Commercial Auto No Fault, PIP Claims Examiner III – Temp

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

📋 Description

• Accountable for the timely review of policy details to assess coverage for loss, damage, or injury.

• Perform thorough examinations and investigations of claims, leading to the final resolution of liability issues, including those involving litigation.

• Engage regularly with all parties involved, including claimants and their legal representatives.

• Provide recommendations concerning loss exposure as well as reserve and settlement strategies to the client.

• Analyze and interpret coverage, process, and finalize assigned Personal Injury Protection (PIP) claims, including the investigation and assessment of Auto and/or General Liability Casualty Claims within NY and NJ jurisdictions.

• Address PIP Arbitration Proceedings.

• Supervise and coordinate with external investigative service providers, collaborating closely with the client and their legal counsel to bring claims to a resolution.

• Keep a continuous diary of claim activities.

• Regularly assess exposure and determine accurate reserves along with settlement recommendations.

• Compile Loss Reports that provide a comprehensive analysis of coverage, liability, and damages.

• Ascertain if subrogation and/or risk transfer is applicable and initiate recovery actions on behalf of the client.

• Record all correspondence, reports, discussions, and decisions in the claim file documentation.

• Deliver exceptional service to the client.

⛳️ Requirements

• A High School Diploma or GED is required; a bachelor's degree in a related field is preferred along with three years of experience in auto and general liability casualty, or a suitable combination of advanced education and experience.

• A minimum of three years of experience in Automobile and General Liability claims is required.

• Familiarity with claims handling concepts, practices, and techniques, including, but not limited to, coverage issues, litigation management, and product line knowledge.

• Proven verbal and written communication skills.

• Strong analytical, decision-making, and negotiation abilities.

• Proficiency in computer applications.

• Capable of communicating effectively and clearly, both orally and in writing.

• Competent in managing relationships in a dynamic environment, demonstrating problem-solving and decision-making skills when interacting with customers.

• Strong analytical skills to review, exercise judgment, and evaluate claims to make informed decisions with minimal supervision.

• Excellent customer service abilities.

• Understanding of the litigation process and case valuation across various jurisdictions.

• Ability to follow detailed written or verbal instructions, respond to requests efficiently, and demonstrate sound judgment.

• Capable of managing assigned claims in accordance with company guidelines and industry best practices with minimal oversight.

• Strong time management, organizational skills, and ability to prioritize tasks and issues.

• Proficient in operating computer equipment and applications.

• Exhibits independence, flexibility, and creativity.

• Must possess a New York State Adjuster License.

🏝️ Benefits

• None specified