Commercial Auto & Property Damage Claims Examiner II

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🔥 44 minutes ago

🏖️ New Jersey, New York – Remote

🏖️ New Jersey – Remote 🗽 New York – Remote

💵 $72k - $80k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📋 Claims Specialist

🚫👨‍🎓 No degree required

👻 Ghost score 2%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Just posted.
• Jobs at this company usually fill in 72 days.

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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 and interpret policy coverage • Investigate, evaluate, process, negotiate, and resolve assigned automobile physical damage, property damage liability, and total loss claims • Analyze coverage, liability, and damages and identify issues requiring additional investigation or escalation • Oversee and direct outside service providers, including appraisers and investigators • Work closely with clients, client counsel, and other involved parties to advance claims toward resolution • Maintain an accurate and timely diary system and complete required follow-up activities • Evaluate claim exposure and establish or recommend accurate reserves and settlement strategies • Prepare comprehensive loss reports analyzing coverage, liability, damages, exposure, reserves, and recommended next steps • Identify subrogation, contribution, or other risk-transfer opportunities and initiate recovery efforts • Document correspondence, reports, discussions, evaluations, and claim decisions in claim files • Conduct independent claim file reviews and ensure files are properly documented and handled according to applicable requirements • Provide timely, professional, and responsive service to clients, claimants, insureds, and other involved parties • Engage TRISTAR Loss Control staff when appropriate • Comply with company policies, procedures, client service instructions, and applicable regulatory requirements • Perform other duties and special projects as assigned

🎯 Requirements

• High school diploma or GED required • Bachelor’s degree in business, insurance, risk management, or a related field preferred • Minimum of two years of experience handling automobile physical damage, property damage liability, general liability casualty, and/or No-Fault/PIP claims • Working knowledge of claim-handling principles, practices, and procedures, including policy interpretation, coverage analysis, liability assessment, damage evaluation, reserving, negotiation, and settlement • Ability to investigate, evaluate, negotiate, and resolve assigned claims with minimal supervision • Strong analytical, critical-thinking, decision-making, and problem-solving skills • Ability to evaluate complex claim information, exercise sound judgment, and make well-supported recommendations • Strong verbal and written communication skills • Ability to communicate professionally and effectively with clients, claimants, insureds, attorneys, vendors, and other involved parties • Strong customer-service and relationship-management skills • Ability to manage competing priorities and maintain accuracy in a fast-paced environment • Strong organizational, time-management, and follow-up skills • Ability to understand and carry out detailed written and verbal instructions • Ability to maintain complete, accurate, and timely claim documentation • Proficiency with computers, claims-management systems, and standard business applications • Ability to work independently while remaining flexible and responsive to changing client and business needs • Ability to follow company guidelines, client service instructions, applicable regulations, and industry best practices • Must possess a current and valid New York adjuster license • Must be willing and able to obtain and maintain a California adjuster license within the timeframe established by the company • Must obtain and maintain any additional licenses required to handle assigned claims • Must be available to work on the company’s established Eastern Time core business hours

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