Claims Examiner - Auto

Duties:
Managers Note:
Auto casualty
Experienced in complex liability and coverage.
TPA experience a plus.
Bodily injury/uninsured/underinsured motorist handling experience to include demonstrable(fatality, fractures, traumatic brain injury) injury handling.
(USD) threshold handling up to 1 million.
No fault(Personal Injury Protection) experience.
Licensed in the contiguous 48 states.
Litigation handling experience pertaining to BI/UM/UIM Not all candidates will need this but a minimum of 3 will need litigation handling experience.
Auto Physical Damage handling experience preferred.
Experience working in a fast paced environment, participating in and presenting cases to both internal and external stakeholders.

Primary Purpose:
To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.

Essential Functions and Responsibilities
Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.
Responsible for litigation process on litigated claims.
Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.
Reports large claims to excess 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 and pursues subrogation and risk transfer opportunities; secures and disposes of salvage.
Communicates claim action/processing with insured, client, and agent or broker when appropriate.

Additional Functions and Responsibilities
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 claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws.