Senior Auto Claims Examiner
Summary
Evaluates and processes commercial auto insurance claims (property damage, liability, rentals) by investigating incidents, assessing coverage, negotiating settlements, and managing reserves—ensuring compliance with legal/regulatory standards while handling fraud detection and vendor coordination.
In this role, the person will be primarily responsible for handling Commercial Auto Claims, including property damage, property damage liability, rental management, and/or other applicable coverages.
POSITION RESPONSIBILITIES:
- Analyze first reports and promptly contact insured/claimants within hours.
- Effectively evaluate contract language and identify coverage issues.
- Promptly and appropriately create an action plan for an accurate and timely investigation and loss analysis.
- Maintain an active file diary to move file toward timely resolution.
- Establish accurate and timely reserves within required timeframes.
- Recognize and refer appropriate files for recovery.
- Adhere to all internal, statutory, and regulatory compliance requirements.
- Recognize and identify potential fraudulent claims.
- Effectively manage the use, work product and expenses of outside vendors.
- Effectively evaluate claim facts and negotiate claim settlements.
- Develop and maintain strong business relationships with internal and external customers.
- Serve as a resource to lesser experienced Examiners.
- Supports workload surges and/or Catastrophe Operations as needed to include working overtime, nights, and/or weekends during designated CATs.
KNOWLEDGE, SKILLS & ABILITIES:
- Full knowledge of commercial insurance contracts, investigation techniques, legal requirements and insurance regulations.
- Ability to work effectively in-person and remotely
- Display an inquisitive and curious mindset for investigating, evaluating, analyzing, and interpreting information.
- Ability to analyze and prioritize multiple competing priorities, including claim receipt, telephone calls, email, mail, text messages, and/or other sources of information
- Excellent skills in the areas of:
- Customer service
- Investigation techniques
- Organization
- Time management and the ability to multi-task
- Verbal and written communication
- Negotiation and reserving
- Innovative thinking
EXPERIENCE & EDUCATION:
- 2-4 years of Commercial Auto Claims Adjusting experience required.
- Bachelor’s Degree or equivalent experience required.
If you do not already have one, you will be required to obtain and maintain an applicable resident or designated home state adjusters license as well as additional state licensure as business need dictates.