Company Details
Carolina Casualty Insurance GroupCarolina Casualty specializes in commercial automobile insurance solutions, providing coverage and claims services for truck, bus, commercial auto and public transportation risks. The organization focuses on fair claims handling practices, effective management of insured exposures, and delivering prompt, equitable claim resolutions for its customers.
Responsibilities
The Claims Examiner is responsible for the investigation, evaluation, disposition, and settlement of bodily injury claims involving commercial automobile losses, including the determination of coverage, liability, damages, risk transfer, and the timely setting of proper reserves while ensuring fair claims handling and control of insured exposures.
• Oversee and resolve truck, bus, commercial auto and/or public transportation claims• Conduct prompt, thorough, and fair investigations by obtaining relevant facts to determine coverage, origin, and extent of losses• Investigate, determine, and evaluate coverage, liability, damages, risk transfer, and timely set proper reserves• Control the insured’s exposures and losses, manage consultants, and achieve prompt, fair, and equitable settlements according to fair claims handling requirements• Utilize critical thinking and sound judgment to solve problems, make decisions, and resolve complex issues inherent in handling losses, and plan and organize activities throughout the claim management process• Write concise reports and effectively communicate contractual issues, technical legal concepts, and coverage application in easy-to-understand terms• Act timely upon emerging information to ensure ongoing recognition of the financial exposure on losses within assigned exposure up to $100k, and promptly communicate to management if exposure is beyond the assigned level• Interpret related claims documentation• Initiate and oversee serious automobile accident investigations and rapid response• Develop strategies and effective plans that drive claims to better results• Accurately assess and resolve commercial auto insurance coverage issues by analyzing facts and allegations in conjunction with all policy provisions, endorsements, and amendments• Draft declination, Reservation of Rights, and other coverage letters• Negotiate outstanding settlements• Present case statuses and summaries in a clear, concise, and understandable manner• Document and communicate all claim activities timely and effectively in a manner that supports the outcome of the claim file
Qualifications
Qualifications:
• 6+ years of commercial auto claims adjusting experience• Active Adjuster License required• Excellent written and verbal communication skills• Excellent organizational and analytical skills with high attention to detail• Ability to work independently, managing time and resources to accomplish multiple tasks in a fast-paced, deadline-oriented environment• Strong interpersonal and negotiation skills• Experience with Self-Insured Retention (SIR) claims is a plus• Experience with PIP claims is a plus
Education Requirement
• Bachelor’s degree