Claims Examiner

Claims Examiner

Requirements

• 3 – 5 years of experience handling commercial auto claims is required
• Active adjuster’s license in Texas or home state
• Working knowledge of Microsoft Word & Excel is required
• Strong analytical skills are required to effectively and efficiently analyze information
• Excellent verbal and written communication skills to express complex evaluations and resolve claims through a well-planned negotiation strategy
• Customer service skills and a willingness to work in a team-oriented environment are essential

Responsibilities

• Investigate commercial insurance automobile, property damage and general liability claims.
• Handle claims from the initial loss report through final disposition.
• Conduct investigation of policy coverage and liability with a detailed analysis of applicable state laws; damage determination for property, commodity and personal injury claims.
• Establish a course of action to conclude claims timely and in compliance with state regulatory requirements.
• Analyze exposures and ensure proper reserves established.
• Escalate high exposure claims to management for direction.
• Manage litigation filed against commercial insureds.
• Task assignments to outside vendors as required along with oversight and management of the vendor.
• Communicate with policyholders, agents and underwriting on key claim issues as required.
• Conduct open claim reviews and work cohesively with other departments to deliver superior customer service and claim service to policyholders.
• Travel may be required to attend mediations, conferences, trials and training activities.

Preferred Qualifications

• High school diploma required, bachelor’s degree preferred