Commercial Auto Claims Evaluator

1 week ago

Richardson, Texas, United States Genpact Full time

About Genpact: Genpact (NYSE: G) is a leading global professional services and solutions firm committed to delivering transformative outcomes. With over 125,000 employees across more than 30 countries, we are driven by curiosity, entrepreneurial spirit, and a commitment to creating lasting value for our clients. Our mission is to pursue a world that works better for people, serving and transforming top enterprises, including those in the Fortune Global 500, through our extensive business and industry expertise, digital operations services, and proficiency in data, technology, and AI.

Position Overview: As a Commercial Auto Claims Evaluator, you will play a vital role in the investigation, assessment, and resolution of commercial auto insurance claims. Your skills in damage assessment, liability determination, negotiation, and account management will be essential in providing outstanding customer service and fostering strong client relationships.

Key Responsibilities:

1. Claims Investigation:

• Conduct comprehensive investigations of commercial auto insurance claims, including gathering essential information, reviewing policy coverage, and inspecting damaged vehicles.

• Evaluate the extent of damages, assess liability, and determine if further investigation is necessary.

• Interview involved parties, witnesses, and experts to collect relevant facts and information.

2. Claims Evaluation:

• Analyze policy terms and conditions to ascertain coverage and liability.

• Assess damages based on vehicle inspections, photographs, repair estimates, and other pertinent documentation.

• Utilize knowledge of industry standards, local regulations, and company policies to make precise claim evaluations.

3. Negotiation and Settlement:

• Engage with policyholders, claimants, attorneys, and other stakeholders to negotiate fair and timely settlements.

• Manage complex negotiations, effectively addressing disputes or challenges.

• Ensure settlements comply with authorized limits and adhere to company guidelines and state regulations.

4. Documentation and Reporting:

• Prepare detailed claim reports, including investigation findings, damage evaluations, liability determinations, and recommended settlements.

• Maintain accurate and current claim files, documenting all actions taken, correspondence, and relevant information.

• Utilize claim management systems to log, track, and update claim information efficiently.

5. Customer Service and Relationship Management:

• Deliver exceptional customer service by promptly addressing inquiries, resolving concerns, and keeping clients informed throughout the claims process.

• Build and nurture strong relationships with policyholders, agents, and other stakeholders.

• Collaborate with other departments, such as underwriting and legal, to ensure effective claims handling and resolution.

6. Account Management:

• Act as a primary point of contact for insureds, providing excellent customer service and fostering strong relationships.

• Maintain regular communication with insureds to address their needs, provide updates on claim progress, and ensure satisfaction.

• Collaborate with insureds to gather necessary documentation, such as police reports, medical records, and repair estimates.

• Educate insureds on policy coverage, claims processes, and any applicable deductibles or limitations.

• Proactively identify opportunities to enhance the insured experience and provide value-added services.

• Assist insureds in understanding and complying with necessary claim requirements, including submitting required forms and documentation.

• Serve as a trusted advisor to insureds, guiding them through the claims process and offering support and guidance.

Qualifications:

• Experience as an auto adjuster, preferably with a focus on commercial claims.

• Possession of an Independent Adjuster License.

• Strong understanding of commercial auto insurance policies, coverage, and regulations.

• Excellent investigative and analytical skills, with the ability to accurately assess damages.

• Proficient in negotiating and settling claims, including managing complex negotiations.

• Strong written and verbal communication skills, capable of explaining technical concepts to non-technical individuals.

• Detail-oriented, with exceptional organizational and time management abilities.

• Ability to work independently and efficiently in a fast-paced environment.

• Proficient in using claim management systems and other relevant software.

• Valid driver's license and willingness to travel for inspections, if required.

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