Commercial Auto & GL Claims Examiner II

This is a remote position but must reside in Sacramento, CA.

POSITION SUMMARY: Responsible for the prompt review and interpretation of policy information to determine coverage for claims involving loss, damage, or injury. Conducts thorough claim investigations and evaluations through final resolution, including claims in litigation. Maintains frequent communication with claimants, legal representatives, clients, defense counsel, and other involved parties. Provides clients with well-supported recommendations regarding claim exposure, reserves, litigation strategy, and settlement. Position is remote/working from home.

DUTIES AND RESPONSIBILITIES:

• Review and interpret policy coverage and investigate, evaluate, negotiate, and resolve assigned commercial automobile and general liability claims.
• Apply California public entity laws, statutes, regulations, and claims-handling requirements to assigned matters.
• Conduct field investigations and site inspections when required.
• Coordinate and direct outside investigative service providers, appraisers, experts, defense counsel, and other vendors.
• Work closely with clients, client counsel, and investigative services to advance claims toward timely resolution.
• Maintain an accurate and current diary for all assigned claims.
• Continually assess claim exposure and establish or recommend accurate reserves and settlement authority.
• Prepare comprehensive loss reports that provide a thorough analysis of coverage, liability, damages, exposure, litigation strategy, and recommended resolution.
• Identify potential subrogation, contribution, indemnification, or other risk-transfer opportunities and initiate recovery efforts in the client’s direction.
• Document all correspondence, reports, discussions, evaluations, and claim decisions accurately and promptly in the claim file.
• Attend city council meetings, claim-review meetings, mediations, settlement conferences, site inspections, and other proceedings in person when required.
• Prepare and present clear, concise claim summaries and recommendations to clients and other stakeholders.
• Maintain compliance with client service instructions, company procedures, regulatory requirements, and industry best practices.
• Provide responsive and professional service to clients and other parties involved.

• Perform other duties and special projects as assigned.