NEW JOB OPENING
CLAIMS EXAMINER
IN Remote, USA!

 

Date Posted: 02/18/2025
Hiring Organization: Rose International
Position Number: 478424
Job Title: Claims Examiner
Job Location: Remote, USA
Work Model: Remote
Employment Type: Temporary
Estimated Duration (In months): 4
Min Hourly Rate($): 48.00
Max Hourly Rate($): 50.00
Must Have Skills/Attributes: Claims, Computer Literacy, Interpersonal Skills, Presentations

 

Job Description
The client is looking for a candidate who can analyze and process complex auto and commercial transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages.



Education & Licensing

• Bachelor''s degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Secure and maintain the State-adjusting licenses as required for the position.



Experience

• Five (5) years of claims management experience or equivalent combination of education and experience required to include in-depth knowledge of personal and commercial line auto policies, coverage, principles, and laws.

• Auto casualty

• Experienced in complex liability and coverage.

• TPA experience a plus.

• Bodily injury/uninsured/underinsured motorist handling experience to include demonstrable (fatality, fractures, traumatic brain injury) injury handling.

• $ threshold handling up to 1 million.

• No fault (Personal Injury Protection) experience.

• Licensed in the contiguous 48 states.

• Auto Physical Damage handling experience preferred.

• Experience working in a fast-paced environment, participating in and presenting cases to both internal and external stakeholders.



Skills & Knowledge

• In-depth knowledge of personal and commercial line auto policies, coverage’s, principles, and laws

• Knowledge of medical terminology for claim evaluation and Medicare compliance

• Knowledge of appropriate application for deductibles, sub-limits, SIR’s, carrier and large deductible programs.

• Strong oral and written communication, including presentation skills

• PC literate, including Microsoft Office products

• Strong organizational skills

• Strong interpersonal skills

• Good negotiation skills

• Ability to work in a team environment

• Ability to meet or exceed Service Expectations



ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Processes complex auto commercial and personal line claims, including bodily injury and ensures claim files are properly documented and coded correctly.

• Responsible for litigation process on litigated claims.

• Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims.

• Reports large claims to excess carrier(s).

• Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.

• Identifies and pursues subrogation and risk transfer opportunities; secures and disposes of salvage.

• Communicates claim action/processing with insured, client, and agent or broker when appropriate.



ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.

• Supports the organization's quality program(s).



  • **Only those lawfully authorized to work in the designated country associated with the position will be considered.**

  • **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**


 

Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.

California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.

Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.

If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.

Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).

 

Apply Now

Send me a reminder to complete this application

 

About Rose

  • Founded in 1993
  • Office Locations Across the U.S.
  • 150+ Clients: Corporations and Government Agencies
  • Employee Oriented Company
  • Challenging Assignments Across the U.S.
  • Continuous Professional Development

You are customer service oriented. No matter whether it was the Recruiter or someone in Human Resources/Payroll, you were responsive. That to me is key!

Tonya, Consultant

As a contractor, I have to say that Rose International was by far the best agency I have worked for.

Q'testdalir, Consultant

Rose is an assembly of people grounded in honesty, truth and dignity for all of its employees and contractors.

Samba, Consultant

Working for Rose International was the most pleasant assignment I have ever had. They were always on top of situations when necessary, and very helpful. I was very proud to be an employee of Rose International, and would recommend anyone to try to work with them.

Melvon, Consultant

Any time I did have a question and called, the phone was always answered, and my question/concern was immediately resolved.

Sally, Consultant

EMPLOYEE COMMENTS

  • We want you to work with us, but don't take our word for it. Take a look at this sampling of employee comments. They speak for themselves.