Commercial Auto, GL and PIP Claims Examiner II

TRISTAR Insurance Group; Long Beach (CA); Remote; USD 75,000 - 85,000; Full time

Job summary

A leading insurance agency is looking for an experienced Insurance Commercial Auto & GL Claims Examiner II to manage claims remotely. The role includes reviewing policy information, conducting investigations, and working closely with clients and legal representatives. Candidates should hold a New York Adjuster License and have at least two years of relevant experience. Competitive benefits package included.

Benefits

Medical, Dental, Vision Insurance

Life and Disability Insurance

401(k) Plan

Paid Holidays

Paid Time Off

Referral bonus

Qualifications

• New York State Adjuster License required.
• Minimum two years' experience in claims handling.
• Knowledge of coverage issues and litigation management.

Responsibilities

• Review coverage and conclude assigned claims.
• Oversee investigative service providers.
• Prepare Loss Reports with thorough analysis.

Skills

Verbal and written communication skills

Analytical decision-making

Negotiation skills

Customer service skills

Education

High School Diploma or GED

Bachelor’s degree in a related field

Tools

Claims handling software

Job description

Job Details: Level: Experienced. Job Location: Involuntary Remote - Remote, CA. Position Type: Full Time. Salary Range: $75,000 - $85,000. Job Shift: Day. Job Category: Insurance Commercial Auto & GL Claims Examiner II.

Must work Pacific time hours. Must have a NY Adjuster license, or be willing to obtain the license within 60 days of hire.

Position Summary: Responsible for the prompt review of policy information to determine coverage for loss/damage/injury. Conduct an efficient claim examination and investigation leading to the final resolution of liability claims, including matters in litigation. Frequent contact and interaction with involved parties, including claimants and their legal representatives. Recommendations regarding loss exposure and associated reserve and settlement strategy will be effectively communicated to the client.

Duties and Responsibilities

• Review and interpret coverage, process, and conclude assigned claims including investigation and evaluation of Auto, No Fault PIP, and/or General Liability Casualty Claims.
• Oversee and direct outside investigative service providers and work closely with the client and client counsel and investigative services to advance the claim to conclusion.
• Maintain an ongoing diary.
• Continually assess exposure and evaluate for accurate reserves and settlement recommendation.
• Prepare Loss Reports providing thorough analysis of coverage, liability, and damages.
• Where applicable, determine if subrogation and/or risk transfer exists and initiate recovery efforts at the direction of the client.
• Document all correspondence, reports, discussions, and decisions in the claim file record.
• Provide outstanding service to the client.

Qualifications

• New York State Adjuster License.
• High School Diploma or GED required; bachelor’s degree in a related field preferred.
• Minimum two years of experience in Automobile and General Liability claims (or equivalent advanced education and experience).
• Knowledge of claims handling concepts, coverage issues, litigation management, and product line knowledge.
• Demonstrated verbal and written communication skills; advanced analytical, decision‑making, and negotiation skills.
• Computer proficiency.

Preferred Skills

• Excellent customer service skills and the ability to manage relationships in a fast‑paced environment.
• Strong analytical abilities to review, exercise judgment, and evaluate claims to make sound decisions with minimal supervision.
• Effective written and oral communication skills.
• Ability to handle assigned claims following company guidelines and industry best practices.
• Time‑management, organizational, and prioritization skills.
• Independence, flexibility, and creativity.

Benefits

• Medical, Dental, Vision Insurance.
• Life and Disability Insurance.
• 401(k) Plan.
• Paid Holidays.
• Paid Time Off.
• Referral bonus.

Position is remote/working from home.