BCforward is currently seeking a highly motivated Claims Examiner - Auto for an opportunity in Remote!
Position Title: Claims Examiner - Auto
Location: Remote
Anticipated Start Date: 04/07/2025
Please note this is the target date and it is subject to change. BCforward will send official notice ahead of a confirmed start date.
Expected Duration: 02+ Months of contract with possible extension
Job Type: [FULL TIME (>=30 HRS WEEKLY], [CONTRACT], [Remote]
Pay Range: $45.00 - $50.00/hr.
Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).
Requirements:
Licensed in the contiguous 48 states.
Litigation, Injury Handling and Auto Casualty Experience.
Job Description:
Manager's note:
Must have active NY license and BI litigation experience
Auto Casualty.
Experienced in complex liability and coverage.
TPA experience a plus.
Bodily injury/uninsured/underinsured motorist handling experience to include demonstrable (fatality, fractures, traumatic Brain Injury) injury handling.
$ threshold handling up to 1 million.
No fault (Personal Injury Protection) experience.
Licensed in the contiguous 48 states.
**Litigation handling experience pertaining to BI/UM/UIM** Not all candidates will need this but a minimum of 3 will need litigation handling experience.
Auto Physical Damage handling experience preferred.
Experience working in a fast-paced environment, participating in and presenting cases to both internal and external stakeholders.
Primary purpose:
To analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.
Essential Functions and Responsibilities:
Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.
Responsible for litigation process on litigated claims.
Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.
Reports large claims to excess carrier(s).
Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage.
Communicates claim action/processing with insured, client, and agent or broker when appropriate.
Additional Functions and Responsibilities:
Performs other duties as assigned.
Supports the organization's quality program(s).
Travel as required.
Qualifications:
Education & Licensing - Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Secure and maintain the State adjusting licenses as required for the position. Experience - Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws.
Skills & Knowledge:
In-depth knowledge of personal and commercial line auto policies, coverages, principles, and laws.
Knowledge of medical terminology for claim evaluation and Medicare compliance.
Knowledge of appropriate application for deductibles, sub-limits, SIRs, carrier and large deductible programs.
Strong oral and written communication, including presentation skills.
PC literate, including Microsoft Office products.
Strong organizational skills.
Strong interpersonal skills.
Good negotiation skills.
Ability to work in a team environment.
Ability to meet or exceed Service Expectations.
Benefits:
BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.
Keywords:
[Licensed in the contiguous 48 states. Litigation, Injury Handling and Auto Casualty Experience.]
About BCforward:
Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.
BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.
BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.
To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.
This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at will regardless of the anticipated assignment duration.
Interested candidates please send resume in Word format Please reference job code 236750 when responding to this ad.
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