Auto Claim Examiner
Core
Reviewing and analyzing personal or commercial auto claims to determine coverage, liability, and damages; communicating with policyholders and claimants; coordinating with repair shops and legal professionals; evaluating evidence and negotiating settlements.
Role type
Auto Claims Examiner (Personal, Commercial, and Total Loss)
Builds
Insurance claim resolutions and settlements for auto insurance policyholders
Domain
Insurance / Personal Lines / Commercial Lines
Deliverable
client delivery
Required skills
Auto claims investigation, coverage analysis, liability determination, settlement negotiation, fraud identification, policy interpretation, stakeholder communication, documentation management
Preferred skills
Experience with 1st and 3rd party ADP claims, knowledge of insurance contracts and legal requirements
Technologies
None explicitly stated
Responsibilities
Reviewing and analyzing auto claims to determine coverage and liability; Communicating with policyholders, claimants, and witnesses to gather facts; Coordinating with repair shops and legal professionals; Evaluating police reports, accident photos, and evidence; Calculating and negotiating settlements; Ensuring compliance with regulations and internal policies; Maintaining accurate claim documentation