Commercial Auto & Property Damage Claims Examiner II

This is a fully remote position, open to applicants in New Jersey, +1 more state.

📋 Description

• Assess and interpret insurance policy coverage

• Investigate, evaluate, process, negotiate, and resolve automobile physical damage, property damage liability, and total loss claims assigned

• Analyze coverage, liability, and damages while identifying issues that may need further investigation or escalation

• Supervise and direct external service providers, including appraisers and investigators

• Collaborate closely with clients, client counsel, and other involved stakeholders to facilitate claims resolution

• Maintain an accurate and timely diary system and complete necessary follow-up activities

• Assess claim exposure and establish or recommend accurate reserves and settlement strategies

• Create detailed loss reports that analyze coverage, liability, damages, exposure, reserves, and suggested next steps

• Identify subrogation, contribution, or other risk-transfer opportunities and initiate recovery actions

• Document all correspondence, reports, discussions, evaluations, and claim decisions in the claim files

• Conduct independent reviews of claim files, ensuring proper documentation and handling according to the relevant requirements

• Provide prompt, professional, and responsive service to clients, claimants, insured individuals, and other involved parties

• Engage TRISTAR Loss Control staff when necessary

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

• Carry out other duties and special projects as assigned

⛳️ Requirements

• High school diploma or GED is mandatory

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

• At least two years of experience in managing automobile physical damage, property damage liability, general liability casualty, and/or No-Fault/PIP claims

• Proficient understanding of claim-handling principles, practices, and procedures, including policy interpretation, coverage analysis, liability assessment, damage evaluation, reserving, negotiation, and settlement

• Ability to investigate, evaluate, negotiate, and resolve assigned claims with limited supervision

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

• Capacity to assess complex claim information, exercise sound judgment, and make well-supported recommendations

• Strong verbal and written communication skills

• Ability to communicate effectively and professionally with clients, claimants, insured individuals, attorneys, vendors, and other involved parties

• Exceptional customer service and relationship management skills

• Ability to manage competing priorities while maintaining accuracy in a fast-paced environment

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

• Ability to interpret and execute detailed written and verbal instructions

• Ability to maintain complete, accurate, and timely documentation of claims

• Proficient in using computers, claims-management systems, and standard business applications

• Ability to work independently while remaining adaptable and responsive to evolving client and business requirements

• Ability to comply with company guidelines, client service instructions, applicable regulations, and industry best practices

• Must hold a current and valid New York adjuster license

• Must be willing to obtain and sustain a California adjuster license within the timeframe set by the company

• Must acquire and maintain any additional licenses required for handling assigned claims

• Must be available to work during the established Eastern Time core business hours of the company

🏝️ Benefits

• Comprehensive health and wellness programs

• Retirement savings plans with company matching

• Opportunities for professional growth and development

• Flexible work arrangements

• Supportive company culture focused on teamwork and collaboration