Injury Adjuster

Training Schedule: Must be available to attend mandatory training for 5 weeks. PTO will not be permitted during these time frames.

Work Schedule: Must be open and available to work any schedule assigned between Monday - Friday 7:00a.m - 7:30 p.m.

What you'll do:

• Adjusts non-attorney involved soft tissue bodily injury claims as well as some auto physical damage associated with those claims.
• Adjusts soft tissue, moderately complex and complex 1st party PIP/MP medical claims.
• Identifies, confirms, and makes coverage decisions on soft tissue claims.
• Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes.
• Provides advice and sets expectations into next steps to members.
• Collaborates and supports team members to resolve issues and identify appropriate matters for escalation.
• Partners with and/or directs vendors and internal business partners to facilitate timely claims resolution.
• Delivers a best-in-class member service experience through setting appropriate expectations and proactive communication.
• Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours.
• May be assigned CAT deployment travel with minimal notice during designated CATs.
• Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.
• Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled.

What you have:

• High School Diploma or General Equivalency Diploma.
• 1 year of injury adjusting or auto liability adjusting experience to include highly complex vehicle physical damage, such as multi-vehicle, non-owned vehicles, or total loss claims.
• Working knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of claims as well as application of case law and state laws and regulations.
• Demonstrated negotiation, investigation, communication, and conflict resolution skills.
• Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.
• Exercise sound financial judgment and discretion in handling insurance claims.
• Knowledge of coverage evaluation, loss assessment, and loss reserving.
• Acquisition and maintenance of insurance adjuster license within 90 days and 3 attempts.

What sets you apart:

• 2+ years Auto Liability/Casualty adjusting experience to include complex/multi vehicle liability.
• 3+ years PIP/Medpay coverage handling experience.
• Ongoing Professional Development with a focus on Insurance.
• Bachelors’ Degree or higher.
• US military experience through military service or a military spouse/domestic partner

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

Compensation: The salary range for this position is: $54,940 - $98,440.