Claims Examiner - Auto - Remote / Telecommute

Commercial Auto Claims Manager

Requirement/Must Have:

• 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, coverages, principles, and laws.
• Credit security clearance, confirmed via a background credit check, is required for this position.

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

Skills:

• In-depth knowledge of commercial line auto policies, coverages, principles, and laws.
• Knowledge of medical terminology for claim evaluation and Medicare compliance.
• Knowledge of appropriate application for deductibles, sub-limits, SIRs, 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.

Education and Experience:

• 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.