Auto Physical Damage Examiner (Hybrid)

Auto Physical Damage Examiner (Hybrid)

Auto Physical Damage Examiner manages the auto claim process, including customer experience, coverage verification, investigation, evaluation, and disposition of the claim in compliance with applicable insurance regulations and NYCM's best practices. They assess customer needs and develop solutions to meet and / or exceed the customer's expectations throughout the claim process.

Duties & Responsibilities :

• Manage claims involving all types of auto physical damage, including total loss, repairable, glass, towing / roadside assistance, and rental.
• Manage cycle times and experience through thorough file review and timely disposition.
• Establish scope of coverage, determine loss exposure, and set appropriate reserves.
• Conduct thorough file investigations, gathering all necessary information needed to bring the claim to a resolution.
• Issue settlement payments within the scope of coverage and authority.
• Evaluate and establish liability against the NYCM policyholder in accordance with state negligence laws.
• Negotiate with customers on partial settlements.
• Identify opportunities for subrogation and refer files for recovery.
• Evaluate double insured files for negligence and transfer financial responsibility to the appropriate policyholder.
• Evaluate, negotiate, and settle incoming subrogation claims.
• Identify fraud indicators, submit appropriate SIU referrals, and direct any necessary investigation.
• Work with assigned vendors to ensure they are meeting our expectations on each claim.
• Testify in court hearings on behalf of NYCM and our customers.
• Serve as a panelist with Arbitration Forums, hearing cases and rendering decisions on intercompany disputes for other carriers.
• Effectively communicate and establish connections with the customers during the claim process.
• Professional handling of incoming and outgoing customer phone calls.
• Professional written communications such as emails, texts, requests for information or coverage letters.
• Guide customers through the claim process, ensuring that they are informed at all stages.
• Manage customer concerns / complaints, developing solutions to remedy the experience and meet the customer's needs.
• Other duties as assigned.

Requirements :

Skills & Qualifications :

Market Range 5 / 40 hours per week / Hybrid

Salary : $43,900-$61,400

Accepting applications through : 10 / 28 / 25

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.