Claims Examiner - Auto

Accountabilities Manage complex personal and commercial auto claims, including bodily injury cases, ensuring files are accurately documented and correctly coded. Review insurance coverage, investigate claims, determine liability, and evaluate the extent of damages. Oversee the litigation process for claims that proceed to legal action. Coordinate vendor activity, including engaging independent adjusters to support claim investigations. Report significant claims to excess insurers when required. Develop and maintain action plans to meet regulatory contact deadlines and move claims toward timely, appropriate resolution. Identify and pursue subrogation and risk transfer opportunities, including securing and disposing of salvage. Communicate claim decisions, actions, and progress to insured parties, clients, agents, and brokers as appropriate. Support quality assurance programs and perform additional duties as assigned. Travel when required. Requirements At least five years of claims management experience, or an equivalent combination of education and experience. In-depth knowledge of personal and commercial auto insurance policies, coverage, claims principles, and applicable laws. Bachelor's degree from an accredited college or university preferred. Relevant professional certification preferred, depending on the line of business. Ability to obtain and maintain the adjusting licenses required for the position. Knowledge of medical terminology relevant to claim evaluation and Medicare compliance. Understanding of deductibles, sub-limits, self-insured retentions (SIRs), carrier programs, and large-deductible programs. Strong written and verbal communication skills, including presentation and negotiation abilities. Proficiency with computers and Microsoft Office applications. Excellent organizational and interpersonal skills, with strong attention to detail. Ability to collaborate effectively within a team and manage complex claims independently. Commitment to meeting or exceeding service expectations. Benefits Remote/telecommuter work arrangement within Canada. Full-time employment. Opportunities for professional growth and career development. A collaborative, service-oriented workplace culture. Work-life balance and an environment that supports colleagues in developing their skills and careers. #J-18808-Ljbffr Jobgether