Job Profile
Job Title: Claims Examiner Auto
Location: Remote
Hire Type: Contingent
Pay Range: $56
Work Model: Remote
Work Shift: Monday-Friday 8 am – 4:30 pm
Recruiter Contact: Sean Craft I sean@marykraft.com I 443-345-3305
Nature & Scope:
Positional Overview
We are seeking an experienced Claims Examiner – Commercial Auto Bodily Injury to join a high-performing claims team. This role is responsible for investigating, evaluating, and managing complex commercial auto bodily injury claims, including high-exposure litigation files. The ideal candidate has extensive experience handling commercial trucking losses, strong litigation management skills, and the ability to independently manage claims valued in excess of $1 million.
This position requires an experienced claims professional who thrives in a fast-paced environment and can effectively collaborate with clients, attorneys, vendors, and internal stakeholders to achieve timely and cost-effective claim resolutions.
Role & Responsibility:
Tasks That Will Lead to Your Success
- Investigate, evaluate, and manage complex commercial auto bodily injury claims from initial assignment through resolution.
- Review insurance coverage, determine liability, and evaluate damages based on policy provisions and applicable laws.
- Manage litigated bodily injury claims, partnering with defense counsel to develop effective litigation strategies.
- Handle high-severity commercial trucking claims, including losses exceeding $1 million.
- Develop strategic action plans to ensure timely claim resolution while meeting all state and client service requirements.
- Maintain accurate claim reserves and adjust reserves throughout the life of each claim.
- Communicate claim activity and settlement strategies with insureds, clients, brokers, attorneys, medical providers, and internal stakeholders.
- Ensure claim files are thoroughly documented and accurately coded.
- Negotiate settlements within designated authority levels.
- Monitor compliance with company policies, regulatory requirements, and client expectations.
- Participate in claim reviews and present complex cases to internal and external stakeholders.
- Coordinate with vendors, experts, and legal counsel as needed throughout the claims process.
- Perform additional duties and support quality initiatives as assigned.
Skills & Experience
Qualifications That Will Help You Thrive
- Minimum of 5 years of commercial auto claims management experience.
- Extensive experience handling commercial auto bodily injury claims.
- Experience managing commercial trucking claims with high-severity losses exceeding $1 million.
- Demonstrated litigation management experience involving bodily injury claims.
- Active adjuster's license with the ability to maintain licensing requirements; licensing in the contiguous 48 states is required.
- Strong understanding of commercial auto liability, coverage analysis, and claim investigation.
- Ability to independently manage complex, high-exposure claims from inception through resolution.
- Experience handling Amazon or transportation-related commercial auto claims.
- Expert knowledge of commercial auto insurance policies, coverages, and applicable regulations.
- Strong understanding of medical terminology, injury evaluation, and Medicare compliance.
- Knowledge of deductibles, self-insured retentions (SIRs), large deductible programs, and excess insurance structures.
- Excellent analytical, investigative, and problem-solving skills.
- Strong negotiation and settlement skills.
- Outstanding written and verbal communication abilities.
- Proficiency with Microsoft Office Suite and claims management systems.
- Excellent organizational and time management skills.
- Ability to manage multiple high-value claims in a fast-paced environment.
- Strong interpersonal skills with the ability to build relationships across clients, legal counsel, and internal teams.
- Ability to consistently meet or exceed service expectations and performance standards
Preferred Qualifications
- Bachelor's degree from an accredited college or university.
- Professional claims-related certifications.
- Third-Party Administrator (TPA) experience.