Commercial Auto APD Claim Representative

Assigned to our Commercial Auto APD team , the Claim Representative is responsible for prompt review of insurance claims through effective research, evaluation, investigation, negotiation and interaction with insureds and claimants . The Claims Representative is often, assigned to least complex , severe and/or smaller claims in the Line of Business . Maintains a solid understanding of AmTrust’s mission, vision, and values.

Upholds the standards of the AmTrust and Claims organization .

Please note that this role works 4 days in office and 1 day remote out of either Dallas, TX;
Melville, NY;
Scottsdale, AZ; or Southington, CT

• Investigates the claim or coverage by making timely and appropriate contact with involved or interested parties including but not limited to the insured or employer representatives, claimant, witnesses and producers .
• Verifies coverage and policy conditions . Reviewed coverage issues as needed with supervisor . Typically utilized standardized language to draft positions if needed.
• Depending on the type of claim may interact internally with Subrogation, Managed Care or SIU or externally with police or others to get information.
• Establishes reserves based on estimating most likely outcome of a claim based on the facts for the case and company standard . Adjust reserves based on fact, co mpany standard and experience.
• Effectively settles and negotiates non-litigated claims .
• B uilds critical thinking and decision-making skills to gather, assess, analyze, question, verify, interpret and understand key or root issues.
• Establishes and maintains effective relationships with customers and gains their respect and trust .
• Demonstrates ability to learn technical materials and learns from mistakes in order to achieve best possible outcomes for claimant , customer and company .
• Writes in a clear, succinct and fact- based manner in Claims files as well as in other communication .
• Manages time and diary entries ef fective and efficiently, prioritizing work in a fast-paced environment.
• Performs other functional duties as assigned .

• Bachelor ’ s degree or equivalent experience
• State licensure as required
• 1-3 years claims handling experience
• Demonstrated proficiency with MS Office suites
• Demonstrated skills in investigation, evaluation and negotiation
• K nowledge of insurance theory and practices

• Knowledge of Commercial Auto , Garage Keepers, and total loss experience
• Ability to travel is required for some positions

Line of Business : APD

Claims Representative is responsible for handling Auto Physical Damage (APD) claims including, but not limited to effective claim investigation, coverage analysis, damage evaluation, proactive claim action planning, negotiation and resolution . The representative is responsible for medium to complex claims involving multiple parties, liability decisions, jurisdictional statutes, and additional exposures . Will also assist in any litigated files and arbitration hearings.

• Gather information and documentation such as witness statements, police and location investigation , photographs, appraisals/ estimates of damages
• Determine the appropriate appraisal channel to utilize based on the facts of the case
• Calculate the number of rental days needed and work with repair and rental facilities to manage the amount of time
• Understand and comply with state requirements with written/oral communication, liability, and the rules of the road
• Determine when a vehicle is a total loss and ensure successful transition to Total Loss team after securing pertinent information
• Coordinate with Core claim handling team on claims involving property damage and bodily injury
• May handle specialty areas such as…