Auto Claims Examiner

Claims Support Representative

Auto Claims Examiner

We are seeking an Auto Claims Examiner to be responsible for reviewing, investigating, evaluate, negotiate and process auto claims.

Responsibilities:

• Complete coverage analysis.

• Conduct investigations and evaluations appropriate.

• Assign independent adjusters and provide direction to adjusters.

• Evaluate damages.

• Negotiate settlements as appropriate.

• Set up medical record reviews or independent medical examinations as needed.

• Resolve coverage disputes with insureds and agents.

• Prepare coverage opinion letters.

Qualifications:

• Bachelor’s degree preferred.

• 3 - 5 years of relevant claims handling experience.

• Excellent written and oral communication skills.

• Strong negotiation skills.

• Must be detailed-oriented.

• Proficient in Excel and Word.

• Able to multi-task effectively.
   

Send resume with salary requirements to bsumjobs@berkleysum.com with job title on subject line or fax resume to (404) 443-2052.

Claims Support Representative

We are seeking a Claims Support Representative to be responsible for handling all aspects of the administration/support for the claims process. This position will be located in our Jersey City, NJ office.

Responsibilities:

• Complete new claim set up in the Claims Work Station (CWS) (including dropping claim notices and policies to file) and fax claim acknowledgements to brokers, agents and underwriters.

• Assign claims as directed.

• Make expense and indemnity payment requests in CWS, within authority.

• Send self-insured retention (SIR) letters to insureds, follow up on payments, and advise claims regarding insured’s deductible satisfaction.

• Perform copy work, including copying claim files and policies from CWS and BUS 2.

• Use document capturing software to drop large documents into the claim files.

• Respond to agent and broker inquiries regarding basic claim information.

• Collect reports from ISO claim search data base.

• Assist management with special projects.

• Assist claim department members with all other tasks as needed, including but not limited to assistance with CWS set up difficulties and payment issues.
   

Qualifications:

• Associates degree from a two-year college or university.

• Two years of experience in a Claim Support function.

• Must have working knowledge of insurance terminology (environmental insurance experience a plus).

• Strong communication and organizational skills.

• Able to perform multiple duties in a fast paced environment.

• Demonstrated excellent customer service skills.

• Be able to work in an environment with minimal supervision.

• Strong working knowledge of WS Word, Excel and email systems.

• Individual must be highly ethical and maintain confidentiality.
   

Send resume with salary requirements to bsumjobs@berkleysum.com with job title on subject line or fax resume to (404) 443-2052.