APD Claims Examiner

Vanguard Claims Administration•Woodbury, NJ

About The Position

Vanguard is defined in the Oxford Dictionary as “a group of people leading the way in new developments or ideas. Vanguard Claims Administration is no different. Whether you are a client, an employee or a key vendor, you will find your exposure to the VANGUARD team to be a refreshing change from the ordinary! If you are looking for a change for the better and believe that you have the skills necessary to excel with an energetic, fast-growing entity, we would like to talk to you. An Auto Physical Damage (APD) Claims Examiner is responsible for analyzing and processing commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.

Requirements

Three (3) years of claims management experience, either in-house or in the field or equivalent combination of education and experience required to include in-depth knowledge of Commercial Transportation coverages, principles, and laws.
The ability to utilize Commercial Transportation Estimation Software, such as AdjustRite or CCC to prepare Physical Damage estimates would be preferred.
Knowledge of appropriate application of deductibles, sub-limits, SIR’s.
Strong oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Claims Management System experience (i.e. FileTrac)
Strong organizational skills
Strong interpersonal skills
Good negotiation skills
Ability to work in a team environment
Ability to meet or exceed Service Expectations

Nice To Haves

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.
The ability to utilize Commercial Transportation Estimation Software, such as AdjustRite or CCC to prepare Physical Damage estimates would be preferred.

Responsibilities

Processes and adjusts Physical Damage claims for Commercial Transportation and ensures claim files are properly documented and coded correctly.
Responsible for managing the litigation process on litigated claims.
Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.
Reports large claims to carrier(s).
Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
Identifies subrogation opportunities and refers them to relevant vendors; secures and disposes of salvage.
Communicates claim action/processing with insured, client, and agent or broker when appropriate.
Handle all claimant, policyholder, client, and company information in accordance with SOC 2 security, confidentiality, and data integrity standards.
Ensure sensitive data is stored, transmitted, and processed securely, following company policies and procedures.
Maintain accuracy and completeness of information in all systems, reports, and documentation.
Promptly report any actual or suspected security incidents, policy violations, or data handling concerns to management.
Participate in training and awareness initiatives to stay current on SOC 2 requirements and best practices.
Support audit readiness by providing documentation, evidence, or explanations of compliance activities when requested.
Performs additional responsibilities as needed to support business operations and compliance objectives.