TRISTAR Insurance Group

Liability Claims Examiner III (Remote)

TRISTAR Insurance Group  •  $50/hr  •  Atlanta, GA (Remote)  •  4 months ago
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Job Description

Job Location: Atlanta Office - Atlanta, GA 30328
Position Type: Full TimeEducation
Level: High School Diploma or GED
Salary Range: $50.00 - $50.00 Hourly

POSITION SUMMARY: Under minimal supervision, all aspects of indemnity claims are handled from inception to conclusion within established authority and guidelines.  Responsible for the prompt review of policy information including all relevant endorsements and vehicle schedules to determine coverage for loss/damage/injury. Conduct and efficient claim examination and investigation lead to the final resolution of liability claims, including matters in litigation. Frequent contact and interaction with involved parties including claimants and their legal representatives will be required. Recommendations regarding loss exposure and associated reserve and settlement strategy will be effectively communicated to the client.
This position requires considerable interaction with clients, claimants on the phone, and with management, other Claims Examiners, and other TRISTAR staff in the office; therefore, consistently being at work in the office, promptly, is inherently required of this position.
DUTIES AND RESPONSIBILITIES:
· Review, process, and conclude assigned claims, including investigating and evaluating complex Commercial Auto and General Liability Casualty Claims.
· Review and interpret policies and coverage determination.
· Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to advance the claim to conclusion.
· Maintain an ongoing diary.
· Continually assess exposure and evaluate for accurate reserves and settlement recommendations.
· Prepare Loss Reports providing a thorough analysis of liability and damages.
· Where applicable, determine if subrogation and/or risk transfer exists and initiate recovery efforts at the client’s direction.
· Document all correspondence, reports, discussions, and decisions in the claim file record.
· Provide outstanding service to the client.
· Assist Supervisors and Claim Department with requested tasks or special projects.
· Other duties as assigned.
EQUIPMENT OPERATED/USED: Computer, 10-key, fax machine, copier, printer, and other office equipment.
SPECIAL EQUIPMENT OR CLOTHING: Appropriate office attire

QualificationsQUALIFICATIONS REQUIRED:
Education/

Experience: Bachelor’s degree in a related field (preferred); three (3) or more years of related experience; or equivalent combination of education and experience.
Knowledge, Skills and Abilities:
- Technical knowledge of statutory regulations and medical terminology.
- Analytical skills.
- Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients, and staff.
- Ability to interact with people at all levels in the business environment.
- Ability to independently and effectively manage very complex claims.
- Proficient in Word and Excel (preferred).
Other

Qualifications:
- Active Adjuster’s Florida License
TRISTAR Insurance Group

About TRISTAR Insurance Group

TRISTAR began as an insurance program manager and medical malpractice claims administrator in 1987. Workers compensation claims management services were added in our offerings in 1989, and the Company was renamed TRISTAR Risk Management in 1995. As managed care and benefits administration services were added to our offerings, the organization grew into TRISTAR.

We are the largest privately held third party claims administrator in United States. We empower more than 1,000+ professionals in offices throughout the United States, focusing business operations in three divisions: property casualty claims management, benefits administration, and managed care services.

We are true to our values of RESPECT, INTEGRITY, TRUST, and EXCELLENCE, making the right choices both financially and ethically.

At TRISTAR we strive to create an environment of respect, wherein all of us are encouraged to learn and to grow, to provide exceptional service to our clients and in turn to enjoy the satisfaction that comes from a job well done. We believe that to provide real service, we must contribute something which cannot be bought or measured with money: sincerity and integrity.

At TRISTAR, you help create a world in which together we "transform risk into opportunity"​.

Industry
Finance & Insurance
Company Size
501-1,000 employees
Headquarters
Long Beach, CA
Year Founded
1987
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