
Commercial Auto Liability Claims Examiner III
Posted 23 hours ago

Posted 23 hours ago
This is a fully remote position, open to applicants in New York.
• Review, manage, investigate, assess, and conclude complex Commercial Auto property and casualty claims with total incurred amounts of $25,000.
• Analyze policy documentation, endorsements, and vehicle schedules to ascertain coverage for loss, damage, or injury.
• Conduct examinations and investigations of claims until resolution, including matters related to New York liability claims and litigation.
• Supervise and coordinate with external investigative service providers.
• Collaborate with clients, their legal counsel, and investigative services to expedite claims to resolution.
• Maintain a continuous claim diary.
• Evaluate exposure, reserves, and prepare settlement recommendations.
• Create loss reports that analyze liability and damages.
• Identify and initiate subrogation or risk-transfer recovery efforts when applicable and as directed by the client.
• Document all correspondence, reports, discussions, and decisions in claim files.
• Deliver exceptional client service.
• Assist supervisors and the Claims Department with assigned tasks and special projects.
• Perform additional duties as required.
• High school diploma or GED is mandatory.
• At least five (5) years of experience in commercial auto casualty-related roles.
• A minimum of five years of experience specifically in commercial automobile liability claims is required.
• Strong understanding of claims handling concepts, practices, and techniques, including coverage issues and product knowledge.
• Proven verbal and written communication skills.
• Advanced analytical, decision-making, and negotiation abilities.
• Proficiency in computer applications.
• Ability to communicate clearly and effectively, both orally and in writing.
• Capability to manage relationships in a dynamic and fast-paced environment.
• Strong problem-solving and decision-making skills.
• Ability to review, exercise judgment, and evaluate claims with minimal oversight.
• Excellent customer service skills.
• Familiarity with the litigation process and case valuation across various jurisdictions.
• Capacity to follow detailed written or verbal instructions and respond efficiently.
• Ability to manage assigned claims in accordance with company guidelines and industry best practices with minimal supervision.
• Skills in time management, organization, prioritization, independence, flexibility, and creativity.
• Competence in operating computer equipment and software applications.
• Valid New York adjuster license is required.
• Medical, Dental, Vision, Disability & Life Insurance.
• 401(k) plan.
• Paid time off.
• Paid holidays.
Sanford Health
The Cigna Group
GM Financial
Trident BPO
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