Claims Examiner 4

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

JOB INFORMATION

Job Title:

Claims Examiner 4

Job ID #

J0095

Job Family:

Specialized Professional

Reports To Position:

Senior Leader

FLSA

ADMINISTRATIVE EXEMPTION

PRIMARY PURPOSE

The management of bodily injury claim files, both with and without attorney representation, including investigation, evaluation, and settlement of assigned claims. This position will handle DOT claims, pre-suit bodily injury claims, and lawsuits serving as a technical resource to team members for complex claim matters.

Incumbents have up to $100,000 reserve authority; $75,000 settlement authority and $50,000 payment authority.

ESSENTIAL FUNCTIONS

Investigate, document, evaluate, and settle complex bodily injury claims in accordance with KNX Best Practices.

Deliver high-quality claim handling and superior customer service while managing indemnity and expense outcomes.

Direct internal and external resources to effectively evaluate and mitigate claims, ensuring timely and strategic resolution.

Develop litigation strategies and guide defense counsel on action plans to support favorable outcomes.

Assess claim exposure and prepare comprehensive written settlement recommendations.

Establish and maintain accurate reserves based on initial evaluations and ongoing claim developments.

Mentor and coach team members to enhance technical expertise and support professional growth.

Participate in after-hours on-call rotation to provide immediate direction for accidents occurring outside normal business hours.

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

Bachelors' degree in related field or equivalent combination of education and experience required.

Insurance license and continuing education hours as required.

5+ years' complex claims experience required.

Claims experience in transportation industry preferred.

Must possess advance skills in liability and damage analysis with understanding of litigation process in both state and federal courts.

Must possess excellent negotiation and customer service abilities, ensuring fair resolutions and positive stakeholder engagement.

Must possess a proven ability to coach, influence, and persuade others to drive performance and achieve strategic outcomes.

Must be highly proficient in written and verbal communication, capable of presenting complex data to audiences with varying levels of expertise.

Must be dedicated to promoting a culture of trust, safety, and ethical standards across all claim-handling practices.

Must be able to work independently and collaboratively within fast-paced, team-oriented environments.

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.