Claims Examiner – Bodily Injury – Auto

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

📋 Description

• Evaluate and process intricate bodily injury claims related to auto and commercial transportation.

• Assess coverage, conduct investigations, establish liability, and appraise the extent of damages.

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

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

• Oversee the litigation process for claims that are subject to litigation.

• Manage vendor relations and engage independent adjusters to facilitate investigations.

• Notify excess carriers about significant claims.

• Create and uphold action plans to comply with state-mandated contact deadlines and expedite file resolutions.

• Recognize and pursue opportunities for subrogation and risk transfer.

• Acquire and manage salvage appropriately.

• Communicate updates on claim actions and processing with insured parties, clients, and agents or brokers.

• Contribute to organizational quality initiatives.

• Perform additional tasks as assigned.

• Travel as necessary.

⛳️ Requirements

• A bachelor's degree from an accredited college or university is preferred.

• Professional certification relevant to the specific line of business is preferred.

• Obtain and maintain the necessary State adjusting licenses for the role.

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

• Comprehensive understanding of personal and commercial auto policies, coverages, principles, and applicable laws.

• Familiarity with medical terminology for evaluating claims and ensuring Medicare compliance.

• Knowledge of deductibles, sub-limits, self-insured retentions (SIRs), and large deductible programs.

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

• Proficient in PC usage, particularly with Microsoft Office applications.

• Strong organizational and interpersonal skills.

• Effective negotiation capabilities.

• Ability to collaborate effectively within a team environment.

• Capability to meet or exceed service expectations.

• Willingness to travel as required.

🏝️ Benefits

• Emphasis on work-life balance.

• Inclusive and barrier-free recruitment and selection processes.

• Support for accommodations during the recruitment process, if necessary.