Commercial Auto and Property Damage Claims Examiner II

This is a fully remote position, open to applicants in California, +2 more states.

📋 Description

• Evaluate and interpret policy coverage while investigating, assessing, processing, negotiating, and resolving assigned automobile physical damage, property damage liability, and total loss claims.

• Assess coverage, liability, and damages, and pinpoint issues that necessitate further investigation or escalation.

• Manage and direct external service providers, including appraisers and investigators.

• Collaborate closely with clients, client counsel, and other parties involved to facilitate the resolution of claims.

• Maintain a precise and timely diary system, completing all necessary follow-up activities.

• Assess claim exposure and establish or suggest reserves and settlement strategies.

• Generate detailed loss reports that encompass coverage, liability, damages, exposure, reserves, and recommended next steps.

• Recognize subrogation, contribution, or other risk-transfer opportunities and initiate recovery efforts.

• Record correspondence, reports, discussions, evaluations, and claim decisions in claim files.

• Conduct independent reviews of claim files and ensure proper documentation and handling in accordance with applicable requirements.

• Provide timely, professional, and responsive service to clients, claimants, insureds, and other involved parties.

• Engage TRISTAR Loss Control staff when necessary.

• Adhere to company policies, procedures, client service instructions, and relevant regulatory requirements.

• Execute other duties and special projects as assigned.

⛳️ Requirements

• A high school diploma or GED is required.

• A bachelor’s degree in business, insurance, risk management, or a related field is preferred.

• A minimum of two years of experience managing automobile physical damage, property damage liability, general liability casualty, and/or No-Fault/PIP claims is required.

• Familiarity with claim-handling principles, practices, and procedures, including policy interpretation, coverage analysis, liability assessment, damage evaluation, reserving, negotiation, and settlement.

• Excellent analytical, critical-thinking, decision-making, and problem-solving abilities.

• Strong verbal and written communication skills.

• Exceptional customer service and relationship management skills.

• Strong organizational, time-management, and follow-up capabilities.

• Proficiency in computers, claims-management systems, and standard business applications.

• Must hold a current and valid New York adjuster license.

• Must be willing and able to acquire and maintain a California adjuster license within the timeframe specified by the company.

• Must obtain and maintain any additional licenses necessary to manage assigned claims.

• Availability to work during the company’s established Eastern Time core business hours is essential.

🏝️ Benefits

• Competitive salary and performance-based incentives.

• Comprehensive health, dental, and vision insurance.

• Retirement savings plan with company matching contributions.

• Generous paid time off and holiday schedule.

• Continuing education and professional development opportunities.