Our Client, a Business Solutions company, is looking for a Claims Examiner – Auto for their Irving, TX location.
Responsibilities:
To analyze and process commercial auto transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.
Processes commercial auto bodily injury claims and ensures claim files are properly documented and coded correctly.
Responsible for litigation process on litigated claims.
Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
Communicates claim action/processing with insured, client, and agent or broker when appropriate.
Requirements:
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 commercial auto claims management experience or equivalent combination of education and experience required to include in-depth knowledge of commercial line auto policies, coverage’s, principles, and laws.
Skills & knowledge
In-depth knowledge of commercial line auto policies, coverage’s, principles, and laws
Knowledge of medical terminology for claim evaluation and Medicare compliance
Knowledge of appropriate application for deductibles, sub-limits, SIR’s, carrier and large deductible programs.
Strong oral and written communication, including presentation skills