Role overview

Qualifications

Experience handling Commercial Auto and General Liability claims, including coverage interpretation and adjudication.
Strong investigative, evaluative, and reserving capabilities across multiple jurisdictions.
Ability to oversee outside investigative service providers and coordinate with client representatives and counsel.
Excellent written and verbal communication skills, including preparation of loss reports and meticulous claim-file documentation.

Responsibilities

Review and interpret policy coverage, process assigned Auto and/or General Liability claims, and determine outcomes for both litigated and non-litigated matters across multiple jurisdictions.
Oversee and coordinate outside investigative services, working with the client, client counsel, and investigative teams to advance claims toward conclusion; maintain an ongoing diary and thorough claim-file documentation.
Continually assess loss exposure, evaluate reserves, and provide settlement recommendations.
Prepare Loss Reports with comprehensive analysis of coverage, liability, and damages; identify subrogation and/or risk transfer opportunities and initiate recovery efforts as appropriate.

Key facts

Remote from: Oregon (USA), Pennsylvania (USA)
Freelance
Mid-level (2-5 years)
English

Hard skills

Vehicle Insurance Fault Coverage Complaint Investigations Liability Law Calendar Management Attorney-Client Privilege Liability Law Vendor Management Loss Ratios Claims And Litigation Management Subrogation Policy Analysis Organizational Structure Client Services

Other skills

Decision Making
Communication
Analytical Skills
Negotiation
Time Management
Detail Oriented
Social Skills
Report Writing
Problem Solving

About the company

TRISTAR Insurance Group

Insurance

TRISTAR began as an insurance program manager and medical malpractice claims administrator in 1987. Workers compensation claims management services were added in our offerings in 1989, and the Company was renamed TRISTAR Risk Management in 1995. As managed care and benefits administration services were added to our offerings, the organization grew into TRISTAR. We are the largest privately held third party claims administrator in United States. We empower more than 1,000+ professionals in offices throughout the United States, focusing business operations in three divisions: property casualty claims management, benefits administration, and managed care services. We are true to our values of RESPECT, INTEGRITY, TRUST, and EXCELLENCE, making the right choices both financially and ethically. At TRISTAR we strive to create an environment of respect, wherein all of us are encouraged to learn and to grow, to provide exceptional service to our clients and in turn to enjoy the satisfaction that comes from a job well done. We believe that to provide real service, we must contribute something which cannot be bought or measured with money: sincerity and integrity. At TRISTAR, you help create a world in which together we "transform risk into opportunity".

Company details

Company typeSME

IndustryInsurance

Company size501 - 1000

Links

Website LinkedIn See all jobs

Your match analysis

See how your profile stacks up against this role.

We compared the job requirements to your profile to show where you're strong and where you fall short.

Job description

SUMMARY: Responsible for the prompt review of policy information to determine coverage for loss/damage/injury. Conduct an 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 and interpret coverage, process, and conclude assigned claims including investigation and evaluation of Auto and/or General Liability Casualty Claims in multiple jurisdictions. Claims may be litigated or non-litigated. 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 accurate reserves and settlement recommendation. Prepare Loss Reports providing thorough analysis of coverage, liability, and damages. Where applicable, determine if subrogation and/or risk transfer exists and initiate recovery efforts in the direction of the client. Document all correspondence, reports, discussions, and decisions in the claim file record. Provide outstanding service to the client.

Position is remote/working from home.