Commercial Auto, General Liability Claims Examiner III

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

📋 Description

• Investigate, assess, manage, and resolve intricate commercial automobile and general liability claims, including those that are litigated.

• Analyze and interpret insurance policies, endorsements, and vehicle schedules to determine coverage and identify any coverage issues.

• Offer temporary coverage for other claims examiners during paid time off, absences, or extended leaves.

• Review transferred files, pinpoint outstanding activities and deadlines, and ensure continuity in claim handling.

• Keep accurate claim diaries and perform timely follow-ups on investigations, correspondence, litigation activities, and necessary actions.

• Assess liability, damages, and potential exposure; recommend updates to reserves.

• Develop and communicate strategies for claim resolution and settlement to clients.

• Negotiate settlements within delegated authority and secure approval when necessary.

• Coordinate and oversee outside investigators and other service providers.

• Collaborate with clients and counsel to advance claims towards resolution.

• Monitor litigation developments and evaluate recommendations from counsel.

• Prepare loss reports that analyze coverage, liability, damages, reserves, and suggested next steps.

• Identify opportunities for subrogation and risk transfer and initiate recovery efforts.

• Maintain complete, accurate, and timely documentation of claim files.

• Provide responsive and professional service to clients and involved parties.

• Coordinate file handoffs with supervisors and returning examiners.

• Assist supervisors and the claims department with special projects and other assigned duties.

• Prevent claim backlogs and adhere to client service level agreements.

⛳️ Requirements

• A High School Diploma or GED is required.

• A minimum of seven (7) years of experience in commercial auto and general liability casualty-related fields is necessary.

• At least ten (10) years of experience handling Commercial Automobile and General Liability claims is required.

• An active license in FL, NY, GA, or TX is essential.

• Must possess an applicable resident or designated home state adjuster license as well as required non-resident licenses, or possess the ability to obtain necessary licenses through reciprocity or applicable state examinations.

• Required licenses must be maintained, and applicable continuing education requirements must be completed.

• Advanced knowledge of handling commercial automobile and general liability claims is essential.

• Familiarity with claims handling concepts, coverage issues, and product line knowledge is necessary.

• Understanding of the litigation process and claim valuation across various jurisdictions is required.

• Strong analytical, decision-making, and negotiation skills are essential.

• Excellent written and verbal communication skills are required.

• Ability to independently manage complex claims with minimal supervision is necessary.

• Capability to prepare clear and comprehensive claim reports and recommendations is required.

• Ability to develop and maintain relationships with clients, claimants, legal representatives, counsel, and service providers is essential.

• Strong organizational and time management skills are required.

• Flexibility to handle unfamiliar claim inventories while upholding service standards is necessary.

• Proficiency in claims management systems, computer applications, and related technology is required.

• A Bachelor’s degree in a related field is preferred.

• Possession of the Associate in Claims (AIC) and/or Chartered Property Casualty Underwriter (CPCU) designation is preferred.

• Experience providing float coverage or managing claims across multiple client accounts and jurisdictions is preferred.

🏝️ Benefits

• Fully remote / working from home.

• Full-time position.

• No travel required.