Senior Auto Claims Examiner

Job description

Position Overview

The Sr. Auto Examiner (Commercial) is primarily responsible for handling Commercial Auto Claims, including property damage, property damage liability, rental management, and other applicable coverages. This role requires exceptional time management, attention to detail, outstanding communication skills, and a commitment to timely claim resolution.

Position Responsibilities

Promptly analyze first reports and contact insureds/claimants within required hours, demonstrating strong time management and timeliness. Effectively evaluate contract language and identify coverage issues with meticulous attention to detail. Create and execute an action plan for accurate and timely investigation and loss analysis. Maintain an active file diary to ensure claims progress toward timely resolution. Establish accurate and timely reserves within required timeframes.

Recognize and refer appropriate files for recovery. Adhere to all internal, statutory, and regulatory compliance requirements. Identify potential fraudulent claims through careful review and analysis. Manage the use, work product, and expenses of outside vendors efficiently. Evaluate claim facts and negotiate settlements with professionalism and clarity. Develop and maintain strong business relationships with internal and external customers through clear, timely communication.

Serve as a resource to less experienced Examiners. Support workload surges and/or Catastrophe Operations as needed, including working overtime, nights, and/or weekends during designated CATs.

Knowledge, Skills & Abilities

Full knowledge of commercial insurance contracts, investigation techniques, legal requirements, and insurance regulations. Ability to work effectively both in-person and remotely. Inquisitive and curious mindset for investigating, evaluating, analyzing, and interpreting information. Ability to analyze and prioritize multiple competing priorities, including claim receipt, telephone calls, email, mail, text messages, and other sources of information.

Exceptional skills in: Time management and the ability to multi-task efficiently. Attention to detail in all aspects of claim handling. Verbal and written communication, ensuring clarity and professionalism. Customer service, investigation techniques, organization, negotiation, and reserving. Innovative thinking and adaptability.

Qualifications

Experience & Education

2–4 years of Commercial Auto Claims Adjusting experience required. Bachelor’s Degree or equivalent experience required. If not already held, must obtain and maintain an applicable resident or designated home state adjuster’s license, as well as additional state licensure as business needs dictate.