Bodily Injury Claims Adjuster

About the role

• We are seeking a highly skilled and detail-oriented Bodily Injury Claims Adjuster to join our team. The primary responsibility of this role is to investigate, evaluate, and negotiate bodily injury claims to ensure fair and timely resolution. The ideal candidate will have a strong understanding of insurance policies, medical terminology, and legal principles related to bodily injury claims.

What you'll do

• Conduct thorough investigations into bodily injury claims, including reviewing medical records, police reports, and witness statements.
• As we work to broaden and strengthen your skill base, you will handle some litigated files, but this will not be your primary responsibility.
• Evaluate the extent of injuries and determine liability based on policy coverage, state regulations, and legal precedents.
• Communicate with claimants, attorneys, medical providers, and other parties to gather necessary information and documentation.
• Analyze medical reports and bills to assess the nature and severity of injuries and determine appropriate compensation.
• Negotiate settlements with claimants and their representatives in accordance with company policies and regulatory requirements.
• Collaborate with internal parties, legal counsel, and management, to resolve complex claims and mitigate risk.
• Maintain accurate and detailed claim files, documentation, and activity logs in accordance with company standards and industry best practices.
• Stay informed about changes in laws, regulations, and industry trends related to bodily injury claims management.
• All demand evaluations are to be reviewed and submitted to your supervisor for authority within 7 calendar days of receipt.
• All demand conditions are to be met at the time our offer is extended in writing.
• All initial offers must be made no later than 3 days before the demand expires.

Qualifications

• A bachelor's degree or comparable insurance experience.
• A minimum of 3 years of experience in bodily injury claims adjusting or related role.
• CA and non-standard auto insurance experience is a plus
• Strong knowledge of insurance principles, policies, and procedures.
• Familiarity with medical terminology, anatomy, and injury assessment.
• Excellent analytical and decision-making skills with the ability to assess complex issues and negotiate fair settlements.
• Exceptional communication and interpersonal skills, with the ability to effectively interact with diverse stakeholders.
• Proficiency in claims management software and Microsoft Office Suite.