Claims Examiner (Bodily Injury)

Responsibilities

• 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.
• 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.

Qualifications

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

Benefits

The company offers a competitive compensation plan and robust benefits package for full time regular employees which for this role include: Base Salary Range: $75,000– $95,000 Eligible to participate in annual discretionary bonus. Benefits: Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.