PRS, Senior Auto Claims Examiner
Core
Analyze first reports, evaluate contract language, investigate claims, establish reserves, negotiate settlements, and identify fraud for auto insurance claims.
Role type
Senior individual contributor auto claims examiner
Builds
Resolved auto insurance claims and accurate loss analysis
Domain
Insurance / Auto Claims
Deliverable
client delivery
Required skills
Contract analysis, investigation techniques, reserving, negotiation, fraud detection, regulatory compliance, vendor management
Preferred skills
Current claims adjuster licenses, multi-state licensure willingness
Technologies
None stated
Responsibilities
Analyze first reports and contact insured/claimants; Evaluate contract language and identify coverage issues; Develop files for investigation and loss analysis; Establish accurate and timely reserves; Recognize and pursue recovery; Identify potential fraudulent claims; Negotiate claim settlements; Manage outside vendors; Serve as a technical resource to lesser experienced Adjusters
Seniority
Senior, hands-on IC