Claims Examiner – Auto

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.

• Auto casualty
• Must have commercial auto litigation experience, preferably in commercial trucking handling high severity/high value (in excess of (USD)1 million) losses.
• This is for bodily injury. Please do not send folks with PD experience only.
• TPA experience a plus.
• Bodily injury handling experience to include demonstrable mid to high level injury handling.
• (USD) threshold handling up to 1 million.
• Licensed in the contiguous 48 states.
• Litigation handling experience pertaining to BI
• Experience working in a fast paced environment, participating in and presenting cases to both internal and external stakeholders.
• 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.
• 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
• PC literate, including Microsoft Office products
• Strong organizational skills
• Strong interpersonal skills
• Good negotiation skills
• Ability to work in a team environment
• Ability to meet or exceed Service Expectations

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities