Claims Examiner, Auto | Bodily Injury
About The Position
The Claims Examiner analyzes and processes complex bodily injury auto and commercial transportation claims. The role reviews coverage, investigates claims, determines liability, and evaluates the scope of damages. It also manages claims on behalf of clients, ensuring timely resolution in accordance with service expectations, industry best practices, and client requirements. The position includes handling litigated claims, coordinating vendors and independent adjusters, reporting large claims to excess carriers, and maintaining action plans to meet state contact deadlines and advance claims toward appropriate resolution. The role supports the organization's quality programs and may include other duties as assigned.
Requirements
- Five years of claims management experience, or an equivalent combination of education and experience.
- In-depth knowledge of personal and commercial auto policies, coverages, principles, and laws.
- Strong oral and written communication skills, including presentation skills.
- Computer proficiency, including Microsoft Office products.
- Ability to work in a team environment.
- Secure and maintain state adjusting licenses as required for the position.
- Ability to meet deadlines; clear and conceptual thinking ability; excellent judgment and discretion.
- Ability to perform computer keyboarding and the auditory/visual functions of hearing, vision, and talking.
Nice To Haves
- Bachelor's degree from an accredited college or university.
- Professional certification applicable to the line of business.
Responsibilities
- Process complex commercial and personal auto claims, including bodily injury, ensuring claim files are properly documented and coded.
- Manage the litigation process for litigated claims.
- Coordinate vendor management, including using independent adjusters to assist with claim investigations.
- Report large claims to excess carriers.
- Develop and maintain action plans to meet state-required contact deadlines and move claims toward prompt and appropriate resolution.
- Identify and pursue subrogation and risk transfer opportunities; secure and dispose of salvage.
- Communicate claim actions and processing with insureds, clients, and agents or brokers when appropriate.
- Support the organization's quality programs.
- Perform other duties as assigned.
Benefits
- Medical insurance
- Dental insurance
- Vision insurance
- 401(k)
- 401(k) matching
- Paid time off
- Disability insurance
- Life insurance
- Employee assistance
- Flexible spending account or health savings account
- Additional voluntary benefits
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
