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Remote: Claims Examiner II - Commercial Auto & Liability

TEEMA Group

Empower your professional journey in a role that values intellectual curiosity and file ownership over high-volume "churn." As a Claims Examiner II, you will manage and resolve complex Commercial Auto, No-Fault/PIP, and General Liability claims from initial intake through final disposition. This position is perfect for a strategic thinker who excels at evaluating exposure, guiding investigative strategy, and collaborating with legal counsel to achieve fair and efficient resolutions. You will join a stable, rapidly growing organization that prides itself on autonomy, high-quality claims administration, and a professional work environment. Key Duties: Technical Policy Analysis: Review and interpret complex insurance policies to accurately determine liability and coverage exposure. Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes. Litigation Oversight: Direct and coordinate efforts with outside investigators, legal counsel, and various vendors to drive claim strategy. Financial Management: Evaluate total claims exposure to establish and maintain appropriate financial reserves. Negotiation & Settlement: Develop and execute sophisticated settlement strategies and communicate recommendations to key stakeholders. Strategic Reporting: Prepare detailed loss reports that synthesize liability, damages, and coverage issues. Recovery Initiatives: Identify and pursue subrogation and risk transfer opportunities to protect client interests. Professional Communication: Provide elite-level service and maintain transparent communication with both internal and external stakeholders. Required Qualifications Experience: 2+ years of dedicated experience handling Commercial Auto and General Liability claims. Technical Mastery: Strong understanding of claims handling practices, coverage analysis, and litigation management. Communication: Exceptional written and verbal communication skills. Decision Making: Proven ability to evaluate complex data, make independent decisions, and negotiate effectively. Organizational Skills: Superior time management skills and proficiency with claims management software and standard computer applications. Desired Qualifications Specialized Expertise: Direct experience managing No-Fault/PIP claims. Education: Bachelor’s degree or equivalent professional experience. Jurisdictional Knowledge: Familiarity with multi-jurisdictional claims handling requirements. Remote Proficiency: Ability to work productively and independently in a fast-paced, 100% remote environment. Location and Work Type Location: 100% Fully Remote Work Type: Full-Time | Direct Hire Schedule: Standard Business Hours Benefits: Full suite of premium benefits, including medical, dental, vision, and Paid Time Off (PTO). #J-18808-Ljbffr

Vacancy posted 5 days ago
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