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General Liability & Auto Claims Examiner III

Remote:

Full Remote

Contract:

Full time

Salary:

78 - 94K yearly

Experience:

Senior (5-10 years)

Work from:

Canada, United States

Offer summary

Qualifications:

High School Diploma or GED required, Bachelor’s degree preferred, 3 to 5 years related experience, At least 7 years claims experience, Knowledge of claims handling practices.

Key responsabilities:

Review and process assigned claims
Direct investigative service providers
Prepare Loss Reports with analysis
Assess exposure for reserves recommendations
Provide outstanding client service

TRISTAR Insurance Group Insurance SME https://www.tristargroup.net/

501 - 1000 Employees

See more TRISTAR Insurance Group offers

Job description

Job Details

Level: Experienced

Job Location: Involuntary Remote - Remote, CA

Position Type: Full Time

Education Level: High School Diploma or GED

Salary Range: $77,800.00 - $94,300.00 Salary

Travel Percentage: None

Job Shift: Day

Job Category: Insurance

General Liability & Auto Claims Examiner III

POSITION SUMMARY: Responsible for the prompt review of claims to determine coverage for loss/damage/injury. Conduct an 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 along with Defense Counsel. Recommendations regarding loss exposure and associated reserve and settlement strategy will be effectively communicated to the client.

DUTIES AND RESPONSIBILITIES:

Review, process and conclude assigned claims including investigation and evaluation mid-level exposure to complex Auto and/or General Liability Casualty Claims.
Review and interpret contract with third parties for loss transfer.
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 can be Hybrid or Full Time remote/working from home.

Qualifications

QUALIFICATIONS REQUIRED:

Education/Experience: High School Diploma or GED required; Bachelor’s degree in related field (preferred) and a minimum of three to five (3 to 5) years Public Entity Auto and General Liability Casualty related experience; or equivalent combination of advanced education and experience.

Special Requirements:

At least 7 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.

Preferred Skills:

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 in order 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.