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Genesis Resources

Commercial Auto Claims Examiner

Genesis Resources, Jersey City, NJ, United States


Responsibilities:

The auto liability claims department is looking for an experienced Claims Examiner to handle moderate complexity auto claims within our organization. This position requires an understanding and knowledge of litigation management in multiple jurisdictions. The successful candidate will routinely handle claims involving liability/coverage issues, contractual liability issues and litigated matters including some reserved in excess of $250,000.

  • Conduct the necessary investigation to determine coverage, liability and damages.
  • Evaluate, negotiate, and settle assigned property damage or bodily injury claims within authority granted, or seek authority for those claims in excess of authority.
  • Obtain all required adjuster licenses within 180 days
Key Functions include but are not limited to:
  • Handle claims from assignment to conclusion, develop action plans to manage case for early resolution.
  • Provide direction and guidance to defense attorneys to develop an effective and cost-efficient litigation plan.
  • Provide a positive customer service experience
  • Maintain a current diary on outstanding claims
  • Prepare large loss reports as needed
  • Meet or exceed objectives for reserving standards, quality audits, closing ratio, expense controls, Medicare compliance
  • Maintain all adjuster licenses by attending CE courses as required
  • Perform other duties assigned
Qualifications
  • 5-7 years of experience handling claims. The individual must be able to identify and address coverage issues and complete an investigation to determine liability/exposure.
  • 3+ years of experience handling litigated injury claims.
  • Ability to work independently and handle cases with moderate supervision.
  • Excellent written and verbal communication skills as well as having the ability to present complex matters to upper management as needed.
  • Self-motivated and results oriented.
  • Capable of working with internal and external teams and partners.
Education Requirement
  • 4-year college degree with a concentration in business, law, public administration or insurance preferred.
  • Advanced industry designations such as AIC, CCP, or CPCU preferred.