TRISTAR Insurance Group
Commercial Auto, BI, Liability Claims Examiner III
TRISTAR Insurance Group, Albany, New York, United States
Overview
Position Details : Level: Experienced; Job Location: Albany, NY; Position Type: Full Time; Education Level: High School Diploma or GED; Salary Range: $67,000.00 - $77,500.00; Travel: None; Job Shift: Day; Job Category: Admin - Clerical Commercial Auto, BI, Liability Claims Examiner III
This position can be remote or in office at Albany, NY
Position Summary Responsible for the prompt review of policy information including all relevant endorsements and vehicle schedules to determine coverage for loss/damage/injury. Conduct an 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.
Duties and Responsibilities
Review, process, and conclude assigned claims including investigation and evaluation of complex Commercial Auto property and casualty claims with a total incurred of $25,000.
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 recommendations.
Prepare Loss Reports providing a 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 the Claim Department with requested tasks or special projects.
Other duties as assigned.
Equipment Operated/Used Computer, 10-key, printer, copier, fax/scanner machine and other office equipment.
Special Equipment or Clothing Appropriate office attire
Qualifications QUALIFICATIONS REQUIRED:
Education/Experience: High school diploma or GED required; Bachelor’s degree in related field (preferred) and a minimum of five (5) years commercial auto casualty related experience; or equivalent combination of advanced education and experience.
Knowledge, Skills and Abilities:
At least 5 years of commercial automobile 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.
Ability to communicate effectively and clearly, both orally and in writing.
Ability to manage relationships in a fast paced environment, while demonstrating problem solving and decision making skills to work with customers.
Good analytical abilities to review, exercise judgment and evaluate claims in order to make sound decisions with a minimal amount of supervision.
Excellent customer service skills.
An understanding of the litigation process and case valuation in multiple jurisdictions.
Ability to carry out detailed written or verbal instructions, ability to respond to requests effectively and efficiently and exhibit good common sense.
An ability to handle assigned claims following company guidelines and industry best practices with a minimal amount of supervision.
Time management skills, organizational skills and ability to prioritize issues and tasks.
Ability to effectively operate computer equipment and applications.
Independence, flexibility and creativity.
Valid New York adjuster license.
Benefits
Medical, Dental, Vision, Disability & Life Insurance
401(k) plan
Paid time off
Paid holidays
Mental and Physical Requirements 1. Mental Effort
a. Reasoning development: Follow one- or two-step instructions; routine, repetitive task. Carry out detail but uninvolved written or verbal instructions; deal with a few concrete variables. Follow written, verbal, or diagrammatic instructions; several concrete variables. Solve practical problems; variety of variables with limited standardization; interpret instructions. Logical or scientific thinking to solve problems; several abstract and concrete variables. Wide range of intellectual and practical problems; comprehend most obscure concepts.
b. Mathematical development: Simple additional and subtraction; copying figures, counting, and recording. Add, subtract, multiply, and divide whole numbers. Arithmetic calculations involving fractions, decimals, and percentages. Arithmetic, algebraic, and geometric calculations. Advanced mathematical and statistical techniques such as calculus, factor analysis, and probability determination. Highly complex mathematical and statistical techniques such as calculus, factor analysis, and probability determination; requires theoretical application.
c. Language development: Ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies verbally or in writing. Ability to file, post, and mail materials; copy data from one record to another; interview to obtain basic information such as age, occupation, and number of children; guide people and provide basic direction. Ability to transcribe dictation; make appointments and process mail; write form letters or routine correspondence; interpret written work instructions; interview job applicants. Ability to compose original correspondence, follow technical manuals, and have increased contact with people. Ability to report, write, or edit articles for publication; prepare deeds, contracts or leases, prepare and deliver lectures; interview, counsel, or advise people; evaluate technical data.
2. Physical Effort a. Physical activity required to perform the job:
Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
b. Light work: Exerting up to 20 pounds of force occasionally; Exerting up to 10 pounds frequently; Exerting a negligible amount of force constantly to move objects.
c. Medium, Heavy, Very Heavy work: see original for details.
Visual requirements: Far vision, Near vision, Mid-range vision, Depth perception, Color vision, Field of vision.
3. Working Conditions Environmental factors and frequency of exposure: Dirt/Dust, Noise, Temperature extremes, Dampness, Vibrations, Equipment movement hazard, Chemicals/solvents, Electrical shock, Significant work pace/pressure, Odors/Fumes, Other (specify).
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This position can be remote or in office at Albany, NY
Position Summary Responsible for the prompt review of policy information including all relevant endorsements and vehicle schedules to determine coverage for loss/damage/injury. Conduct an 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.
Duties and Responsibilities
Review, process, and conclude assigned claims including investigation and evaluation of complex Commercial Auto property and casualty claims with a total incurred of $25,000.
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 recommendations.
Prepare Loss Reports providing a 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 the Claim Department with requested tasks or special projects.
Other duties as assigned.
Equipment Operated/Used Computer, 10-key, printer, copier, fax/scanner machine and other office equipment.
Special Equipment or Clothing Appropriate office attire
Qualifications QUALIFICATIONS REQUIRED:
Education/Experience: High school diploma or GED required; Bachelor’s degree in related field (preferred) and a minimum of five (5) years commercial auto casualty related experience; or equivalent combination of advanced education and experience.
Knowledge, Skills and Abilities:
At least 5 years of commercial automobile 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.
Ability to communicate effectively and clearly, both orally and in writing.
Ability to manage relationships in a fast paced environment, while demonstrating problem solving and decision making skills to work with customers.
Good analytical abilities to review, exercise judgment and evaluate claims in order to make sound decisions with a minimal amount of supervision.
Excellent customer service skills.
An understanding of the litigation process and case valuation in multiple jurisdictions.
Ability to carry out detailed written or verbal instructions, ability to respond to requests effectively and efficiently and exhibit good common sense.
An ability to handle assigned claims following company guidelines and industry best practices with a minimal amount of supervision.
Time management skills, organizational skills and ability to prioritize issues and tasks.
Ability to effectively operate computer equipment and applications.
Independence, flexibility and creativity.
Valid New York adjuster license.
Benefits
Medical, Dental, Vision, Disability & Life Insurance
401(k) plan
Paid time off
Paid holidays
Mental and Physical Requirements 1. Mental Effort
a. Reasoning development: Follow one- or two-step instructions; routine, repetitive task. Carry out detail but uninvolved written or verbal instructions; deal with a few concrete variables. Follow written, verbal, or diagrammatic instructions; several concrete variables. Solve practical problems; variety of variables with limited standardization; interpret instructions. Logical or scientific thinking to solve problems; several abstract and concrete variables. Wide range of intellectual and practical problems; comprehend most obscure concepts.
b. Mathematical development: Simple additional and subtraction; copying figures, counting, and recording. Add, subtract, multiply, and divide whole numbers. Arithmetic calculations involving fractions, decimals, and percentages. Arithmetic, algebraic, and geometric calculations. Advanced mathematical and statistical techniques such as calculus, factor analysis, and probability determination. Highly complex mathematical and statistical techniques such as calculus, factor analysis, and probability determination; requires theoretical application.
c. Language development: Ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies verbally or in writing. Ability to file, post, and mail materials; copy data from one record to another; interview to obtain basic information such as age, occupation, and number of children; guide people and provide basic direction. Ability to transcribe dictation; make appointments and process mail; write form letters or routine correspondence; interpret written work instructions; interview job applicants. Ability to compose original correspondence, follow technical manuals, and have increased contact with people. Ability to report, write, or edit articles for publication; prepare deeds, contracts or leases, prepare and deliver lectures; interview, counsel, or advise people; evaluate technical data.
2. Physical Effort a. Physical activity required to perform the job:
Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.
b. Light work: Exerting up to 20 pounds of force occasionally; Exerting up to 10 pounds frequently; Exerting a negligible amount of force constantly to move objects.
c. Medium, Heavy, Very Heavy work: see original for details.
Visual requirements: Far vision, Near vision, Mid-range vision, Depth perception, Color vision, Field of vision.
3. Working Conditions Environmental factors and frequency of exposure: Dirt/Dust, Noise, Temperature extremes, Dampness, Vibrations, Equipment movement hazard, Chemicals/solvents, Electrical shock, Significant work pace/pressure, Odors/Fumes, Other (specify).
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