Claims Examiner – Bodily Injury – Auto

This is a fully remote position, open to applicants in Canada.

📋 Description

• Analyze and manage intricate bodily injury claims related to auto and commercial transportation.

• Assess coverage, conduct thorough investigations, determine liability, and evaluate damage scope.

• Handle complex claims for both auto commercial and personal lines, focusing on bodily injury.

• Ensure that claim files are accurately documented and correctly coded.

• Oversee the litigation process for claims that are involved in legal proceedings.

• Manage vendor relations, including independent adjusters who assist in claim investigations.

• Report significant claims to excess carriers.

• Create and maintain action plans to comply with state-mandated contact deadlines and facilitate timely, appropriate resolutions.

• Identify and pursue subrogation and risk transfer opportunities, as well as secure and dispose of salvage.

• Communicate claim actions and processing updates with insured individuals, clients, and agents or brokers when relevant.

• Contribute to organizational quality initiatives.

• Carry out additional duties as assigned.

⛳️ Requirements

• Bachelor’s degree from an accredited institution preferred.

• Professional certification relevant to the line of business preferred.

• Secure and maintain the necessary State adjusting licenses for the position.

• A minimum of five (5) years of claims management experience or an equivalent combination of education and experience is required.

• Comprehensive knowledge of personal and commercial auto policies, coverages, principles, and relevant laws.

• Familiarity with medical terminology for accurate claim evaluation and Medicare compliance.

• Understanding of deductibles, sub-limits, SIRs, and carrier and large deductible programs.

• Excellent oral and written communication skills, including presentation abilities.

• Proficient in PC usage, including Microsoft Office applications.

• Strong organizational capabilities.

• Exceptional interpersonal skills.

• Good negotiation abilities.

• Capability to work effectively within a team environment.

• Ability to meet or exceed service expectations.

• Willingness to travel as necessary.

🏝️ Benefits

• Work-life balance.

• Supportive company culture.

• Opportunities for career advancement.