Claims Examiner - Auto (1486336)

Job Title: Claims Examiner - Auto (1486336)

Location: Remote

Duration: Contract - 2 months

Pay Range: $45/hr $50/hr (W2)

Job ID: 372742

About BCforward

BCforward is a leading global IT consulting and workforce solutions firm providing services and support to Fortune 500 and government clients. Founded in 1998, BCforward has grown with our customers needs into a full-service business solutions provider. With delivery centers and offices across North America and India, we take pride in building long-term relationships and delivering excellence through innovation, collaboration, and integrity.

Job Description

We are seeking a Claims Examiner - Auto to join our team. The ideal candidate will have strong experience in auto casualty, complex liability and coverage analysis, BI/UM/UIM, and No-Fault/PIP and a proven ability to investigate, evaluate, and resolve complex commercial and personal auto claims up to $1M.

Responsibilities:

• Analyze and process complex commercial and personal auto claims, including bodily injury and auto physical damage.
• Review coverage, complete thorough investigations, determine liability, and evaluate damages with a settlement authority up to $1,000,000.
• Handle BI/UM/UIM claims, including serious injuries such as fatalities, fractures, and traumatic brain injuries.
• Manage litigation on assigned claims and collaborate with defense counsel on strategy and resolution.
• Administer No-Fault/PIP claims and apply jurisdictional requirements and timelines.
• Coordinate vendor management, including independent adjusters, medical experts, and appraisers.
• Report large losses to excess carriers and maintain accurate large-loss documentation.
• Develop and maintain action plans to meet state contact deadlines and drive prompt, appropriate resolution.
• Identify and pursue subrogation and risk transfer opportunities; secure and dispose of salvage as appropriate.
• Communicate claim status and actions with insureds, clients, agents, brokers, and stakeholders; present cases internally and externally.

Required Skills & Qualifications:

• Five (5)+ years of auto claims management experience across personal and commercial lines.
• Proficiency in complex liability and coverage analysis, BI/UM/UIM, and No-Fault/PIP.
• Demonstrated experience handling serious injury claims, including fatalities, fractures, and traumatic brain injuries.
• Ability to manage litigated files and collaborate with counsel on strategy, evaluation, and resolution.
• Knowledge of medical terminology, Medicare considerations, deductibles, sub-limits, SIRs, and large deductible programs.
• Strong communication and presentation skills with the ability to brief stakeholders and present case strategies.
• PC literacy with Microsoft Office and claims management systems.
• Ability to work in a fast-paced, team-oriented environment and meet service expectations and deadlines.

Preferred Skills:

• TPA claims handling experience.
• Auto Physical Damage claims experience.
• Experience presenting complex cases to internal and external stakeholders.

Why BCforward?

At BCforward, we believe in advancing lives and careers. When you join our team, you gain access to:

• Competitive compensation and benefits.
• Opportunities for growth with global clients.
• A supportive, inclusive culture that values innovation and people.
• Exposure to cutting-edge technologies and projects.

About Our Commitment

BCforward is an equal opportunity employer. We value diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability, or veteran status.

Requirements/Certifications:

• Bachelor's degree preferred; relevant professional certifications preferred.
• Active adjuster licenses in the contiguous 48 states or ability to secure and maintain required state licenses.
• Ability to pass a background credit check for credit security clearance.

Work Environment:

• Mental: Clear conceptual thinking, sound judgment, problem solving, discretion, ability to manage multiple priorities and meet deadlines.
• Physical: Computer keyboarding; travel as required.
• Auditory/Visual: Hearing, vision, and talking.

The statements above describe the general nature and level of work performed. They do not constitute a comprehensive list. Management may add or change duties at any time.

Interested? Apply Now!

If this sounds like the right opportunity for you, please apply with your most recent resume.