APD Claims Examiner

Role Description

An Auto Physical Damage (APD) Claims Examiner is responsible for analyzing and processing commercial transportation claims by reviewing coverage, completing investigations, determining liability, and evaluating the scope of damages.

• Processes and adjusts Physical Damage claims for Commercial Transportation and ensures claim files are properly documented and coded correctly.
• Responsible for managing the litigation process on litigated claims.
• Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.
• Reports large claims to carrier(s).
• Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
• Identifies subrogation opportunities and refers them to relevant vendors; secures and disposes of salvage.
• Communicates claim action/processing with insured, client, and agent or broker when appropriate.

Requirements

• Handle all claimant, policyholder, client, and company information in accordance with SOC 2 security, confidentiality, and data integrity standards.
• Ensure sensitive data is stored, transmitted, and processed securely, following company policies and procedures.
• Maintain accuracy and completeness of information in all systems, reports, and documentation.
• Promptly report any actual or suspected security incidents, policy violations, or data handling concerns to management.
• Participate in training and awareness initiatives to stay current on SOC 2 requirements and best practices.
• Support audit readiness by providing documentation, evidence, or explanations of compliance activities when requested.

Company Description

Vanguard Claims Administration is a fast-growing entity that offers a refreshing change from the ordinary for clients, employees, and vendors.