Claims Examiner - Auto
Core
Manage complex personal and commercial auto insurance claims from investigation through resolution, including bodily injury and litigated cases.
Role type
Senior claims examiner (auto insurance)
Builds
Resolved insurance claims and subrogation recoveries
Domain
Insurance / Auto claims
Deliverable
client delivery
Required skills
Auto insurance policy knowledge, liability assessment, litigation oversight, vendor coordination, subrogation, regulatory compliance, medical terminology, large-deductible program management
Preferred skills
Bachelor's degree, professional certification, adjusting licenses
Technologies
Microsoft Office
Responsibilities
Manage complex personal and commercial auto claims including bodily injury cases; Review insurance coverage, investigate claims, determine liability, and evaluate damages; Oversee the litigation process for claims that proceed to legal action; Coordinate vendor activity including engaging independent adjusters; Report significant claims to excess insurers; Develop and maintain action plans to meet regulatory deadlines; Identify and pursue subrogation and risk transfer opportunities; Communicate claim decisions to insured parties, clients, agents, and brokers.
Seniority
Senior, hands-on IC