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Claims Examiner

1 month ago

TAMPA, United States Quality Carriers Full time

Quality Carriers, Inc. is the nation’s #1 tank trucking company. We transport a broad range of chemical products and provide our customers with value added services. We’re a core carrier for many of the Fortune 500 companies engaged in chemical processing and we provide services to each of the top 100 chemical producers in the world with US operations.

Essential Duties and Responsibilities:

  • Provides contact with the parties involved in the claim within 24 hours of the first report.
  • Conducts timely coverage analysis and communication with insured based on application of policy information, facts or allegations of each case. Consults with Management when needed involving high exposure and high profile losses.
  • Exercises proper judgment and decision making to analyze the claims exposure, to determine the proper course of action and to appropriately settle the claim. 
  • Interacts extensively with various parties involved in the claim process.
  • Able to clearly communicate concise action plans, and present plans for moving the case to conclusion.
  • Investigates each claim through prompt contact with appropriate parties such as policyholders, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Records necessary statements.
  • Identifies resources for specific activities required to properly investigate claims such as Subrogation, Fire, IA or Fraud investigators and to other experts. Requests through Management and coordinate the results of their efforts and findings.
  • Identify and verify the nature and extent of reported and potential injury or property damage by obtaining and reviewing appropriate records and damages documentation.
  • Maintains an effective diary management system to ensure that all claims are handled timely. Evaluates liability and damages exposure, and establishes proper indemnity, applicable coverage and expense reserves, at required timely intervals,
  • Utilizes evaluation documentation tools in accordance with department guidelines.
  • Responsible for prompt, cost effective, and proper disposition of all claims within delegated authority.
  • Negotiates disposition of claims with insured’s and claimants or their legal representatives. Recognizes and implements alternate means of resolution such as mediation.
  • Manages litigated claims if assigned. Develops litigation plans with management or defense counsel, track and control legal expenses. Assures cost-effective resolution.
  • Maintains claim files, has an effective diary system, and documents claim file activities in accordance with established procedures.
  • May be expected to participate in EUOs, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed.
  • Updates appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options.
  • Protects the organization's value by keeping information confidential.
  • Maintains compliance with Claim Department's Best Practices.
  • Represent the company as a technical resource, attend legal proceedings as needed, act within established professional guidelines as well as applicable state laws
  • Provide quality customer service and ensure file quality.
  • Supports workload surges and/or Catastrophe operations as needed to include working significant overtime during designated CATs.
  • Communicates with co-workers, management, clients, vendors, and others in a courteous and professional manner.
  • Participates in special projects as assigned.
  • Work as the on-call Claims Examiner on a previously scheduled swing basis.
  • Some overnight travel may be required.
  • Maintains the integrity of the company and products offered by complying with federal and state regulations as well as company policies and procedures.
  • The role is an in office position located in Tampa, Florida. 


Job Qualifications:

  • Associate’s Degree required; Bachelor’s Degree preferred. A combination of education and significant directly related experience may be considered in lieu of degree.
  • 620 Licensure required.
  • Ten years of experience processing claims; commercial auto, property and casualty segments and general liability preferred.
  • Experience with Origami and Microsoft products preferred.
  • Flexibility to work nontraditional hours.
  • Demonstrated ability to research, conduct proactive investigations and negotiate successful resolutions.
  • Demonstrated customer service focus / superior customer service skills.
  • Excellent communication skills and ability to interact on a professional level with internal and external personnel
  • Results driven with strong problem solving and analytical skills.
  • Ability to work independently in a fast paced environment; meets deadlines, and manages changing priorities effectively.
  • Detail-oriented and exceptionally organized
  • Collaborative partner; ability to contribute to a positive work environment.


General Information:

This is a fully In-Office role out of our location in Tampa, FL. 

All employees must pass a pre-employment background check. Other checks may be needed based on position: driving history, credit report, etc.

The preceding job description has been designed to indicate the general nature of work performed; the level of knowledge and skills typically required; and usual working conditions of this position. It is not designed to contain, or be interpreted as, a comprehensive listing of all requirements or responsibilities that may be required by employees in this job. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Quality Carriers is an Equal Opportunity, Affirmative Action Employer. We will not discriminate unlawfully against qualified applicants or employees with respect to any term or condition of employment based on race, color, national origin, ancestry, sex, sexual orientation, age, religion, physical or mental disability, marital status, place of birth, military service status, or other basis protected by law.

ExperienceRequired
  • 3 - 5 years: processing claims; property and casualty segment
EducationRequired
  • Associates or better
  • High School or better
Preferred
  • Bachelors or better
Licenses & CertificationsRequired
  • 620 Claims Adj License