Claims Service Examiner

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

JOB INFORMATION

Job Title:

Claims Service Examiner

Job ID #

J2060

Job Family:

Specialist

Reports To Position:

Senior Leadership

FLSA

PRIMARY PURPOSE

Answer all department inbound claims calls including, but not limited to, cargo, work injury, accidents, safety  etc.; gather and document available pertinent information to initiate/create a claim.  Work with relevant internal and external contacts to respond to various aspects of the claim while adhering to appropriate claims handling procedures to assist in minimizing cost and exposure of claims liability.

Incumbents have assigning outside vendor authority up to $2,500 for services.  

ESSENTIAL FUNCTIONS

Respond to incoming phone calls/emails from; Internal departments-companies, insured’s, agents, drivers, owner-operators, attorney’s, executive leadership

Determine the proper company and coverage on all claims.

Review and handle highly complex incoming claims calls and escalated claims issues.

Follow up to ensure claims processes are appropriately carried out by various parties.

Initiate claims and investigations by assessing each situation independently and taking action i.e. assigning outside vendors if needed.

Make effective and appropriate economic decisions by gathering sufficient data, documenting clearly, making calls and asking appropriate questions when/where necessary.

Act as fiduciary agent of the company authorizing various insurance, towing and salvage expenses within designated authority.

Instruct, coordinate and monitor post-accident drug and alcohol tests to be completed as required by Department of Transportation (DOT).

Represent KNX and its agents as the initial contact from various third party vendors and claimants exhibiting Best in Class customer service.

Act as liaison for internal communications between designated department personnel and leadership representatives, as well as field investigators, attorneys, police agencies and other assigned vendors in serious accidents, injury claims, cargo losses and company equipment breakdown claims.

Research and identify, when possible, alleged instances when KNX equipment is reportedly involved in a crash with limited identification available.

Learn key functions and terms of multi-line insurance coverages and have the ability to apply general knowledge of state regulations within each line of coverage.

Act as fiduciary agent of the company authorizing various insurance, towing and salvage expenses within designated authority per occurrence.

Corresponds with policyholders, claimants, witnesses, attorneys, etc. to gather information to support decisions.

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

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

1+ years' experience in customer service and/or insurance/claims background required.

Must be able to multi-task and able to handle high call volumes.

Must be able to make timely commitments and follow through on commitments made.

Must be able to learn new processes.

Must possess excellent data entry skills.

Must be proficient with MS Office suite.

Must be able to work in a fast-paced environment and possess excellent time management skills.

Must be able to take direction from leadership and be detail-orientated.

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.