Auto Claim Examiner
- Analyze first reports and promptly contact insured/claimants within hours.
- Effectively evaluate contract language and identify coverage issues.
- Promptly and appropriately create an action plan for an accurate and timely investigation and loss analysis.
- Maintain an active file diary to move file toward timely resolution.
- Establish accurate and timely reserves within required timeframes.
- Recognize and refer appropriate files for recovery.
- Adhere to all internal, statutory, and regulatory compliance requirements.
- Recognize and identify potential fraudulent claims.
- Effectively manage the use, work product and expenses of outside vendors.
- Effectively evaluate claim facts and negotiate claim settlements.
- Develop and maintain strong business relationships with internal and external customers.
- Serve as a resource to lesser experienced Examiners.
- Supports workload surges and/or Catastrophe Operations as needed to include working overtime, nights, and/or weekends during designated CATs.
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