TRISTAR Insurance Group
TRISTAR Insurance Group
TRISTAR Insurance Group — жұмыс берушілерге, сақтандыру компанияларына және мемлекеттік ұйымдарға сақтандыруды әкімшілендіру мен тәуекелдерді басқару қызметтерін ұсынатын ұлттық деңгейдегі үшінші тарап әкімшісі. Компания мүлік пен жазатайым оқиғалардан сақтандыру бағдарламаларын, еңбекке байланысты өтемақыны, жалпы және автокөлік жауапкершілігін, басқарылатын медициналық көмекті, еңбек демалысы мен мүгедектікті басқаруды, қызметкерлердің топтық жеңілдіктерін әкімшілендіруді және жұмыс орнындағы қауіпсіздікті қолдайды. Басқарылатын медициналық көмек бағытындағы мүмкіндіктеріне шоттарды тексеру, жағдайды басқару, медициналық қызметті пайдалану тиімділігін тексеру, мейіргерлік триаж және дәріхана жеңілдіктерін басқару кіреді. TRISTAR технологияға негізделген операцияларын жекелендірілген қызмет көрсету тәсілімен ұштастырып, клиенттеріне күрделі сақтандыру және қызметкерлерге арналған жеңілдіктер қажеттіліктері аясында тәуекелдерді басқаруға көмектеседі.

Commercial Auto and General Liability Claims Examiner III - Remote

TRISTAR Insurance Group is seeking a remote, full-time Claims Examiner III to handle complex commercial auto and general liability claims across investigation, litigation, coverage, valuation, and settlement. The role also provides float coverage, client service, and coordinated claim resolution.

Сипаттама

  • Investigate, assess, manage, and resolve complex commercial auto and general liability claims, including litigated matters.
  • Interpret policies, endorsements, and vehicle schedules to determine coverage and flag coverage issues.
  • Provide interim coverage for claims examiners during PTO, absences, and extended leave.
  • Review transferred files, identify pending actions and deadlines, and preserve handling continuity.
  • Maintain accurate claim diaries and complete timely follow-up on investigations, correspondence, litigation, and required actions.
  • Assess liability, damages, and exposure while recommending and updating reserves.
  • Create and communicate claim resolution and settlement approaches for clients.
  • Negotiate settlements within delegated authority and secure additional approval when needed.
  • Engage and oversee outside investigators and other service providers.
  • Collaborate with clients and counsel to move claims toward resolution.
  • Track litigation developments and assess recommendations from counsel.
  • Produce loss reports covering coverage, liability, damages, reserves, and recommended next steps.
  • Recognize subrogation and risk-transfer opportunities and begin recovery actions.
  • Keep claim files complete, accurate, and current.
  • Deliver responsive, professional service to clients and involved parties.
  • Coordinate file transitions with supervisors and returning examiners.
  • Support supervisors and the claims department with special projects and other assigned work.
  • Prevent claim backlogs while meeting client service-level agreements.

Талаптар

  • High school diploma or GED is required.
  • At least seven years of commercial auto and general liability casualty experience is required.
  • At least 10 years of commercial auto and general liability claims experience is required.
  • An active Florida, New York, Georgia, or Texas license is required.
  • Hold a resident or designated home-state adjuster license and required nonresident licenses, or be able to obtain them through reciprocity or applicable state examinations.
  • Maintain required licenses and complete applicable continuing education.
  • Demonstrate advanced knowledge of commercial auto and general liability claims handling.
  • Understand claims-handling concepts, coverage issues, and relevant product lines.
  • Understand litigation procedures and claim valuation across multiple jurisdictions.
  • Apply advanced analytical, decision-making, and negotiation skills.
  • Communicate effectively in writing and verbally.
  • Manage complex claims independently with minimal supervision.
  • Prepare clear, thorough claim reports and recommendations.
  • Build and maintain relationships with clients, claimants, legal representatives, counsel, and service providers.
  • Demonstrate strong organization and time-management skills.
  • Adapt to unfamiliar claim inventories while maintaining service standards.
  • Use claims-management systems, computer applications, and related technology proficiently.
  • A bachelor’s degree in a related field is preferred.
  • An Associate in Claims (AIC) or Chartered Property Casualty Underwriter (CPCU) designation is preferred.
  • Experience providing float coverage or handling claims across multiple client accounts and jurisdictions is preferred.

Артықшылықтар

  • Fully remote work from home.
  • Full-time employment.
  • No travel required.

Ұқсас жұмыс орындары

Pearson VUE

Cloud Services Engineer III

Pearson VUE

Support AWS, Terraform, ECS, and Windows/Linux infrastructure across hybrid cloud and on-premises platforms in Melbourne, helping keep services secure and reliable.

Ашу
AllCloud
CenExel

Remote Business Development Manager, Clinical Trial Services

CenExel

Lead sales growth for CenExel’s CTSdatabase clinical trial registry by developing sponsor and CRO pipelines, securing contracts, and supporting clinical research services.

Ашу
Iridium

Senior OEM Business Development Manager

Iridium

Grow Iridium’s global NTN satellite device ecosystem through OEM, chipset, module, and device partnerships. Manage partner relationships from negotiation and design-in through certification, launch, and continued growth.

Ашу
Progress

Senior Site Reliability Engineer

Progress

Help secure and scale Progress’s cloud software infrastructure. Automate operations, incident response, compliance, and customer provisioning across India.

Ашу
Machina Labs

Director of Defense Business Development, Europe and Middle East

Machina Labs

Lead Machina Labs’ defense business development across European markets, expanding opportunities for its software-defined manufacturing factories. Build relationships with defense primes and advance technical engagements into proof-of-concept, qualification, and production programs.

Ашу
SYNCREON

Senior Mainframe Systems Programmer, Infrastructure Engineering

SYNCREON

Lead IBM z/OS infrastructure, SMP/E software lifecycle work, and mainframe architecture for SYNCREON. This senior full-time role is remote in New Jersey.

Ашу
Health Advocate

Senior Business Development Executive

Health Advocate

Lead enterprise sales of Health Advocate’s healthcare navigation, advocacy, wellness, and EAP solutions. Build new business and relationships across designated U.S. sales territories.

Ашу
Verisys
Applaudo

Senior Azure DevOps Engineer

Applaudo
501 – 1 000 Қызметкерлер
КонсалтингЛогистикаМаркетинг

Design secure Azure platforms and Terraform automation, supporting Applaudo’s AI-powered products through CI/CD, governance, and cloud infrastructure delivery.

Ашу