Claims Examiner 2

J  o  b    D  e  s  c  r  i  p  t  i  o  n

JOB INFORMATION

Job Title:

Claims Examiner 2

Job ID #

J0093

Job Family:

Professional

Reports To Position:

Senior Leadership

FLSA

ADMINISTRATIVE EXEMPTION

PRIMARY PURPOSE

The management of auto property damage and subrogation claim files. This role involves investigating property damage claims, determining liability, and pursuing subrogation opportunities to recover costs from responsible third parties.

Incumbents have up to $10,000 reserve authority; $5,000 settlement authority and $2,500 payment authority.

ESSENTIAL FUNCTIONS

Investigate, evaluate and resolve auto property damage and subrogation claims.

Ensure timely and professional communication with all involved parties.

Monitor and control claim-related expenses by leveraging cost-effective solutions, negotiating repair costs, and identifying opportunities for subrogation recovery.

Maintain detailed and organized claim files, ensuring all actions, communications, and decisions are properly recorded.

Document and establish timely reserves and execute claims payments within the delegated authority. Provide recommended action for all claim payments beyond delegated authority.

Engage directly with claimants and repair facilities to resolve claims efficiently while mitigating expense and maintaining a high level of customer service.

Manage multiple claims simultaneously, prioritizing tasks and deadlines to ensure timely and efficient resolution.

Actively support colleagues and cross-functional teams to foster a collaborative work environment and alignment with organizational goals.

Proactively work to assist others in achieving the organization's objectives.

WORKERS COMP INJURY

WORKERS COMP INJURY Handle claims for minor lost time, medical only and first aid claims in multiple state jurisdictions.

WORKERS COMP INJURY

WORKERS COMP INJURY Stay current through completing continuing education on federal, state and local work injury laws.

WORKERS COMP INJURY

WORKERS COMP INJURY Review insurance policies for owner/operators and assign deductibles as needed.

WORKERS COMP INJURY

WORKERS COMP INJURY Research and compile all loss components and send payment demand to at fault party.

Associate's degree or equivalent combination of education and/or experience required.

2+ years' experience in insurance/claims required.

Must possess strong analytical, organizational, and time-management skills.

Must possess excellent verbal and written communication abilities.

Must be proficiency in Microsoft Office and claims management software.

Must have the ability to work independently and manage multiple tasks in a fast-paced environment.

The Company is an equal employment opportunity employer.  The Company’s policy is not to unlawfully discriminate against any applicant or employee on the basis of race, color, sex, sexual orientation, gender identity, religion, national origin, age, military status, disability, genetic information or any other consideration made unlawful by applicable federal, state, or local laws.  The Company also prohibits harassment of applicants and employees based on any of these protected categories.