Claims Examiner in Irving, Texas

Claims Examiner

Please find below job details:

Job Location:

Irving, TX

Job Duration: 03 Months

Payrate: $40/hr. on W2

Must have commercial auto litigation experience, preferably in commercial trucking handling high severity/high value (in excess of (USD)1 million) losses.

• TPA experience a plus.
• Bodily injury handling experience to include demonstrable mid to high level injury handling.
• (USD) threshold handling up to 1 million.
• Licensed in the contiguous 48 states.
• Litigation handling experience pertaining to BI
• Experience working in a fast-paced environment, participating in and presenting cases to both internal and external stakeholders.

• To analyse and process commercial auto transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.

• Processes commercial auto bodily injury claims and ensures claim files are properly documented and coded correctly.
• Responsible for litigation process on litigated claims.
• Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
• Communicates claim action/processing with insured, client, and agent or broker when appropriate.

• Performs other duties as assigned.
• Supports the organization's quality program(s).
• Travels as required.

Education & Licensing

• Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position.
• Experience Five (5) years of commercial auto claims management experience or equivalent combination of education and experience required to include in-depth knowledge of commercial line auto policies, coverage's, principles, and laws.

• In-depth knowledge of commercial line auto policies, coverage's, principles, and laws
• Knowledge of medical terminology for claim evaluation and Medicare compliance
• Knowledge of appropriate application for deductibles, sub-limits, SIR's, carrier and large deductible programs.
• Strong oral and written communication, including presentation skills
• PC literate, including Microsoft Office products
• Strong organizational skills
• Strong interpersonal skills
• Good negotiation skills
• Ability to work in a team environment
• Ability to meet or exceed Service Expectations

• When applicable and appropriate, consideration will be given to reasonable accommodations.
• Mental:
  Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
• Physical:
  Computer keyboarding, travel as required
• Auditory/Visual:
  Hearing, vision and talking