General Liability & Auto Claims Examiner III
About the position
The General Liability & Auto Claims Examiner III at TRISTAR Risk Management is responsible for the prompt review and examination of claims to determine coverage for loss, damage, or injury. This role involves conducting efficient claim investigations that lead to the final resolution of liability claims, including those that are in litigation. The position requires frequent interaction with various parties, including claimants, their legal representatives, and defense counsel. The examiner must effectively communicate recommendations regarding loss exposure, reserve strategies, and settlement strategies to clients. In this role, the examiner will review, process, and conclude assigned claims, which may include complex Auto and General Liability Casualty Claims. The examiner will also interpret contracts with third parties for loss transfer and oversee outside investigative service providers. Maintaining an ongoing diary of claims and continually assessing exposure for accurate reserves and settlement recommendations is crucial. The examiner will prepare detailed Loss Reports that provide thorough analyses of liability and damages, and where applicable, will determine if subrogation or risk transfer exists and initiate recovery efforts as directed by the client. Outstanding service to clients is a key expectation, and the examiner will assist supervisors and the claims department with special projects or tasks as needed. The position offers flexibility, allowing for hybrid or full-time remote work options.
Responsibilities
Review, process and conclude assigned claims including investigation and evaluation of complex Auto and/or General Liability Casualty Claims.
,
Review and interpret contracts with third parties for loss transfer.
,
Oversee and direct outside investigative service providers and collaborate with clients and their counsel to advance claims to conclusion.
,
Maintain an ongoing diary of claims.
,
Continually assess exposure and evaluate for accurate reserves and settlement recommendations.
,
Prepare Loss Reports providing thorough analysis of liability and damages.
,
Determine if subrogation and/or risk transfer exists and initiate recovery efforts at the direction of the client.
,
Document all correspondence, reports, discussions, and decisions in the claim file record.
,
Provide outstanding service to the client.
,
Assist Supervisors and Claim Department with requested tasks or special projects.
,
Perform other duties as assigned.
Requirements
High School Diploma or GED required; Bachelor's degree in a related field preferred.
,
Minimum of three to five (3 to 5) years of Public Entity Auto and General Liability Casualty related experience or equivalent combination of advanced education and experience.
,
At least 7 years of Commercial Automobile and General Liability claims experience required.
,
Knowledge of claims handling concepts, practices, and techniques, including coverage issues and product line knowledge.
,
Demonstrated verbal and written communication skills.
,
Demonstrated advanced analytical, decision-making, and negotiation skills.
,
Computer proficiency.
Nice-to-haves
Ability to communicate effectively and clearly, both orally and in writing.
,
Ability to manage relationships in a fast-paced environment while demonstrating problem-solving and decision-making skills.
,
Good analytical abilities to review, exercise judgment, and evaluate claims to make sound decisions with minimal supervision.
,
Excellent customer service skills.
,
Understanding of the litigation process and case valuation in multiple jurisdictions.
,
Ability to carry out detailed written or verbal instructions and respond to requests effectively and efficiently.
,
Time management skills, organizational skills, and ability to prioritize issues and tasks.
,
Independence, flexibility, and creativity.
Benefits
Apply Now
The General Liability & Auto Claims Examiner III at TRISTAR Risk Management is responsible for the prompt review and examination of claims to determine coverage for loss, damage, or injury. This role involves conducting efficient claim investigations that lead to the final resolution of liability claims, including those that are in litigation. The position requires frequent interaction with various parties, including claimants, their legal representatives, and defense counsel. The examiner must effectively communicate recommendations regarding loss exposure, reserve strategies, and settlement strategies to clients. In this role, the examiner will review, process, and conclude assigned claims, which may include complex Auto and General Liability Casualty Claims. The examiner will also interpret contracts with third parties for loss transfer and oversee outside investigative service providers. Maintaining an ongoing diary of claims and continually assessing exposure for accurate reserves and settlement recommendations is crucial. The examiner will prepare detailed Loss Reports that provide thorough analyses of liability and damages, and where applicable, will determine if subrogation or risk transfer exists and initiate recovery efforts as directed by the client. Outstanding service to clients is a key expectation, and the examiner will assist supervisors and the claims department with special projects or tasks as needed. The position offers flexibility, allowing for hybrid or full-time remote work options.
Responsibilities
Review, process and conclude assigned claims including investigation and evaluation of complex Auto and/or General Liability Casualty Claims.
,
Review and interpret contracts with third parties for loss transfer.
,
Oversee and direct outside investigative service providers and collaborate with clients and their counsel to advance claims to conclusion.
,
Maintain an ongoing diary of claims.
,
Continually assess exposure and evaluate for accurate reserves and settlement recommendations.
,
Prepare Loss Reports providing thorough analysis of liability and damages.
,
Determine if subrogation and/or risk transfer exists and initiate recovery efforts at the direction of the client.
,
Document all correspondence, reports, discussions, and decisions in the claim file record.
,
Provide outstanding service to the client.
,
Assist Supervisors and Claim Department with requested tasks or special projects.
,
Perform other duties as assigned.
Requirements
High School Diploma or GED required; Bachelor's degree in a related field preferred.
,
Minimum of three to five (3 to 5) years of Public Entity Auto and General Liability Casualty related experience or equivalent combination of advanced education and experience.
,
At least 7 years of Commercial Automobile and General Liability claims experience required.
,
Knowledge of claims handling concepts, practices, and techniques, including coverage issues and product line knowledge.
,
Demonstrated verbal and written communication skills.
,
Demonstrated advanced analytical, decision-making, and negotiation skills.
,
Computer proficiency.
Nice-to-haves
Ability to communicate effectively and clearly, both orally and in writing.
,
Ability to manage relationships in a fast-paced environment while demonstrating problem-solving and decision-making skills.
,
Good analytical abilities to review, exercise judgment, and evaluate claims to make sound decisions with minimal supervision.
,
Excellent customer service skills.
,
Understanding of the litigation process and case valuation in multiple jurisdictions.
,
Ability to carry out detailed written or verbal instructions and respond to requests effectively and efficiently.
,
Time management skills, organizational skills, and ability to prioritize issues and tasks.
,
Independence, flexibility, and creativity.
Benefits
Apply Now