Commercial Auto Liability Claims Examiner III

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🗽 New York – Remote

🗽 New York – Remote

💵 $65k - $80k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📋 Claims Specialist

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TRISTAR Insurance Group

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1987

💼 Consulting

🏥 Healthcare

📦 Logistics

Consulting • Healthcare • Logistics

TRISTAR Insurance Group is a national third-party administrator (TPA) that provides insurance administration and risk management services to employers, insurers and public entities. Its solutions include property & casualty, workers' compensation, general and auto liability, managed care (bill review, case management, utilization review, nurse triage, pharmacy benefit management), absence and disability management, employee group benefits administration, and risk control and workplace safety services. TRISTAR emphasizes collaborative, technology-enabled and tailored services to transform risk into opportunity for its clients.

📋 Description

• Review, process, investigate, evaluate, and conclude assigned complex Commercial Auto property and casualty claims with total incurred amounts of $25,000 • Review policy information, endorsements, and vehicle schedules to determine coverage for loss, damage, or injury • Conduct claim examinations and investigations through final resolution of New York liability claims, including litigation matters • Oversee and direct outside investigative service providers • Work with the client, client counsel, and investigative services to advance claims to conclusion • Maintain an ongoing claim diary • Assess exposure and evaluate reserves and settlement recommendations • Prepare loss reports analyzing liability and damages • Determine and initiate subrogation or risk-transfer recovery efforts when applicable and directed by the client • Document correspondence, reports, discussions, and decisions in claim files • Provide outstanding client service • Assist supervisors and the Claims Department with requested tasks and special projects • Perform other duties as assigned

🎯 Requirements

• High school diploma or GED required • Minimum five (5) years of commercial auto casualty-related experience • At least 5 years of commercial automobile liability claims experience required • Knowledge of claims handling concepts, practices, and techniques, including coverage issues and product-line knowledge • Demonstrated verbal and written communication skills • Advanced analytical, decision-making, and negotiation skills • Computer proficiency • Ability to communicate effectively and clearly, orally and in writing • Ability to manage relationships in a fast-paced environment • Problem-solving and decision-making skills • Ability to review, exercise judgment, and evaluate claims with minimal supervision • Excellent customer service skills • Understanding of the litigation process and case valuation in multiple jurisdictions • Ability to follow detailed written or verbal instructions and respond effectively and efficiently • Ability to handle assigned claims according to company guidelines and industry best practices with minimal supervision • Time-management, organizational, prioritization, independence, flexibility, and creativity skills • Ability to effectively operate computer equipment and applications • Valid New York adjuster license

🏖️ Benefits

• Medical, Dental, Vision, Disability & Life Insurance • 401(k) plan • Paid time off • Paid holidays