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Commercial Auto & Property Damage Claims Examiner II
TRISTAR Insurance Group. Review and interpret policy coverage .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in evaluating and resolving automobile physical damage and property damage liability claims, with a strong focus on policy interpretation, coverage analysis, and effective communication with clients and stakeholders. Proficient in maintaining accurate documentation and adhering to regulatory requirements while managing competing priorities in a fast-paced environment.
Highest-signal resume keywords
Automobile Physical Damage Claims HandlingProperty Damage Liability Claims HandlingClaim-Handling Principles and PracticesNew York Adjuster LicenseCalifornia Adjuster License
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Policy InterpretationCoverage AnalysisLiability AssessmentDamage EvaluationNegotiationSettlement StrategiesClaims Management SystemsLoss ReportingSubrogation IdentificationRisk-Transfer Opportunities
Soft Skills
Analytical SkillsCritical-ThinkingDecision-MakingProblem-SolvingCustomer Service
Tools & Technologies
Claims-Management SystemsStandard Business Applications
Certifications & Qualifications
New York Adjuster LicenseCalifornia Adjuster License
Industry Keywords
Automobile ClaimsProperty Damage LiabilityGeneral Liability CasualtyNo-Fault ClaimsPIP ClaimsRegulatory ComplianceRisk Management
About the role
Key responsibilities & impact- Review and interpret policy coverage
- Investigate, evaluate, process, negotiate, and resolve assigned automobile physical damage, property damage liability, and total loss claims
- Analyze coverage, liability, and damages and identify issues requiring additional investigation or escalation
- Oversee and direct outside service providers, including appraisers and investigators
- Work closely with clients, client counsel, and other involved parties to advance claims toward resolution
- Maintain an accurate and timely diary system and complete required follow-up activities
- Evaluate claim exposure and establish or recommend accurate reserves and settlement strategies
- Prepare comprehensive loss reports analyzing coverage, liability, damages, exposure, reserves, and recommended next steps
- Identify subrogation, contribution, or other risk-transfer opportunities and initiate recovery efforts
- Document correspondence, reports, discussions, evaluations, and claim decisions in claim files
- Conduct independent claim file reviews and ensure files are properly documented and handled according to applicable requirements
- Provide timely, professional, and responsive service to clients, claimants, insureds, and other involved parties
- Engage TRISTAR Loss Control staff when appropriate
- Comply with company policies, procedures, client service instructions, and applicable regulatory requirements
- Perform other duties and special projects as assigned
Requirements
What you’ll need- High school diploma or GED required
- Bachelor’s degree in business, insurance, risk management, or a related field preferred
- Minimum of two years of experience handling automobile physical damage, property damage liability, general liability casualty, and/or No-Fault/PIP claims
- Working knowledge of claim-handling principles, practices, and procedures, including policy interpretation, coverage analysis, liability assessment, damage evaluation, reserving, negotiation, and settlement
- Ability to investigate, evaluate, negotiate, and resolve assigned claims with minimal supervision
- Strong analytical, critical-thinking, decision-making, and problem-solving skills
- Ability to evaluate complex claim information, exercise sound judgment, and make well-supported recommendations
- Strong verbal and written communication skills
- Ability to communicate professionally and effectively with clients, claimants, insureds, attorneys, vendors, and other involved parties
- Strong customer-service and relationship-management skills
- Ability to manage competing priorities and maintain accuracy in a fast-paced environment
- Strong organizational, time-management, and follow-up skills
- Ability to understand and carry out detailed written and verbal instructions
- Ability to maintain complete, accurate, and timely claim documentation
- Proficiency with computers, claims-management systems, and standard business applications
- Ability to work independently while remaining flexible and responsive to changing client and business needs
- Ability to follow company guidelines, client service instructions, applicable regulations, and industry best practices
- Must possess a current and valid New York adjuster license
- Must be willing and able to obtain and maintain a California adjuster license within the timeframe established by the company
- Must obtain and maintain any additional licenses required to handle assigned claims
- Must be available to work on the company’s established Eastern Time core business hours