Auto Claim Specialist

Overview: In this role, the person will be primarily responsible for handling Commercial Auto Claims, including property damage, property damage liability, rental management, and/or other applicable coverages.

Locations: Candidates must be able to work from one of our Claims Service Center locations in Phoenix, AZ, O'Fallon, MO or Alpharetta, GA. 

Key Responsibilities:

• 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.

Knowledge Skills and Abilities: 

• Full knowledge of commercial insurance contracts, investigation techniques, legal requirements and insurance regulations.
• Ability to work effectively in-person and remotely
• Display an inquisitive and curious mindset for investigating, evaluating, analyzing, and interpreting information.
• Ability to analyze and prioritize multiple competing priorities, including claim receipt, telephone calls, email, mail, text messages, and/or other sources of information 

Desired Skills:

• Exceptional Customer Service Abilities: Demonstrated commitment to providing top-notch service to clients, ensuring their concerns are addressed promptly and professionally. Ability to manage difficult conversations with empathy and clarity while maintaining a positive rapport.
• Proficiency in Investigation Techniques: Strong understanding of investigative methodologies, including how to gather, analyze, and interpret relevant information to assess claims accurately. Familiarity with evidence collection processes and conducting interviews to establish facts.
• Strong Organizational and Time Management Skills: Proven ability to manage multiple claims simultaneously, prioritizing tasks effectively to meet deadlines. Ability to maintain detailed and organized claim files that facilitate quick reference and decision-making.
• Excellent Verbal and Written Communication Skills: Ability to articulate complex ideas clearly and concisely in both verbal and written formats. Proficient in drafting comprehensive reports and correspondence that comply with legal and company standards, ensuring clear communication with clients, colleagues, and vendors.
• Skilled in Negotiation and Reserving Processes: Demonstrated proficiency in negotiating settlements that are fair and equitable for all parties involved. Strong understanding of reserve setting and management to ensure appropriate claim funding throughout the process.
• Innovative Thinking and Problem-Solving Capabilities: Ability to think creatively when faced with challenges, developing effective strategies to resolve issues and optimize claims processes. Comfortable making independent decisions in high-pressure situations, while also recognizing when to seek guidance from senior team members.
• Attention to Detail: A meticulous approach to reviewing contracts, claim details, and documentation, ensuring accuracy and compliance with industry standards. Strong ability to identify potential discrepancies or coverage gaps that may impact the claims process.
• Adaptability and Stress Management: Capable of maintaining effectiveness in rapidly changing environments, particularly during workload surges or crisis situations. Ability to remain calm and make informed decisions under pressure, contributing to efficient operations during catastrophic events.
• Team Collaboration and Leadership: Proven ability to work effectively within a team, fostering a collaborative environment. For senior candidates, the ability to provide mentorship and technical guidance to junior adjusters, enhancing the overall skill set of the team.
• Technological P