Claims Examiner

Berkley•Jacksonville, FL

15h•Onsite

About The Position

Carolina Casualty is looking for a talented Claims professional who will be responsible for the investigation, evaluation, disposition and settlement of bodily injury claims involving commercial automobile losses. This includes the investigation, determination and evaluation of coverage, liability and damages, risk transfer, and the timely setting of proper reserves. In addition, the Claims professional will control the insured’s exposures and losses, manage consultants, and achieve a prompt, fair and equitable settlement according to fair claims handling requirements. Oversee and resolve truck, bus, commercial auto and/or public transportation bodily injury pre-litigation claims involving unrepresented and represented claimants. Conduct a prompt, thorough and fair investigation by obtaining relevant facts to determine coverage, origin, and extent of loss losses. Utilize critical thinking and solid judgment to solve problems, make decisions and resolve complex issues inherent in handling losses, as well as plan and organize activities throughout the claim’s management process. Able to write concise reports and effectively communicate contractual issues, technical legal concepts and coverage application in easy to understand terms. Act timely upon emerging information to insure ongoing recognition of the financial exposure on losses within assigned exposure up to $100k as well as promptly communicate to management, if beyond the assigned level of exposure. Interpret related claims documentation. Initiate and oversee serious automobile accident investigations and rapid response Develop strategies and effective plans that drive claims to better results Accurately assess and resolve commercial auto insurance coverage issues, analyze facts and allegations in conjunction with all policy provisions, endorsements and amendments Draft declination, Reservation of Rights and other coverage letters Negotiate outstanding settlements Present case statuses/summaries in a clear, concise and understandable manner Documents and communicates all claim activities timely and effectively and in a manner, which supports the outcome of the claim file

Requirements

3+ years of commercial auto claims adjusting experience
Active Adjuster License required
Excellent written and verbal communication skills
Excellent organizational and analytical skills with high attention to detail
Ability to work independently, managing time and resources to accomplish multiple tasks in a fast-paced, deadline-oriented environment
Strong interpersonal and negotiation skills

Nice To Haves

Experience with Self-Insured Retention (SIR) is a plus
Experience with PIP claims is a plus

Responsibilities

Investigate, evaluate, disposition and settle bodily injury claims involving commercial automobile losses.
Investigate, determine and evaluate coverage, liability and damages, and risk transfer.
Set timely and proper reserves.
Control insured’s exposures and losses.
Manage consultants.
Achieve prompt, fair and equitable settlement according to fair claims handling requirements.
Oversee and resolve truck, bus, commercial auto and/or public transportation bodily injury pre-litigation claims involving unrepresented and represented claimants.
Conduct prompt, thorough and fair investigations by obtaining relevant facts to determine coverage, origin, and extent of loss losses.
Utilize critical thinking and solid judgment to solve problems, make decisions and resolve complex issues inherent in handling losses.
Plan and organize activities throughout the claim’s management process.
Write concise reports and effectively communicate contractual issues, technical legal concepts and coverage application in easy to understand terms.
Act timely upon emerging information to insure ongoing recognition of the financial exposure on losses within assigned exposure up to $100k.
Promptly communicate to management if beyond the assigned level of exposure.
Interpret related claims documentation.
Initiate and oversee serious automobile accident investigations and rapid response.
Develop strategies and effective plans that drive claims to better results.
Accurately assess and resolve commercial auto insurance coverage issues, analyze facts and allegations in conjunction with all policy provisions, endorsements and amendments.
Draft declination, Reservation of Rights and other coverage letters.
Negotiate outstanding settlements.
Present case statuses/summaries in a clear, concise and understandable manner.
Document and communicate all claim activities timely and effectively and in a manner, which supports the outcome of the claim file.