Commercial Auto Liability Claims Examiner III

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TRISTAR Insurance Group

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1987

🤝 B2B

⚕️ Healthcare Insurance

B2B • Healthcare Insurance

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

• Responsible for the prompt review of policy information including all relevant endorsements and vehicle schedules to determine coverage for loss/damage/injury. • Conduct and efficient claim examination and investigation leading to the final resolution of liability claims, including matters in litigation. • Frequent contact and interaction with involved parties including claimants and their legal representatives will be required. • Recommendations regarding loss exposure and associated reserve and settlement strategy will be effectively communicated to the client. • Review, process and conclude assigned claims including investigation and evaluation complex Commercial Auto and General Liability Casualty Claims. • Review and interpret policies, coverage determination. • Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to advance the claim to conclusion. • Maintain an ongoing diary. • Continually assess exposure and evaluate for accurate reserves and settlement recommendation. • Prepare Loss Reports providing thorough analysis of liability and damages. • Where applicable, determine if subrogation and/or risk transfer exists and initiate recovery efforts at the direction of the client. • Document all correspondence, reports, discussions and decisions in the claim file record. • Provide outstanding service to the client. • Assist Supervisors and Claim Department with requested tasks or special projects. • Other duties as assigned.

🎯 Requirements

• High School Diploma or GED required; bachelor’s degree in related field (preferred) and a minimum of seven+ (7) years’ commercial auto and general liability casualty related experience; or equivalent combination of advanced education and experience. • At least 10 years of Commercial Automobile and General Liability claims experience required • Knowledge of claims handling concepts, practices, and techniques, including but not limited to coverage issues and product line knowledge. • Demonstrated verbal and written communications skills. • Demonstrated advanced analytical, decision-making and negotiation skills. • Computer proficiency. • Multi state adjuster licensure within home state or designated state and/or the ability to obtain licenses through home state reciprocity or through state adjuster examinations.

🏖️ Benefits

• None specified