Senior Auto Claims Examiner, UM/UIM
Posted 2025-03-15About the position
The Auto Claims Examiner - UM/UIM role is focused on the investigation, evaluation, and resolution of commercial automobile claims involving Uninsured Motorist (UM) and Underinsured Motorist (UIM) coverage nationwide. This position is part of a technology-driven initiative aimed at enhancing customer experience and eliminating inefficiencies in traditional claims processes. The ideal candidate will be customer-oriented and technically proficient, ensuring the delivery of top-level service while achieving industry best outcomes.
Responsibilities
? Timely investigate, evaluate, and resolve commercial auto claims UM/UIM.
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? Strict TPA oversight and guidance on timely reporting of UM/UIM claims and responding to the same.
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? Identify and assess coverage issues, draft coverage position letters, and retain coverage counsel when necessary.
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? Partner with Claim Account Managers and underwriting on UM UIM forms.
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? Execute on claims strategies to achieve claims quality, customer service, and operational objectives.
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? Serve as a mentor to less-experienced claims professionals.
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? Handle claims with a high complexity of coverage analysis, investigation, damage assessment, and other relevant technical areas.
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? Provide training on current and new processes when needed.
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? Support the strategy and operations of Auto claims.
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? Assist in industry analysis and benchmarking studies.
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? Prepare and present written/oral reports to senior management setting forth all issues influencing evaluation and recommending reserves.
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? Travel to and from locations within the United States to attend mediations, trials, and other proceedings relevant to the resolution of the matter.
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? Negotiate resolution of claims.
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? Maintain a diary of all claims, post reserves in a timely fashion, and expeditiously respond to inquiries from the insured, counsel, underwriters, brokers, and senior management regarding claims.
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? Other duties as assigned.
Requirements
? 5+ years of working experience at a commercial auto carrier handling bodily injury claims nationally.
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? 5+ years of working experience handling UM/UIM claims nationally.
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? Proper adjuster licensing in all applicable states.
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? Exceptional communication (written and verbal), evaluating, influencing, negotiating, listening, and interpersonal skills to effectively develop productive working relationships with internal/external peers and other professionals across organizational lines.
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? Litigation experience is preferred.
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? Strong time management and organizational skills.
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? Creative, out of the box thinker who refuses to accept the status quo.
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? Ability to take part in active strategic discussions.
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? Ability to work well independently and in a team environment.
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? Hands-on experience and strong aptitude with Microsoft Excel, PowerPoint and Word.
Nice-to-haves
? Litigation experience is preferred.
Benefits
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