Sr. Injury Adjuster

Sr. Injury Adjuster

Requirements

• High School or General Equivalency Diploma.
• 1 year of injury adjusting experience.
• 2 years of auto liability claims adjusting experience.
• Deep knowledge and understanding of the auto claims contract as well as application of case law and state laws and regulations.
• Proficient negotiation, investigation, communication, and conflict resolution skills.
• Demonstrated time-management and decision-making skills.
• Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.
• Proficient knowledge of human anatomy and medical terminology associated with bodily injury claims.
• Ability to exercise sound financial judgment and discretion in handling insurance claims.
• Proficient knowledge of coverage evaluation, loss assessment, and loss reserving.
• Acquisition and maintenance of insurance adjuster license within 90 days and designated number of attempts.

Responsibilities

• Identifies and manages existing and emerging risks that stem from business activities and the job role.
• Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled.
• Follows written risk and compliance policies, standards, and procedures for business activities.
• Adjusts attorney-involved moderately complex bodily injury claims with demonstrable injuries (e.g. torn meniscus, broken bones, disc herniations) and UM claims, as well as all auto physical damage associated with those claims.
• Identifies, confirms, and makes coverage decisions on moderately complex bodily injury claims.
• Investigates loss details, determines legal liability, evaluates, negotiates, and arrives at claim settlement within appropriate authority guidelines.
• Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions.
• Prioritizes and manages assigned claims workload to keep members and other involved parties informed, provides timely claims status updates.
• Collaborates and supports team members to resolve issues and identify appropriate matters for escalation.
• Partners and/or directs vendors and internal business partners to facilitate timely claims resolution.
• Supports workload surges and/or Catastrophe Operations as needed.
• May act as an informal resource for team members with less experience.

Preferred Qualifications

• 4 or more years auto liability/casualty adjusting experience
• 1yr Medical experience to include coding and billing or EMT
• Ongoing Professional Development with a focus on Insurance
• Bachelors degree or higher
• US military experience through military service or a military spouse/domestic partner