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Commercial Auto Claims Evaluator

2 months ago


Richardson, Texas, United States Genpact Full time

About Genpact: Genpact (NYSE: G) is a global professional services and solutions firm dedicated to delivering outcomes that shape the future. With over 125,000 professionals across more than 30 countries, we are driven by our innate curiosity, entrepreneurial agility, and commitment to creating lasting value for our clients. Our purpose is to relentlessly pursue a world that works better for people, serving and transforming leading enterprises, including the Fortune Global 500, through our deep business and industry knowledge, digital operations services, and expertise in data, technology, and AI.

Position Overview: As a Commercial Auto Claims Evaluator, you will play a vital role in investigating, assessing, and resolving commercial auto insurance claims with precision and efficiency. Your proficiency in evaluating damages, determining liability, negotiating settlements, and managing accounts will be essential in providing exceptional customer service and fostering strong relationships with clients.

Key Responsibilities:

1. Claim Investigation:

  • Conduct comprehensive investigations of commercial auto insurance claims, including gathering necessary information, reviewing policy coverage, and inspecting damaged vehicles.
  • Assess the extent of damages, evaluate liability, and determine if further investigation is warranted.
  • Interview involved parties, witnesses, and experts to collect relevant facts and information.

2. Claim Evaluation:

  • Analyze policy terms and conditions to ascertain coverage and liability.
  • Evaluate damages based on vehicle inspections, photographs, repair estimates, and other pertinent documentation.
  • Utilize knowledge of industry standards, local regulations, and company guidelines to make accurate claim assessments.

3. Negotiation and Settlement:

  • Engage with policyholders, claimants, attorneys, and other involved parties to negotiate fair and timely settlements.
  • Manage complex negotiations, effectively addressing any 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 up-to-date 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 outstanding customer service by promptly addressing inquiries, resolving concerns, and keeping clients informed throughout the claims process.
  • Build and maintain strong relationships with policyholders, agents, and other stakeholders.
  • Collaborate with other departments, such as underwriting and legal, to ensure efficient 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.
  • Assist insureds in gathering necessary documentation, such as police reports, medical records, and repair estimates.
  • Educate insureds on policy coverage, claims processes, and any applicable deductibles or limitations.
  • Identify opportunities to enhance insureds' experience and provide value-added services.
  • Guide insureds through the claims process, offering support and assistance as a trusted advisor.

Qualifications:

  • Experience as an auto adjuster, preferably with a focus on commercial claims.
  • Possession of an Independent Adjuster License.
  • Strong knowledge 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 relevant software.
  • Valid driver's license and willingness to travel for inspections, if required.