 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.
• Perform other duties as assigned.
• Support the organization's quality program(s).

Requirements:

• 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.
• Bachelor's degree from an accredited college or university preferred.
• Professional certification as applicable to line of business preferred.
• Strong oral and written communication, including presentation skills, PC literate including Microsoft Office products, and ability to work in a team environment.
• Secure and maintain the State adjusting licenses as required for the position.

Work Environment:

• Physical: Computer keyboarding.
• Auditory/visual: Hearing, vision, and talking.
• Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines.

Compensation and Benefits:

• The range of starting pay for this role is $65,000 to $70,000.
• A comprehensive benefits package is offered, including medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.

Job Data by YubHub.

As a Casualty Claims Specialist, your primary purpose will be to investigate claims against insurance or other companies for personal, casualty, or property loss or damages, and attempt to effect out-of-court settlement with claimant.

Responsibilities:

• Examine claim forms and other records to determine insurance coverage
• Interview, telephone, or correspond with claimant and witnesses; consult police and hospital records; and inspect property damage to determine extent of company's liability
• Prepare report of findings and negotiate settlement with claimant
• Recommend litigation by legal department when settlement cannot be negotiated
• Attend litigation hearings
• Revise case reserves in assigned claims files to cover probable costs
• Assist in preparing loss experience report to help determine profitability and calculate adequate future rates

Additional Responsibilities:

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

Qualifications:

• High school diploma or GED required
• Six (6) years of general office experience or equivalent combination of education and experience required; claims industry experience preferred

Skills & Knowledge:

• Knowledge of professional liability claims
• Ability to review information and ensure accuracy and applicable policy placement
• Oral and written communication skills
• PC literate, including Microsoft Office products
• Attention to detail and accuracy
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

Job Data by YubHub.