Job Summary

Our client is seeking an experienced Claims Examiner – Auto to manage complex commercial auto claims, including bodily injury, uninsured/underinsured motorist (UM/UIM), and no‑fault (PIP) claims. The ideal candidate will possess strong coverage and liability expertise, experience handling high‑severity injuries and large exposures, and the ability to operate effectively in a fast‑paced environment. Litigation experience is required for select roles on the team.

Key Responsibilities

• Investigate, evaluate, and manage commercial auto casualty claims, including complex liability and coverage issues.
• Handle bodily injury, uninsured/underinsured motorist (UM/UIM), and no‑fault (Personal Injury Protection) claims from initial notice through resolution.
• Evaluate and manage high‑severity injury claims, including fatalities, fractures, traumatic brain injuries, and other catastrophic losses.
• Manage exposure and resolution of claims with authority levels up to $1M.
• Analyze policy language, coverages, and applicable laws to determine compensability and claim strategy.
• Negotiate settlements within assigned authority and recommend settlements outside authority when appropriate.
• Manage litigated claims involving BI/UM/UIM in partnership with defense counsel (required for select roles).
• Coordinate with internal teams, external TPAs, vendors, and legal counsel to ensure timely and cost‑effective claim outcomes.
• Prepare and present claim evaluations and strategies to internal and external stakeholders.
• Ensure regulatory compliance and maintain accurate claim documentation.
• Provide excellent service while operating in a high‑volume, fast‑paced environment.

Required Qualifications

Education & Licensing

• Bachelor’s degree from an accredited college or university preferred.
• Professional insurance or claims certification preferred.
• Must secure and maintain all required state adjusting licenses.
• Licensed in the contiguous 48 states.

Experience

• Minimum 5 years of commercial auto claims experience, or an equivalent combination of education and experience.
• Strong knowledge of commercial auto policies, coverages, liability principles, and applicable laws.
• Demonstrated experience handling complex bodily injury claims, including catastrophic injuries.
• Experience handling UM/UIM and PIP (No‑Fault) claims.
• Experience managing claims with exposure levels up to $1,000,000.
• Litigation handling experience related to BI/UM/UIM required for select team members.
• Third-Party Administrator (TPA) experience is a plus.
• Auto Physical Damage (APD) handling experience preferred.

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