BI Attorney Represented Claims Adjuster

Job Overview
The Bodily Injury Attorney Represented Adjusters’ primary focus will be to provide service to our customers through proactive communication, verification of coverage, establishing liability through investigation, evaluation of all damages and payment of only what is owed to protect the interests of the customer as provided within their assigned auto policy. The Bodily Injury Attorney Represented Adjuster must also comply with Texas Department of Insurance Guidelines and remain in compliance, providing documentation through each step of the claims process.

Additionally, the Bodily Injury Attorney represented Adjuster will manage a full inventory of attorney represented injury claims.

Duties

• Assure coverage for each loss and all policy provisions before processing payments.
• Investigate all aspects of the claim to determine liability percentage and legal responsibility.
• Identify and evaluate claims indicators of fraud and escalate as appropriate
• Utilize all claims tools provided to properly evaluate liability and extent of damages
• Evaluate damages in accordance with investigative findings and establish value to pay only what is owed
• Negotiate claims settlements for evaluated damages with insureds, claimants and/or attorneys as assigned
• Authorize negotiated payment for established damages and/or Loss Adjustment Expenses within your designated authority.
• Submit requests for authority on evaluations that exceed your personal, assigned authority
• Ensure all compliance requirements are met in a timely and professional manner and in accordance with guidelines
• Adjust reserves adequately on all new and existing claims
• Participate as an active member of the claims team as required
• Communicate findings to claims management team as required or as may be needed depending on high exposure or unusual loss findings.
• Communicate with Underwriting findings that may require a review of the policy for additional premium, coverage adjustment or potential cancellation based on Underwriting Guidelines.
• Perform Other Duties as may be assigned

Job Requirements & Skills

• Outstanding customer service and professional communication skills, both oral and written.
• Current Texas Property Casualty Adjuster License or ability to obtain within 30 days of employment
• Documented, minimum three years of highly successful bodily injury attorney represented claims handling experience
• Understanding and ability to execute and comply with Texas Department of Insurance Guidelines and Requirements as established in the Insurance Code
• Exceptional negotiating skills
• Proficient computer skills with ability to function in all Microsoft Office Programs
• Highly organized
• Ability to multi-task and prioritize successfully in a fast paced, high volume environment
• Demonstrated ability to exercise good judgement
• Non-Standard Claims Handling Experience preferred
• Bilingual (English/Spanish) desired

Company Overview Aguila Dorada is a fast-growing, profitable non-standard auto insurance MGA headquartered in Texas. We’re building a best-in-class claims organization from the ground up. This is a rare opportunity to join an MGA in high-growth mode, where your work will directly shape processes, culture, and outcomes, not just maintain the status quo. With strong financial backing, a growing policy count, and nationwide expansion ambitions, we offer meaningful career growth for professionals who want to build, lead, and grow with the business. If you’re looking for stability and upside and want to be part of something being built the right way, this is the place.

Why Join Us

• Build from the ground up – Be part of creating a new in-house claims organization, not inheriting legacy problems
• High-growth, profitable MGA – Strong financial footing with high policy growth and long-term stability
• Real influence – Your ideas, decisions, and performance will directly shape workflows, standards, and outcomes
• Career acceleration – Clear opportunities to grow as the company expands in Texas and beyond
• Nationwide ambitions – Join early as we scale toward a multi-state, national platform
• Culture of accountability and professionalism – We pay what’s owed, do things the right way, and value operational excellence

Pay: $65,000.00 - $80,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: Remote