Claims Examiner at BayOne Solutions Claims Examiner at BayOne Solutions in Hopkins, Minnesota Posted in 1 day ago.

Type:

full-time

Please Find Below Job Details:

Please Find Below Job Details:

Job Title:

Claims Examiner Job Location:

Eden Prairie, Minnesota Job Duration:

03

Months Payrate:

$40/hr. on W2 Must have commercial auto litigation experience, preferably in commercial trucking handling high severity/high value (in excess of (USD)1 million) losses.

Details:

TPA experience a plus. Bodily injury handling experience to include demonstrable mid to high level injury handling. (USD) threshold handling up to 1 million. Licensed in the contiguous 48 states. Litigation handling experience pertaining to BI Experience working in a fast-paced environment, participating in and presenting cases to both internal and external stakeholders.

Primary purpose:

To analyse and process commercial auto transportation claims by reviewing coverage, completing investigations, determining liability and evaluating the scope of damages. Essential Functions and Responsibilities Processes commercial auto bodily injury claims and ensures claim files are properly documented and coded correctly. Responsible for litigation process on litigated claims. Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution. 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). Travels as required. Qualifications 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 commercial auto claims management experience or equivalent combination of education and experience required to include in-depth knowledge of commercial line auto policies, coverage's, principles, and laws. Skills & Knowledge In-depth knowledge of 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 Work Environment When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental:

Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical:

Computer keyboarding, travel as required

Auditory/Visual:

Hearing, vision and talking 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 commercial auto claims management experience or equivalent combination of education and experience required to include in-depth knowledge of commercial line auto policies, coverage's, principles, and laws.