Commercial Auto Liability Claims Examiner III Temp

Philadelphia, PA - USA

Monthly Salary: USD 72800 - 87360

Posted on: Yesterday

Vacancies: 1 Vacancy

Job Summary

Description

POSITION SUMMARY: Responsible for the prompt review of policy information including all relevant endorsements and vehicle schedules to determine coverage for loss/damage/injury. Conduct and efficient claim examination and investigation leading to the final resolution of liability claims including matters in litigation. Frequent contact and interaction with involved parties including claimants and their legal representatives will be required. Recommendations regarding loss exposure and associated reserve and settlement strategy will be effectively communicated to the client.

DUTIES AND RESPONSIBILITIES:

Review process and conclude assigned claims including investigation and evaluationcomplex Commercial Auto property and casualty claims with a total incurred of $25000.

Oversee and direct outside investigative service providers and work closely with theclient and client counsel and investigative services to advance the claim to conclusion.

Maintain an ongoing diary.

Continually assess exposure and evaluate accurate reserves and settlementrecommendations.

Prepare Loss Reports providing thorough analysis of liability and damages.

Where applicable determine if subrogation and/or risk transfer exists and initiaterecovery efforts in 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.

Other duties as assigned.

EQUIPMENT OPERATED/USED: Computer 10-key printer copier fax/scanner machine and other office equipment.

SPECIAL EQUIPMENT OR CLOTHING: Appropriate office attire

Qualifications

QUALIFICATIONS REQUIRED:

Education/Experience: High school diploma or GED required; Bachelors degree in related field (preferred) and a minimum of five (5) years commercial auto casualty related experience; or equivalent combination of advanced education and experience.

Knowledge Skills and Abilities:

At least 5 years of commercial automobile liability claims experience is required.

Knowledge of claims handling concepts practices and techniques including but notlimited to coverage issues and product line knowledge.

Demonstrated verbal and written communications skills.

Demonstrated advanced analytical decision making and negotiation skills.

Computer proficiency.

Ability to communicate effectively and clearly both orally and in writing.

Ability to manage relationships in a fast-paced environment while demonstratingproblem solving and decision-making skills to work with customers.

Good analytical abilities to review exercise judgment and evaluate claims in order tomake sound decisions with a minimal amount of supervision.

Excellent customer service skills.

An understanding of the litigation process and case valuation in multiple jurisdictions.

Ability to carry out detailed written or verbal instructions ability to respond to requestseffectively and efficiently and exhibit good common sense.

An ability to handle assigned claims following company guidelines and industry bestpractices with a minimal amount of supervision.

Time management skills organizational skills and ability to prioritize issues and tasks.

Ability to effectively operate computer equipment and applications.

Independence flexibility and creativity.

Other Qualifications:

Valid New York adjuster license.

Here are some of the benefits you can enjoy in this role:

Medical Dental & Vision Insurance
Life & Disability Insurance
401(k) plan
Paid time off
Paid holidays
Referral bonus.

Mental and Physical Requirements:

MENTAL AND PHYSICAL REQUIREMENTS

1. MENTAL EFFORT

a. Reasoning development:Follow one- or two-step instructions; routine repetitive task.

Carry out detail but uninvolved written or verbal instructions; deal with a few concrete variables.

Follow written verbal or diagrammatic instructions; several concrete variables.

Solve practical problems; variety of variables with limited standardization; interpret instructions.

X Logical or scientific thinking to solve problems; several abstract and concrete variables.

Wide range of intellectual and practical problems; comprehend most obscure concepts.

b. Mathematical development:

Simple additional and subtraction; copying figures counting and recording.

Add subtract multiply and divide whole numbers.

X Arithmetic calculations involving fractions decimals and percentages.

Arithmetic algebraic and geometric calculations.

Advanced mathematical and statistical techniques such as calculus factor analysis and probability determination.

Highly complex mathematical and statistical techniques such as calculus factor analysis and probability determination; requires theoretical application.

c. Language development:

Ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies verbally or in writing.

Ability to file post and mail materials; copy data from one record to another; interview to obtain basic information such as age occupation and number of children; guide people and provide basic direction.

Ability to transcribe dictation; make appointments and process mail; write form letters or routine correspondence; interpret written work instructions; interview job applicants.

Ability to compose original correspondence follow technical manuals and have increased contact with people.

2. PHYSICAL EFFORT

a. Physical activity required to perform the job:

X Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligibleamount of force frequently or constantly to lift carry push pull or otherwise move objects.

Sedentary work involves sitting most of the time.

Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Light work:

a. Exerting up to 20 pounds of force occasionally

b. Exerting up to 10 pounds frequently

c. Exerting a negligible amount of force constantly to move objects(If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time the job is rated for Light Work).

Medium work:

a. Exerting up to 50 pounds of force occasionally

b. Exerting up to 20 pounds of force frequently

c. Exerting up to 10 pounds of force constantly to move objectsHeavy work:

a. Exerting up to 100 pounds of force occasionally

b. Exerting up to 50 pounds of force frequently

c. Exerting up to 20 pounds of force constantly to move objects

Very heavy work:

a. Exerting in excess of 100 pounds of force occasionally

b. Exerting in excess of 50 pounds of force constantly to move objects

c. Exerting in excess of 20 pounds of force constantly to move objects

b. Visual requirements necessary to perform the job: Far vision: clarity of vision at 20 feet or more

X Near vision: clarity of vision at 20 inches or less

X Mid-range vision: clarity of vision at distances of more than 20 inches and less than 20 feet Depth perception: the ability to judge distance and space relationships so as to see objects where and as they actually are

X Ability to report write or edit articles for publication; prepare deeds contracts or leases prepare and deliver lectures; interview counsel or advise people; evaluate technical data.

Color vision: ability to identify and distinguish colors

Field of vision: ability to observe an area up or down or to the right or left while eyes are fixed on a given point

2. PHYSICAL EFFORT (cont.)

FREQUENCY

c. Physical activity necessary to perform the job and frequency ( frequently or occasionally):Climbing: Ascending or descending ladders stairs scaffoldingramps poles and the like using feet and legs and/or hands and arms.

Body agility is emphasized. This factor is important if the amount and kind of climbing required exceeds that required for ordinary locomotion.

Balancing: Maintaining body equilibrium to prevent falling when walking standing or crouching on narrow slippery or erratically moving surfaces. This factor is important if the amount and kind of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium.

Stooping: Bending body downward and forward by bending spine atthe waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles.

Kneeling: Bending legs at knee to come to a rest on knee or : Bending the body downward and forward by bending legs and spine.

Crawling: Moving about on hands and knees or hands and feet. Reaching: Extending hand(s) and arm(s) in any direction.

Standing: Particularly for sustained periods of : Moving about on foot to accomplish tasks particularly forlong distances.

Pushing: Using upper extremities top press against something withsteady force in order to thrust forward downward or outward.

Pulling: Using upper extremities to extent force in order to drag haul or tug objects in a sustained motion.

Foot important if it occurs to a considerable degree and requires substantial use of the upper extremities and back muscles.

X Fingering: Picking pinching typing or otherwise working with fingersrather than with the whole hand or arm as in handling.

X Grasping: Applying pressure to an object with the fingers and palm.

FrequentlyOccasionally

Motion: Using feet to push pedals.

Lifting: Raising objects from a lower to a higher position or moving objects horizontally from position to position. This factor is

2. PHYSICAL EFFORT (cont.)	FREQUENCY
X Talking: Expressing or exchanging ideas by means of the spokenword. Those activities in which workers must convey detailed or important spoken instructions to other workers accurately loudly or quickly. X Hearing: Perceiving the nature of sounds with or without correction. Ability to receive detailed information through verbal communication and to make fine discriminations in sound such as when making find adjustments on machined parts. Feeling: Perceiving attributes of objects such as size shapetemperature or texture by touching with skin particularly that of fingertips. X Repetitive Substantial movements (motions) of the wrists handsMotion: and/or fingers.	FrequentlyFrequentlyFrequently
3. WORKING CONDITIONS Disagreeable job conditions to which the employee may be exposed and the frequency (e.g. continually frequently or occasionally) of this exposure.
WORKING CONDITIONENVIRONMENTALFACTOR	NATURE/REASONOF EXPOSURE	FREQUENCY
Dirt/Dust
Noise
Temperature extremes

Dampness

Vibrations

Equipment movement hazard

Chemicals/solvents

Electrical shock

Significant work pace/pressure

Odors/Fumes

Other (specify):

Required Experience:

Senior IC

DescriptionPOSITION SUMMARY: Responsible for the prompt review of policy information including all relevant endorsements and vehicle schedules to determine coverage for loss/damage/injury. Conduct and efficient claim examination and investigation leading to the final resolution of liability claims i...