Claims Examiner :: Auto - W2 only

Position: Claims Examiner - Auto

Duration: 03 Months of contract with possible extension or conversion

Location: Irving, TX

Note by Manager:

• Auto casualty
• Must have commercial auto litigation experience, preferably in commercial trucking handling high severity/high value (in excess of (USD)1 million) losses.
• This is for bodily injury, not with PD experience only.
• TPA experience a plus.
• Bodily injury handling experience to include demonstrable mid to high level injury handling (USD) threshold handling up to 1 million.
• Licensed in the contiguous 48 states.
• Litigation handling experience pertaining to Bodily Injury
• 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.
• 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