- Review, process, and conclude assigned claims, including investigating and evaluating complex Commercial Auto and General Liability Casualty Claims.
- Review and interpret policies and 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 recommendations.
- Prepare Loss Reports providing a thorough analysis of liability and damages.
- Where applicable, determine if subrogation and/or risk transfer exists and initiate recovery efforts at the client's direction.
- 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.
- At least three (3) 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 communication skills.
- Demonstrated advanced analytical, decision-making and negotiation skills.
- Computer proficiency.
- 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 minimal 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, 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 minimal 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.
- Multi-state adjuster licensure within the home state or designated state and/or the ability to obtain licenses through home-state reciprocity or state adjuster examinations. AICPCU and other designations.
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Commercial Auto and General Liability Claims Examiner I - Atlanta, United States - Tristar Insurance Services LLC
Description
Job Details
Level
Entry
Job Location
Atlanta Office - Atlanta, GA
Remote Type
Fully Remote
Position Type
Full Time
Education Level
High School Diploma or GED
Salary Range
$ $29.81 Hourly
Travel Percentage
Negligible
Job Shift
Day
Job Category
Insurance
Commercial Auto and General Liability Claims Examiner I
POSITION SUMMARY:
Responsible for promptly reviewing policy information, including all relevant endorsements and vehicle schedules 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. Recommendations regarding loss exposure and associated reserve and settlement strategy will be effectively communicated to the client.
DUTIES AND RESPONSIBILITIES:
Qualifications
QUALIFICATIONS REQUIRED:
Education/Experience:
High School Diploma or GED required; Bachelor's degree in a related field (preferred) and a minimum of three+ (3) years' commercial auto and general liability casualty-related experience; or equivalent combination of advanced education and experience.
If personal lines experience only, a minimum of five+ (5) years of experience will be requiredSpecial Requirements:
Preferred Skills:
Other Qualifications: