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Commercial Auto & GL Claims Examiner III

Key Facts

Full time
Mid-level (2-5 years)
English

Other Skills

  • •
    Decision Making
  • •
    Communication
  • •
    Time Management
  • •
    Teamwork
  • •
    Detail Oriented

Roles & Responsibilities

  • 5+ years of experience handling Commercial Auto and General Liability claims
  • Strong knowledge of policy interpretation and coverage determinations
  • Experience coordinating with outside investigative services, clients, and counsel
  • Proven ability to document claims, prepare loss reports, and communicate settlement recommendations

Requirements:

  • Review, process, and conclude assigned Commercial Auto and General Liability claims, including investigation, evaluation of complex cases, and coverage determinations
  • Manage outside investigative services, coordinate with clients and their counsel, and advance claims toward resolution while maintaining an ongoing diary and reserve assessments
  • Prepare loss reports with detailed liability and damages analysis; determine subrogation or risk transfer opportunities and initiate recovery where applicable
  • Document all communications, provide excellent client service, and assist Supervisors and the Claims Department with special projects

Job description

SUMMARY: Responsible for the prompt review of policy information including all relevant endorsements and vehicle schedules to determine coverage for loss/damage/injury. Conduct and efficient claim examination and investigation leading to the final resolution of liability claims, including matters in litigation. Frequent contact and interaction with involved parties including claimants and their legal representatives will be required. Recommendations regarding loss exposure and associated reserve and settlement strategy will be effectively communicated to the client.

DUTIES AND RESPONSIBILITIES:

  • Review, process and conclude assigned claims including investigation and evaluation complex Commercial Auto and General Liability Casualty Claims.
  • Review and interpret policies, coverage determination.
  • Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to advance the claim to conclusion.
  • Maintain an ongoing diary.
  • Continually assess exposure and evaluate for accurate reserves and settlement recommendation.
  • Prepare Loss Reports providing thorough analysis of liability and damages.
  • Where applicable, determine if subrogation and/or risk transfer exists and initiate recovery efforts at the direction of the client.
  • Document all correspondence, reports, discussions and decisions in the claim file record.
  • Provide outstanding service to the client.
  • Assist Supervisors and Claim Department with requested tasks or special projects.
  • Other duties as assigned.

Position is remote/working from home.

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