Claims Examiner, Auto | Bodily Injury
About The Position
The Claims Examiner analyzes and processes complex bodily injury auto and commercial transportation claims by reviewing coverage, conducting investigations, determining liability, and evaluating the scope of damages. The role manages claims on behalf of clients while ensuring timely resolution in accordance with service expectations, industry best practices, and client requirements. The position also handles complex commercial and personal-line auto claims, including bodily injury and litigated claims. It coordinates vendor support, reports large claims to excess carriers, develops action plans to meet state contact deadlines, and pursues subrogation and risk-transfer opportunities. The Claims Examiner communicates claim activity with insureds, clients, and agents or brokers as appropriate, and supports the organization's quality programs.
Requirements
- Five years of claims management experience, or an equivalent combination of education and experience.
- In-depth knowledge of personal and commercial-line auto policies, coverages, principles, and laws.
- Strong oral and written communication skills, including presentation skills.
- Computer literacy, including Microsoft Office products.
- Ability to work in a team environment.
- Secure and maintain state adjusting licenses as required for the position.
- Ability to keyboard using a computer.
- Hearing, vision, and talking abilities.
- Clear and conceptual thinking ability, excellent judgment and discretion, and ability to meet deadlines.
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-line auto claims, including bodily injury, and ensure claim files are properly documented and coded.
- Manage the litigation process on litigated claims.
- Coordinate vendor management, including the use of 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 files 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.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
