Commercial Auto & General Liability Claims Examiner II

Commercial Auto & General Liability Claims Examiner II

Role Summary

Empower your professional journey in a role that values intellectual curiosity and file ownership over high-volume "churn." As a Claims Examiner II, you will manage and resolve complex Commercial Auto, No-Fault/PIP, and General Liability claims from initial intake through final disposition. This position is perfect for a strategic thinker who excels at evaluating exposure, guiding investigative strategy, and collaborating with legal counsel to achieve fair and efficient resolutions. You will join a stable, rapidly growing organization that prides itself on autonomy, high-quality claims administration, and a professional work environment.

Key Duties:

• Technical Policy Analysis: Review and interpret complex insurance policies to accurately determine liability and coverage exposure.

• Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes.

• Litigation Oversight: Direct and coordinate efforts with outside investigators, legal counsel, and various vendors to drive claim strategy.

• Financial Management: Evaluate total claims exposure to establish and maintain appropriate financial reserves.

• Negotiation & Settlement: Develop and execute sophisticated settlement strategies and communicate recommendations to key stakeholders.

• Strategic Reporting: Prepare detailed loss reports that synthesize liability, damages, and coverage issues.

• Recovery Initiatives: Identify and pursue subrogation and risk transfer opportunities to protect client interests.

• Professional Communication: Provide elite-level service and maintain transparent communication with both internal and external stakeholders.

Required Qualifications

• Experience: 2+ years of dedicated experience handling Commercial Auto and General Liability claims.

• Technical Mastery: Strong understanding of claims handling practices, coverage analysis, and litigation management.

• Communication: Exceptional written and verbal communication skills.

• Decision Making: Proven ability to evaluate complex data, make independent decisions, and negotiate effectively.

• Organizational Skills: Superior time management skills and proficiency with claims management software and standard computer applications.

Desired Qualifications

• Specialized Expertise: Direct experience managing No-Fault/PIP claims.

• Education: Bachelor’s degree or equivalent professional experience.

• Jurisdictional Knowledge: Familiarity with multi-jurisdictional claims handling requirements.

• Remote Proficiency: Ability to work productively and independently in a fast-paced, 100% remote environment.

Location and Work Type

• Location: 100% Fully Remote

• Work Type: Full-Time | Direct Hire

• Schedule: Standard Business Hours

• Benefits: Full suite of premium benefits, including medical, dental, vision, and Paid Time Off (PTO).

If you're interested, please reply to this advertisement or directly email your resume to me at [email protected] or by calling/texting (949) 295-5951.

I strive to reply within 48 hours. Looking forward to connecting with you soon. Thank you!