Commercial Auto Liability Claims Examiner III

TRISTAR RISK MANAGEMENT•Atlanta, GA

2d•$80,000 - $90,000•Remote

About The Position

Responsible for the prompt review of policy information including all relevant endorsements and vehicle schedules to determine coverage for loss/damage/injury. Conduct and efficient claim examination and investigation leading to the final resolution of liability claims, including matters in litigation. Frequent contact and interaction with involved parties including claimants and their legal representatives will be required. Recommendations regarding loss exposure and associated reserve and settlement strategy will be effectively communicated to the client. The Claims Examiner (Float) is a versatile role designed to ensure continuity of operations within the claims department. This individual provides seamless coverage for permanent examiners during planned Paid Time Off (PTO), unexpected absences, or extended leaves of absence. The primary goal is to prevent backlogs claim and maintain service level agreements (SLAs) regardless of staffing fluctuations. Review, process and conclude assigned claims including investigation and evaluation complex Commercial Auto and General Liability Casualty Claims. Review and interpret policies, coverage determination. Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to advance the claim to conclusion. Maintain an ongoing diary. Continually assess exposure and evaluate for accurate reserves and settlement recommendation. Prepare Loss Reports providing thorough analysis of liability and damages. Where applicable, determine if subrogation and/or risk transfer exists and initiate recovery efforts at the direction of the client. Document all correspondence, reports, discussions and decisions in the claim file record. Provide outstanding service to the client. Assist Supervisors and Claim Department with requested tasks or special projects. Other duties as assigned. Position is remote/working from home.

Requirements

High School Diploma or GED required
a minimum of seven+ (7) years’ commercial auto and general liability casualty related experience
At least 10 years of Commercial Automobile and General Liability claims experience required
Knowledge of claims handling concepts, practices, and techniques, including but not limited to coverage issues and product line knowledge.
Demonstrated verbal and written communications skills.
Demonstrated advanced analytical, decision-making and negotiation skills.
Computer proficiency.
Multi state adjuster licensure within home state or designated state and/or the ability to obtain licenses through home state reciprocity or through state adjuster examinations.
AICPCU industry designation

Nice To Haves

bachelor’s degree in related field (preferred)
Ability to communicate effectively and clearly, both orally and in writing.
Ability to manage relationships in a fast-paced environment, while demonstrating problem solving and decision-making skills to work with customers.
Good analytical abilities to review, exercise judgment and evaluate claims to make sound decisions with a minimal amount of supervision.
Excellent customer service skills.
An understanding of the litigation process and case valuation in multiple jurisdictions.
Ability to carry out detailed written or verbal instructions, ability to respond to requests effectively and efficiently and exhibit good common sense.
An ability to handle assigned claims following company guidelines and industry best practices with a minimal amount of supervision.
Time management skills, organizational skills and ability to prioritize issues and tasks.
Ability to effectively operate computer equipment and applications.
Independence, flexibility, and creativity.

Responsibilities

Review, process and conclude assigned claims including investigation and evaluation complex Commercial Auto and General Liability Casualty Claims.
Review and interpret policies, coverage determination.
Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to advance the claim to conclusion.
Maintain an ongoing diary.
Continually assess exposure and evaluate for accurate reserves and settlement recommendation.
Prepare Loss Reports providing thorough analysis of liability and damages.
Determine if subrogation and/or risk transfer exists and initiate recovery efforts at the direction of the client.
Document all correspondence, reports, discussions and decisions in the claim file record.
Provide outstanding service to the client.
Assist Supervisors and Claim Department with requested tasks or special projects.
Other duties as assigned.