Bodily Injury Adjuster

• Investigate automobile accidents involving single or multiple vehicles resulting in property damage and/or bodily injury with attorney/litigation involvement
• Assess coverage, liability, and damages
• Provide customer service throughout the claims process
• Communicate with customers and attorneys via voice calls, email, and text messages
• Negotiate fair injury settlements with all involved parties
• Perform detailed damage reviews and interpret policies to determine coverage
• Use phone, email, and video chat to support customers and provide claim updates
• Evaluate and negotiate settlements with customers, vendors, third-party carriers, and claimants
• Apply legal and business-standard methodologies and negotiation tactics in challenging, complex situations
• Use estimate tools, job aids, and settlement platforms
• Document claim activity accurately and timely in the claims system
• Protect company finances by following policy agreements

Bodily Injury Adjuster – Represented/Litigation, Complex/Severe

• Investigate automobile accidents involving single or multiple vehicles resulting in property damage and/or bodily injury with attorney/litigation involvement
• Assess coverage, liability, and damages
• Provide exceptional customer service throughout the claims process
• Communicate with customers and attorneys via voice calls, email, and text messages
• Negotiate fair injury settlements with all involved parties
• Perform detailed damage reviews and interpret policies to determine coverage
• Communicate with customers by phone, email, and video chat while keeping them updated on claim progress
• Evaluate and negotiate claim settlements with customers, vendors, third-party carriers, and claimants
• Use estimate tools, job aids, and settlement platforms
• Execute policies according to policy agreements
• Maintain clear, timely, and accurate claim documentation in the claims system
• Handle claims primarily in Nevada and Washington

Bodily Injury Adjuster – Represented, Moderate

• Investigate automobile accidents involving single or multiple vehicles with property damage and/or bodily injury and attorney involvement
• Assess coverage, liability, and damages
• Provide customer service through voice calls, email, text messages, and sometimes video chat
• Investigate casualty and applicable line-of-business claims through detailed damage reviews and policy interpretation
• Evaluate and negotiate injury claim settlements with customers, vendors, third-party carriers, and claimants
• Use estimate tools, job aids, and settlement platforms
• Execute policies in accordance with policy agreements and legal and business standards
• Document claim activity accurately and timely in the claims system
• Handle primarily litigated claims in Georgia

Bodily Injury Adjuster – Moderate Represented

• Investigate automobile accidents involving single or multiple vehicles resulting in property damage and/or bodily injury with attorney or litigation involvement
• Assess coverage, liability, and damages
• Provide customer service throughout the claims process
• Communicate with customers and attorneys through voice calls, email, and text messages
• Negotiate fair injury settlements with all involved parties
• Perform detailed damage reviews and interpret policies to determine coverage
• Evaluate and negotiate settlements with customers, vendors, third-party carriers, and claimants
• Handle challenging and complex negotiations using legal and business standard methodologies
• Use estimate tools, job aids, settlement platforms, and other claims tools
• Document claims work accurately and timely in the claims system
• Protect the company financially by executing policies according to policy agreements
• Keep customers updated on claim progress and offer preferred communication channels

Bodily Injury Adjuster – Represented, Litigation, Complex, Severe

• Investigate moderate/complex represented casualty claims, including single- or multi-car accidents and represented moderate or major claims
• Handle complex and highly complex specialized claims such as business interruption, loss of income, and Errors and Omissions policies
• Oversee liability and bodily injury investigations
• Take recorded statements
• Resolve loss of use claims
• Make payments to appropriate parties
• Negotiate and settle bodily injury issues or refer unresolved issues
• Summarize documents and enter notes into the claim system
• Manage, research, and resolve complex customer communications, concerns, conflicts, and issues
• Review medical reports for claims settlement evaluation
• Research, respond to, or participate in Department of Insurance complaints or investigations
• Negotiate and settle claims according to business unit best practices
• Set and update initial reserves, document rationale, and maintain claim summary notes
• Determine coverage limits and claim value in complex claims involving single or multiple claimants
• Document claim files with notes, evaluations, and decision-making processes
• Mainly handle represented claims for NJ, NY, and PA

Bodily Injury Adjuster – Represented Third Party Casualty

• Investigate and confirm facts of loss for advanced automobile accidents
• Determine coverage, liability, damages, and adjust and negotiate claims within authority limits
• Manage extended-handling bodily injury claims ranging from soft tissue injuries to moderate-severity claims
• Handle claims involving coverage, liability, and damages
• Review, evaluate, and negotiate basic to moderate injury claims
• Identify vehicle body parts and potential property damage
• Identify customer needs and provide appropriate customer service
• Determine subrogation or fraud potential and appropriate handling
• Apply advanced understanding of insurance policies and organizational relationships
• Work with discretion and independence within increased authority
• Perform duties without supervisory responsibilities

Bodily Injury Adjuster – Extended Handler

• Investigate automobile accidents involving single or multiple vehicles resulting in property damage and/or bodily injury with attorney or litigation involvement
• Assess coverage, liability, and damages
• Provide customer service throughout the claims process
• Communicate with customers and attorneys through voice calls, email, and text messages
• Use platforms and tools to negotiate fair and timely injury settlements
• Perform detailed damage reviews and interpret policies to determine coverage
• Keep customers updated on claim progress using their preferred communication method
• Evaluate and negotiate settlements with customers, vendors, third-party carriers, and claimants
• Apply legal and business-standard methodologies and negotiation tactics for challenging and complex situations
• Use estimate tools, job aids, and settlement platforms
• Complete timely and accurate documentation in the claims system
• Protect the company financially by executing policies according to policy agreements

Bodily Injury Adjuster – Litigation, Moderate/Complex

• Investigate and confirm facts of loss for advanced automobile accidents
• Determine coverage, liability, damages, and adjust and negotiate claims within authority limits
• Handle all aspects of advanced auto claims, including coverage, liability, and damages
• Review, evaluate, and negotiate basic to moderate injury claims when handled
• Identify vehicle body parts and other potential property damage
• Identify customer needs and address them using appropriate customer service skills
• Determine subrogation or fraud potential and how to handle it
• Support the state of Florida and contribute to overall team performance

• Investigate automobile accidents involving single or multiple vehicles with property damage and/or bodily injury involving attorneys or litigation
• Assess coverage, liability, and damages
• Provide customer service throughout the claims process
• Communicate with customers and attorneys through voice calls, email, text messages, and sometimes video chat
• Use innovative platforms and tools to evaluate claims
• Negotiate fair and timely injury settlements with customers, vendors, third-party carriers, and claimants
• Perform detailed damage reviews and interpret policies to determine coverage
• Apply claims-handling methodologies to challenging and complex situations
• Use estimate tools, job aids, and settlement platforms
• Execute policies according to policy agreements
• Maintain clear, timely, and accurate claim documentation in the claims system
• Work independently in a permanent remote home-based role on a Monday-Friday, 8am-4:30pm EST schedule

Bodily Injury Adjuster – Represented, Moderate/Complex

• Review assigned claims
• Contact insureds and other affected parties
• Set expectations for the remainder of the claim process
• Initiate documentation in the claim handling system
• Complete complex coverage analysis
• Identify all possible policyholder benefits
• Create additional sub-claims when needed
• Investigate claim facts to determine payment, applicable limits or exclusions, and recovery potential
• Review damages and determine applicability of state law and other claim-related factors
• Evaluate the financial value of losses
• Approve payments for appropriate parties
• Refer claims to Underwriting, Recovery Units, or Claims Special Investigation Unit when necessary
• Document and code claim files and complete claim closure activities in the claims management system
• Negotiate claim settlements
• Resolve complex bodily injury claims before litigation