Claims Adjuster

The Claims Adjuster, Commercial Auto will ensure quality claim handling by investigating, negotiating, and resolving both first-party and third-party property damage and bodily injury claims. This role requires expertise in commercial auto coverage and multi-state experience, including at least 2 years handling Personal Injury Protection (PIP) claims. The adjuster will develop and execute claim handling strategies, manage claim activities, and may oversee litigation processes, including assigning defense counsel and crafting litigation strategies for cost-effective claim resolution. Responsibilities must be conducted within company policies, procedures, and designated authority, meeting exceptional performance standards and complying with all applicable legal and regulatory requirements.

How You’ll Do It

Technical Claim Handling:

• Handles all assigned claims promptly and effectively which may include complicated and catastrophic losses. Makes decisions within outlined authority, and recommends settlement values in the disposition of the claim.
• Establish and execute appropriate action plans for claim resolution for claims being handled directly including loss cost management while achieving appropriate balance between allocated expense and loss outcome.
• Communicate with insureds, agents, claimants, witnesses, attorneys, vendors, and other partners to facilitate accurate, prompt claims resolution.
• Evaluate and resolve bodily injury of varying complexity by promptly reviewing and responding to all demands, including time limit demands.

Claims Quality Assurance (QA):

• Responsible for ensuring claims are handled in accordance with established guidelines and service instructions.
• Ensure timely completion of file reviews, calibration sessions, and analysis reports.
• Identify claim handling trends by applying industry knowledge of the claims. process, policies, procedures, and regulatory environment.
• Communicate findings and recommended actions to all stakeholders, including Claims leadership and customers.

Claims Customer Service:

• Assist as necessary in providing claim status to agents, insureds, coverage verification, escalations, etc.
• Participate in interactions with adjusters and claims partners to drive optimal claim outcomes.
• Work to continuously improve our claim operation and look at opportunity gaps in claim service, handling, protocols, and processes.

The Right Stuff

• 3-5  years of Commercial Auto claim handling experience in handling both bodily injury and auto physical damage claims, preferably with mid-level bodily injury exposures claims handling experience.
• 2 years of experience handling Personal Injury protection claims. Preferred experience would include familiarity with Michigan-specific PIP coverage requirements, the coordination of benefits, and possibly experience with Michigan’s new PIP choice levels.
• High School diploma or GED required, Bachelor's Degree preferred.
• Mid-Heavy duty truck experience preferred.
• Ability to exercise independent judgment with moderate supervision in handling claims within reserve and settlement authority.
• Advanced negotiation skills.
• Strong verbal and written communication. 
• Strong attention to detail.
• Strong knowledge and experience in claim adjudication in multiple states.
• G-Suite Tools, Collaboration tools, Microsoft Office suite.