Commercial Auto & General Liability Claims Examiner II

TEEMA; Town of Florida (NY); Remote; USD 70,000 - 100,000; Full time

Benefits offered by this job

Full benefits package (medical, dental

Vision

PTO

Job summary

TEEMA is seeking a Claims Examiner II to manage and resolve complex Commercial Auto, No-Fault/PIP, and General Liability claims from intake through disposition. You will evaluate exposure, guide investigative strategy, and collaborate with legal counsel to reach fair resolutions.

The role emphasizes autonomy, high-quality claims administration, and a professional work environment with 100% remote work and full-time direct-hire status.

Qualifications

• 2+ years of dedicated experience handling Commercial Auto and General Liability claims.
• Strong understanding of claims handling practices, coverage analysis, and litigation management.
• Exceptional written and verbal communication skills.
• Proven ability to evaluate complex data, make independent decisions, and negotiate effectively.
• Superior time management skills and proficiency with claims management software and standard computer applications.

Responsibilities

• Technical Policy Analysis: Review and interpret complex insurance policies to determine liability and exposure.
• Comprehensive Claims Management: Investigate and evaluate Commercial Auto, PIP, and General Liability claims.
• Litigation Oversight: Coordinate with outside investigators, legal counsel, and vendors to drive strategy.
• Financial Management: Evaluate total claims exposure to establish reserves.
• Negotiation & Settlement: Develop sophisticated settlement strategies and communicate recommendations.
• Strategic Reporting: Prepare loss reports synthesizing liability, damages, and coverage issues.
• Recovery Initiatives: Identify subrogation and risk transfer opportunities.
• Professional Communication: Provide elite-level service and transparent communication with stakeholders.

Skills

Experience handling claims

Technical mastery of claims practices

Communication skills

Decision making

Organizational skills

Education

Bachelor's degree or equivalent professional experience

Tools

Claims management software

Standard office software

Job description

Empower your professional journey in a role that values intellectual curiosity and file ownership over high-volume "churn." As a Claims Examiner II, you will manage and resolve complex Commercial Auto, No-Fault/PIP, and General Liability claims from initial intake through final disposition. This position is perfect for a strategic thinker who excels at evaluating exposure, guiding investigative strategy, and collaborating with legal counsel to achieve fair and efficient resolutions. You will join a stable, rapidly growing organization that prides itself on autonomy, high-quality claims administration, and a professional work environment.

Key Duties:

Technical Policy Analysis: Review and interpret complex insurance policies to accurately determine liability and coverage exposure.

Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes.

Litigation Oversight: Direct and coordinate efforts with outside investigators, legal counsel, and various vendors to drive claim strategy.

Financial Management: Evaluate total claims exposure to establish and maintain appropriate financial reserves.

Negotiation & Settlement: Develop and execute sophisticated settlement strategies and communicate recommendations to key stakeholders.

Strategic Reporting: Prepare detailed loss reports that synthesize liability, damages, and coverage issues.

Recovery Initiatives: Identify and pursue subrogation and risk transfer opportunities to protect client interests.

Professional Communication: Provide elite-level service and maintain transparent communication with both internal and external stakeholders.

Required Qualifications

Experience: 2+ years of dedicated experience handling Commercial Auto and General Liability claims.

Technical Mastery: Strong understanding of claims handling practices, coverage analysis, and litigation management.

Communication: Exceptional written and verbal communication skills.

Decision Making: Proven ability to evaluate complex data, make independent decisions, and negotiate effectively.

Organizational Skills: Superior time management skills and proficiency with claims management software and standard computer applications.

Desired Qualifications

Specialized Expertise: Direct experience managing No-Fault/PIP claims.

Education: Bachelor's degree or equivalent professional experience.

Jurisdictional Knowledge: Familiarity with multi-jurisdictional claims handling requirements.

Remote Proficiency: Ability to work productively and independently in a fast-paced, 100% remote environment.

Location and Work Type

Location: 100% Fully Remote

Work Type: Full-Time | Direct Hire

Schedule: Standard Business Hours

• Benefits: Full suite of premium benefits, including medical, dental, vision, and Paid Time Off (PTO).