Key Facts

Remote From:

Norway , Oregon (USA) , Pennsylvania (USA) , United States

Full time

Mid-level (2-5 years)

English

Hard Skills

Vehicle Insurance Code Coverage Complaint Investigations Calendar Management Damage Assessments Liability Law Vendor Management Prolonged Exposure Therapy Litigation Management Casualty Insurance +7 more

Other Skills

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Decision Making
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Communication
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Time Management
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Detail Oriented
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Social Skills

Roles & Responsibilities

Experience handling Auto, No Fault PIP, and General Liability/Casualty claims, preferably in NY.
Strong coverage interpretation, investigation, and liability/damage evaluation skills.
Ability to manage outside investigative service providers and coordinate with clients and counsel.
Excellent written and verbal communication, documentation, and remote-work capability.

Requirements:

Review and interpret coverage, process, and conclude assigned Auto, No Fault PIP, and/or General Liability claims in NY through investigation and evaluation.
Oversee and direct outside investigative services and coordinate with client and client counsel to advance claims to conclusion.
Maintain an ongoing diary, continually assess exposure, and evaluate reserves and settlement recommendations.
Prepare loss reports with thorough analysis of coverage, liability, and damages; assess subrogation or risk transfer where applicable and initiate recovery; ensure thorough documentation of all correspondence in the claim file; operate in a remote/telework environment.

TRISTAR Insurance Group

Insurance

About TRISTAR Insurance Group

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 type: SME

Industry: Insurance

Founded: 2018

Company size: 501 - 1000

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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, No Fault PIP, and/or General Liability Casualty Claims in the jurisdiction of NY.
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 coverage, 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.