Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Vehicle Insurance Code Coverage Complaint Investigations Loss Reserving Structured Finance Liability Law Patient Diary Loss Ratios Litigation Management Risk Analysis +4 more

Other Skills

•
Communication
•
Time Management
•
Teamwork
•
Detail Oriented
•
Social Skills
•
Problem Solving

Roles & Responsibilities

Experience reviewing and interpreting coverage and processing/closing Auto and/or General Liability claims, including investigation and evaluation.
Ability to oversee and direct outside investigative service providers and coordinate with client counsel/claims teams to advance claims to conclusion.
Strong organizational skills including maintaining claim diaries and thorough documentation of correspondence, reports, and decisions.
Proficiency in assessing exposure, establishing accurate reserves, making settlement recommendations, and initiating subrogation/risk transfer efforts when applicable.

Requirements:

Review and interpret coverage, process, and conclude assigned Auto and/or General Liability claims, including investigation and evaluation.
Oversee and direct outside investigative service providers and coordinate with client counsel and investigative services to advance the claim to conclusion.
Maintain an ongoing diary and document all correspondence, reports, discussions, and decisions in the claim file record.
Continually assess exposure and evaluate for accurate reserves and settlement recommendations; determine if subrogation and/or risk transfer exists and initiate recovery efforts at the direction of the client.

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

Website LinkedIn See all jobs →

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.
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.