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Bodily Injury Claims Adjuster, III
Horace Mann. Investigate and manage complex bodily injury claims, including litigation, uninsured/underinsured motorist claims, and other high-exposure losses.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive expertise in managing complex bodily injury claims, including litigation and negotiation, while ensuring compliance with regulatory requirements and company policies. Proven ability to analyze medical documentation and liability issues, coupled with strong communication and leadership skills to mentor team members.
Highest-signal resume keywords
Bodily Injury Claims ManagementLitigation ExperienceNegotiation SkillsInsurance Coverage KnowledgeMediation and Arbitration Preparation
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Bodily Injury EvaluationClaims InvestigationLiability AnalysisSettlement NegotiationClaims Management SystemsMedical TerminologyUninsured Motorist ClaimsUnderinsured Motorist ClaimsRegulatory ComplianceDecision-Making
Soft Skills
Customer ServiceRelationship ManagementAnalytical ThinkingProblem-SolvingCommunication Skills
Certifications & Qualifications
State Adjuster Licenses
Industry Keywords
Claims Handling StandardsHigh-Exposure LossesDispute Resolution ProcessComplex ClaimsTeam Development
About the role
Key responsibilities & impact- Investigate and manage complex bodily injury claims, including litigation, uninsured/underinsured motorist claims, and other high-exposure losses.
- Verify coverage, determine liability, evaluate damages, and conduct thorough investigations to support claim decisions.
- Analyze medical documentation, applicable laws, and case precedent to complete comprehensive bodily injury evaluations.
- Evaluate liability, damages, and settlement opportunities.
- Manage injury litigation from assignment through resolution.
- Prepare mediation and arbitration submissions and represent the company through the dispute resolution process.
- Partner with defense counsel and other legal professionals to develop claim strategies and achieve appropriate outcomes.
- Negotiate settlements while adhering to company best practices and regulatory requirements.
- Maintain proactive, transparent communication with insureds, claimants, attorneys, and other involved parties.
- Handle sensitive and high-stress customer interactions with professionalism and empathy.
- Serve as a technical resource and subject matter expert for complex bodily injury claims.
- Mentor and guide less experienced claim professionals.
- Share knowledge and best practices to support team development and continuous improvement.
- Maintain compliance with state regulations, company policies, and claims handling standards.
- Utilize claims management systems and technology tools to manage assigned inventory.
- Maintain ownership of assigned claims while meeting quality, productivity, and service expectations.
Requirements
What you’ll need- Minimum 7 years of bodily injury claims experience preferred.
- Demonstrated experience handling complex bodily injury and litigation claims.
- Strong knowledge of insurance coverage, liability, medical terminology, and bodily injury evaluation.
- Experience handling Uninsured Motorist (UM) and Underinsured Motorist (UIM) claims.
- Proven ability to prepare and manage mediation and arbitration submissions.
- Strong business acumen, analytical skills, and sound decision-making abilities.
- Ability to work independently with minimal supervision.
- Obtain and maintain all required state adjuster licenses.
- Excellent investigation and negotiation skills.
- Strong verbal and written communication abilities.
- Superior organizational and time management skills.
- Exceptional customer service and relationship management.
- Ability to explain complex claim decisions clearly and professionally.
- Strong analytical thinking and problem-solving skills.
- Demonstrated leadership through mentoring and technical expertise.
Benefits
Comp & perks- Bonus opportunity
- Periodic travel may be required
- Special rates and benefits for educators