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Claims Examiner - AutoStaffing • Irving, TX, United States
Claims Examiner - Auto

Claims Examiner - Auto

Staffing • Irving, TX, United States
30+ days ago
Job type
  • Full-time
Job description

Auto Casualty Claims Processor

Experienced in commercial auto liability and coverage. TPA experience a plus. Bodily injury handling experience to include demonstrable mid to high level injury handling. $ threshold handling up to 1 million. Licensed in the contiguous 48 states. Litigation handling experience pertaining to BI Experience working in a fast paced environment, participating in and presenting cases to both internal and external stakeholders.

PRIMARY PURPOSE: To analyze and process commercial auto transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

  • Processes commercial auto bodily injury claims and ensures claim files are properly documented and coded correctly.
  • Responsible for litigation process on litigated claims.
  • Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
  • Communicates claim action/processing with insured, client, and agent or broker when appropriate.

ADDITIONAL FUNCTIONS AND RESPONSIBILITIES:

  • Performs other duties as assigned.
  • Supports the organization's quality program(s).
  • Travels as required.

QUALIFICATIONS:

Education & Licensing:

  • Bachelor's degree from an accredited college or university preferred.
  • Professional certification as applicable to line of business preferred.
  • Secure and maintain the State adjusting licenses as required for the position.

Experience:

  • Five (5) years of commercial auto claims management experience or equivalent combination of education and experience required to include in-depth knowledge of commercial line auto policies, coverage's, principles, and laws.

Skills & Knowledge:

  • In-depth knowledge of commercial line auto policies, coverage's, principles, and laws.
  • Knowledge of medical terminology for claim evaluation and Medicare compliance.
  • Knowledge of appropriate application for deductibles, sub-limits, SIR's, carrier and large deductible programs.
  • Strong oral and written communication, including presentation skills.
  • PC literate, including Microsoft Office products.
  • Strong organizational skills.
  • Strong interpersonal skills.
  • Good negotiation skills.
  • Ability to work in a team environment.
  • Ability to meet or exceed Service Expectations.

WORK ENVIRONMENT:

  • When applicable and appropriate, consideration will be given to reasonable accommodations.
  • Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
  • Physical: Computer keyboarding, travel as required.
  • Auditory/Visual: Hearing, vision and talking.

NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

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Claims Examiner - Auto • Irving, TX, United States

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