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Commercial Auto, BI & GL Claims Examiner III _ Temp

Role overview

Summary

This role is for a Claims Examiner responsible for reviewing policy information and conducting investigations to resolve liability claims. You will interact with claimants and legal representatives while providing analysis and recommendations to clients.

Qualifications

  • Experience in claims examination and investigation.
  • Knowledge of Auto and General Liability Casualty Claims.
  • Ability to communicate effectively with clients and legal representatives.
  • Experience in preparing Loss Reports.
  • Preferred: Familiarity with subrogation and risk transfer processes.

Responsibilities

  • Review and interpret coverage for assigned claims including investigation and evaluation of Auto and/or General Liability Casualty Claims.
  • Oversee and direct outside investigative service providers to advance the claim to conclusion.
  • Prepare Loss Reports providing thorough analysis of coverage, liability, and damages.
  • Document all correspondence, reports, discussions, and decisions in the claim file record.

Key facts

Hard skills

Other skills

  • Investigation
  • Communication
  • Analytical Thinking
  • Problem Solving

About the company

TRISTAR Insurance Group logo

TRISTAR Insurance Group

  • Insurance
  • SME
  • 501–1,000
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".

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Job description

POSITION 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.

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