Empower your professional journey in a role that values intellectual curiosity and file ownership over high-volume "churn." As a Claims Examiner II, you will manage and resolve complex Commercial Auto, No-Fault/PIP, and General Liability claims from initial intake through final disposition. This position is perfect for a strategic thinker who excels at evaluating exposure, guiding investigative strategy, and collaborating with legal counsel to achieve fair and efficient resolutions. You will join a stable, rapidly growing organization that prides itself on autonomy, high-quality claims administration, and a professional work environment.
Key Duties:
Technical Policy Analysis: Review and interpret complex insurance policies to accurately determine liability and coverage exposure.
Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes.
Litigation Oversight: Direct and coordinate efforts with outside investigators, legal counsel, and various vendors to drive claim strategy.
Financial Management: Evaluate total claims exposure to establish and maintain appropriate financial reserves.
Negotiation & Settlement: Develop and execute sophisticated settlement strategies and communicate recommendations to key stakeholders.
Strategic Reporting: Prepare detailed loss reports that synthesize liability, damages, and coverage issues.
Recovery Initiatives: Identify and pursue subrogation and risk transfer opportunities to protect client interests.
Professional Communication: Provide elite-level service and maintain transparent communication with both internal and external stakeholders.
Experience: 2+ years of dedicated experience handling Commercial Auto and General Liability claims.
Technical Mastery: Strong understanding of claims handling practices, coverage analysis, and litigation management.
Communication: Exceptional written and verbal communication skills.
Decision Making: Proven ability to evaluate complex data, make independent decisions, and negotiate effectively.
Organizational Skills: Superior time management skills and proficiency with claims management software and standard computer applications.
Specialized Expertise: Direct experience managing No-Fault/PIP claims.
Education: Bachelor’s degree or equivalent professional experience.
Jurisdictional Knowledge: Familiarity with multi-jurisdictional claims handling requirements.
Remote Proficiency: Ability to work productively and independently in a fast-paced, 100% remote environment.
Location: 100% Fully Remote
Work Type: Full-Time | Direct Hire
Schedule: Standard Business Hours
Benefits: Full suite of premium benefits, including medical, dental, vision, and Paid Time Off (PTO).
If you're interested, please reply to this advertisement or directly email your resume to me at [email protected] or by calling/texting (949) 295-5951.
I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!
#Workwolf
