auto liability adjuster

DAVIES

<div><h3 class="jobSectionHeader"><b>Description</b></h3><div><b><br>
Our Story</b></div><div>
Imagine being part of a team that&rsquo;s not just shaping the future but actively driving it. At <b>Davies North America</b>, we&rsquo;re at the forefront of innovation and excellence, blending cutting-edge technology with top-tier professional services. As a vital part of the global Davies Group, we help businesses navigate risk, optimize operations, and spearhead transformation in the insurance and regulated sectors.</div><div>
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We're on the lookout for a <b>Bodily Injury Adjuster</b> to join our growing team! As a Bodily Injury Adjuster, you will adjust third party General Liability, Auto Liability, Errors and Omissions, and Law Enforcement claims in which a claim exists for bodily injury, personal injury or wrongdoing. This role is a full-time, home-based position that may require travel at times to claims meetings at client locations, seminars for obtaining CEU credits, and scene investigations or inspections.</div><h3 class="jobSectionHeader"><b><br>
Key Responsibilities</b></h3><br>
<ul>
<li>
Perform all duties as outlined in the Property Damage Adjuster Job Description</li>
<li>Daily review of workflow and claim system reminders with follow up and significant progress towards completion of any task set as a reminder, or received in workflow within 72 hours</li>
<li>Review of new claims assignments within 24 hours of assignment/Completion of the Plan of Action</li>
<li>Contact with the insured/claimant within 24 hours of assignment</li>
<li>Assign appraisers or coordinate the receipt of estimates of damage according to client guidelines or approval</li>
<li>Determine if estimates or appraisals are appropriate based upon reported damages and other evidence</li>
<li>Gather evidence of damages</li>
<li>Interview or obtain recorded statements from the claimant, the Insured and any witnesses</li>
<li>Request payment authorization according to client guidelines and Davies Claims North America policy and procedures</li>
<li>Follow client guidelines for any claim denial</li>
<li>Obtain internal investigation reports from the insured (client) when permitted by the client</li>
<li>Professional and timely communication with the client</li>
<li>Determine degree of attorney involvement, if any</li>
<li>Always act with the utmost good faith in handling of the claim from beginning to closure</li>
<li>Set reminders within the claim system for necessary follow up in an appropriate time frame</li>
<li>Accurately record any communication, or activity relevant to the claim; in the claim system notes</li>
<li>Follow procedures to image documents sent to you that are relevant to the claim file (including e-mail)</li>
<li>Meet the requirements of Continuing Education as required for licensure as an adjuster</li>
<li>Maintain a 95% claim closure ratio</li>
<li>Report to the Excess carrier on any claim that meets the requirements to do so (including status reports)</li>
<li>Immediately notify your supervisor and the client of any Summons and Complaint received, identify assigned defense counsel, communicate and cooperate with defense counsel</li>
<li>Obtain status reports from defense counsel at 90-day intervals</li>
<li>Read and Understand the Excess Carrier Insurance Policy</li>
<li>Run ISO ClaimSearch on injured claimants</li>
<li>Determine the injury status of all persons involved in a crash investigation</li>
<li>Interact with insurance adjusters from other companies to obtain information needed to process your claim</li>
<li>Respond to Reservation of Rights letters from Excess Carrier if necessary</li>
<li>Develop working knowledge of No Fault/PIP law</li>
<li>Enter necessary information into the claim system to ensure mandatory reporting to Medicare</li>
<li>Follow Davies Claims North America guidelines when settling claims involving a Medicare recipient</li>
<li>Check for the claimant&rsquo;s compliance with F.S. 768.28 Sovereign Immunity</li>
<li>Recommend/assign field adjuster as necessary</li>
<li>Review field adjuster reports for thoroughness and accuracy.</li></ul><div><br>
</div><br>
<h3 class="jobSectionHeader"><b>Skills, knowledge &amp; expertise</b></h3><br>
<ul>
<li>
College degree or equivalent experience</li>
<li>Possession of Adjuster license</li>
<li>Maintain CEU credits for Adjuster license</li>
<li>Excellent knowledge of Tort Law, bad faith procedures and case law, as well as principles of liability and medical terminology</li>
<li>Previous experience with settling bodily injury claims</li>
<li>Proficiency with Microsoft Office Suite</li>
<li>Proactive, independent, dependable, and takes initiative with consistent follow through</li>
<li>Superb written and verbal communication skills conducted in a timely manner with diverse audiences</li>
<li>Superior time management skills with capability of working with and meeting deadlines</li>
<li>Exceptional capability to multi-task and prioritize with excellent organization and documentation skills in a fast-paced work environment</li>
<li>High level attention to detail with ability to utilize decision making and problem-solving skills</li>
<li>Capable of working collaboratively and independently with minimal supervision</li>
<li>Exhibit discretion with sensitive and confidential information</li></ul><div></div><h3 class="jobSectionHeader"><b><br>
Equal Employment Opportunity &amp; Legal Notices</b></h3><div><b><br>
Benefits</b></div><div>
At Davies North America, we are dedicated to supporting the well‑being and future of our qualifying employees. Our comprehensive benefits package includes:</div><ul>
<li>Medical, dental, and vision plans to support your health and that of your family</li>
<li>A 401(k) plan with employer matching</li>
<li>Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees</li>
<li>Paid holidays</li>
<li>Life insurance and short‑term and long‑term disability coverage</li>
</ul><div>Benefit offerings, eligibility, and required employer contributions may vary based on role, classification, and applicable federal, state, and local laws, including those tied to an employee&rsquo;s primary work location.<br>
</div><div>Where required by law, the Company provides paid sick leave, paid family and parental leave, and other mandated benefits in accordance with applicable state and local requirements.<br>
</div><div><b>Diversity and Inclusion</b></div><div>
Davies is dedicated to fostering a diverse and inclusive workplace that embraces a wide range of perspectives and experiences. We believe that diversity of thought is essential for innovation and creativity, and we actively promote an environment where all voices are valued and heard.<br>
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<b>Compensation Transparency:</b>
<br>
The salary range listed reflects the full compensation band for this role across all locations. Actual compensation will be based on factors such as skills, experience, qualifications, and geographic location, which may impact the final offer. We share ranges to remain transparent and consistent with pay equity practices.
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<b>Background Check &amp; Fair Chance Compliance</b>
</div><div>Any background check or review of criminal history, if applicable to the role, will be conducted only after a conditional offer of employment and in compliance with applicable federal, state, and local laws, including fair‑chance hiring requirements.<br>
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<b>Massachusetts Notice</b><br>
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.</div><div>
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<i>We do not use sites like Facebook, Craigslist, or Telegram to recruit or interview potential employees or contractors. If you have been asked to provide any information through any method other than our career portal, please email us at </i><i>recruitment@davies-group.com</i></div><br>
<h3 class="jobSectionHeader"><b>
About Davies</b></h3><div>
We are a specialist professional services and technology firm, working in partnership with leading insurance, highly regulated and global businesses.<br>
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We help our clients to manage risk, operate their core business processes, transform and grow. We deliver professional services and technology solutions across the risk and insurance value chain, including excellence in claims, underwriting, distribution, regulation &amp; risk, customer experience, human capital, digital transformation &amp; change management.<br>
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Our global team of more than 8,000 professionals operate across ten countries, including the UK &amp; the U.S. Over the past ten years Davies has grown its annual revenues more than 20-fold, investing heavily in research &amp; development, innovation &amp; automation, colleague development, and client service. Today the group serves more than 1,500 insurance, financial services, public sector, and other highly regulated clients.</div></div>

P&C Bodily Injury Adjuster (DCNA)

Distro

<div><div>Job Description As a Sr. Injury Adjuster, you will handle attorney-involved, moderately complex claims. Responsibilities include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims per state laws and regulations. You will provide best-in-class member service through setting expectations, proactive communication, advice, and empathy.</div>
<div>Key Responsibilities:</div>
<ul><li>Adjust attorney-involved soft tissue and moderately complex injury claims (e.g., torn meniscus, broken bones, disc herniations) and related auto physical damage.</li></ul>
<ul><li>Identify and confirm coverage decisions on soft tissue and moderately complex bodily injury claims.</li></ul>
<ul><li>Investigate loss details, determine liability, evaluate, negotiate, and adjudicate claims timely with clear documentation within authority guidelines.</li></ul>
<ul><li>Manage claims workload, keep members and parties informed, provide timely updates.</li></ul>
<ul><li>Collaborate with team members to resolve issues and escalate when appropriate.</li></ul>
<ul><li>Coordinate with vendors and internal partners to facilitate claim resolution.</li></ul>
<ul><li>Deliver excellent member service with appropriate expectations and communication.</li></ul>
<ul><li>Support workload surges and catastrophe (CAT) response including on-call duties, possible evenings, weekends, holidays.</li></ul>
<ul><li>May travel for CAT deployments with minimal notice.</li></ul>
<ul><li>Handle claims of higher complexity and additional duties as needed.</li></ul>
<ul><li>Ensure effective risk management per policies and procedures.</li></ul>
<div>Must Have Qualifications:</div>
<ul><li>High School Diploma or GED.</li></ul>
<ul><li>2 years auto claims adjusting experience.</li></ul>
<ul><li>1 year injury adjusting experience with attorney-represented claims.</li></ul>
<ul><li>Proficient knowledge of auto claims contract, investigation, evaluation, negotiation, adjudication, case law, and state regulations.</li></ul>
<ul><li>Strong negotiation, investigation, communication, and conflict resolution skills.</li></ul>
<ul><li>Time management and decision-making skills.</li></ul>
<ul><li>Investigatory, prioritizing, multi-tasking, and problem-solving skills.</li></ul>
<ul><li>Knowledge of human anatomy and medical terminology related to injury claims.</li></ul>
<ul><li>Ability to exercise sound financial judgment.</li></ul>
<ul><li>Proficient in coverage evaluation, loss assessment, and reserving.</li></ul>
<ul><li>Obtain and maintain insurance adjuster license within 90 days and 3 attempts.</li></ul>
<div>Nice to Have Qualifications:</div>
<ul><li>4+ years auto liability/casualty adjusting experience.</li></ul>
<ul><li>1+ year claims experience.</li></ul>
<ul><li>Ongoing professional development in insurance.</li></ul>
<ul><li>Bachelor's degree or higher.</li></ul>
<div>Compensation and Perks:</div>
<ul><li>Salary: $63,590 - $90,000</li></ul>
<ul><li>Hybrid schedule: Mandatory 3 days in-office in Phoenix.</li></ul>
<ul><li>Comprehensive benefits supporting physical, financial, and emotional wellness.</li></ul>
<ul><li>Medical, dental, vision, 401(k), pension, life insurance.</li></ul>
<ul><li>Parental benefits, adoption assistance, paid time off with holidays, 16 paid volunteer hours, wellness programs.</li></ul>
<ul><li>Career path planning and continuing education support.</li></ul>
<div></div>
<div>#HireFinder</div>
<div>#LI-PROMOTED</div>
<div>#LI-Hybrid</div>
<p>
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.</p></div>

Senior Injury Adjuster

Superior Underwriters

<div><p>Superior Underwriters is a respected leader in the insurance industry, dedicated to providing exceptional claims handling and customer service. We are seeking an experienced Bilingual Bodily Injury (BI) Adjuster to join our team and manage injury-related claims with efficiency, fairness, and professionalism.</p>
<p>The Bilingual BI Adjuster will be responsible for investigating, evaluating, and resolving bodily injury claims arising from auto accidents and other covered incidents. This role requires a strong understanding of liability assessment, medical evaluations, policy interpretation, and negotiation techniques. The adjuster will work closely with claimants, attorneys, medical providers, and internal teams to ensure proper claim resolution.</p>
<p>Key Responsibilities:</p>
<ul><li>Investigate and analyze bodily injury claims to determine coverage, liability, and damages.</li>
<li>Review medical records, accident reports, and legal documents to assess injury severity and claim value.</li>
<li>Communicate with claimants, attorneys, and medical professionals to gather information and facilitate settlements.</li>
<li>Evaluate and negotiate settlements in accordance with company policies and industry&rsquo;s best practices.</li>
<li>Maintain accurate and detailed claim documentation.</li>
<li>Stay current with relevant state and federal laws, regulations, and industry trends.</li>
<li>Collaborate with internal departments, including underwriting and legal, to ensure thorough claims handling.</li>
</ul>
<p>Qualifications &amp; Requirements</p>
<ul><li>Experience: Minimum 2-4 years of experience handling bodily injury claims.</li>
<li>Education: Bachelor's degree preferred; equivalent work experience considered.</li>
<li>Licensing: Adjusters License in the state of Nevada.</li>
<li>Skills:</li>
<li>Strong analytical and investigative skills.</li>
<li>Excellent negotiation and communication abilities.</li>
<li>Proficiency in claims management software and Microsoft Office Suite.</li>
<li>Knowledge of medical terminology, legal principles, and insurance policies related to bodily injury claims.</li></ul></div><p></p>

BI Adjuster

Snap-on

<div>Overview:
<div>
The Claims Adjuster II is responsible for adjusting claims from franchisee and corporate (Auto, Fleet, GL/PL and Property/Inventory) losses with minimal supervision. Additionally, individual will review, respond, and negotiate third party settlements with claimants and attorneys. Individual will be expected to handle claims from basic to moderate levels of complexity including bodily injury.
</div>Responsibilities:<br>
<div></div><ul><li>
Responsible for handling all aspects of claims administration for all property and casualty claims, coordinating claims to closure for the company and franchise network worldwide with minimal supervision.</li><li>
For casualty claims, conduct thorough investigations, evaluate damages and liability, and negotiate settlements with claimants or their attorneys.</li><li>
For property and franchisee inventory claims, investigate, evaluate damages, and negotiate settlements directly with Snap-on franchisees and Insurance carriers.</li><li>
For all claims, effectively establish reserves and manage all files for prompt closure.</li><li>
Responsible for the coordination and liaison with Insurance carriers on Franchisee &amp; Corporate programs in the areas of General Liability and business auto programs.</li><li>
Responsible for settlements within Snap-on's self-insured retention. Support financial reporting of losses to Snap-on SecureCorp.
</li><li>Maintain accurate notes on claim history within the claim system.</li><li>
Review, document, and evaluate medical records and negotiate third party settlements with claimants and attorneys.</li><li>
Support Snap-on SecureCorp Insurance with agency administration and claims handling.</li><li>
Act as first level of escalation in complex claim handling situations with entry-level adjusters.</li></ul>
Qualifications:<div></div><div><b><br>
Required Skills:</b></div><ul><li>
Bachelor's degree with six to eight years of claims handling and insurance company experience.</li><li>
Adjuster insurance licensing in all states that require a license and maintain accreditation.
</li><li>Working knowledge of insurance coverage with investigative, analytic, and negotiating skills.</li><li>
Excellent computer skills with knowledge of Microsoft office package.</li><li>
Interpersonal skills to work effectively with franchisees, employees, and experts.</li><li>
Proficiency in verbal and written communications, including report writing.</li><li>
Prior experience with a national insurance carrier, or third party administrator.</li><li>
Previous experience maintaining independent caseload.</li><li>
Compliance with department claim standards and best practices.</li></ul><div></div><p><b><br>
Insurance Certifications preferred</b>:</p><ul><li>
Associate In Claims (AIC)</li><li>
Certified Risk Manager (CRM)</li><li>
Associate in Risk Management (ARM)</li><li>
Chartered Property Casualty Underwriter (CPCU)</li><li>
Casualty license for Auto, GL and Property in home state, CA,TX, FL, NY &amp; GA.</li></ul></div>

Claims Adjuster II

Charles Taylor

<div><div>Charles Taylor is a highly successful global provider of professional services to the insurance industry. We are seeking a dynamic Liability Claims Adjuster to join our team. This is a remote role in the EST zone.</div>
<div><br>
Position Summary<br>
The Liability Claims Adjuster position is responsible for the investigation, administration, and settlement of automobile, property and general liability claims. Must perform coverage, liability and damage analysis, maintain timely correspondence and determine the best course of action with low to medium levels of autonomy, while working closely with clients, their employees and attorneys as a moderate to experienced claims professional.</div>
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Essential Functions</div>
<ul><li>Investigate new claims and initiate timely contacts with clients, their employees, claimants and legal counsel to determine appropriate actions to be taken</li>
<li>Read and comprehend insurance policies</li>
<li>Properly evaluate liability and damages, address time limit demands appropriately</li>
<li>Negotiate settlements with claimants and attorneys, and draw up contracts</li>
<li>Report to clients and excess carrier requests regarding claim status and follow through on recommended actions</li>
<li>Remain in direct compliance with company policies and procedures, including MMSEA reporting</li>
<li>Maintain active adjuster license in states where this is required</li>
<li>Maintain valid driver&rsquo;s license and automobile insurance</li>
<li>Ability to utilize windows-based claims systems and Microsoft type applications</li>
<li>Refer claims occasionally to defense counsel, remaining directly involved in litigation claims management to reach desired outcomes and minimize expenses</li>
<li>Meet with clients and account management to conduct claim reviews. This involves account location visits to present cost reports, reserves, active claims and settlement recommendations.</li>
</ul><div>Qualifications and Educational Requirements</div>
<ul><li>Three or more years of experience in adjusting liability/PIP claims in Kentucky</li>
<li>Must have an active adjuster license &ndash; KY preferred</li>
<li>Build a working knowledge of state negligence laws (legal background helpful)</li>
<li>Some experience with medical terminology is essential</li>
<li>Exceptional communication and interpersonal skills</li>
<li>Detail-oriented with strong organizational and time management skills</li>
<li>Excellent customer service and telephone skills</li>
<li>College degree is preferred</li>
<li>Continuing education and seminars related to changing claim laws</li>
<li>Ability to work in a team environment under direct management to complete assignments</li>
</ul><div>Charles Taylor offers a competitive salary commensurate with experience and excellent benefits including medical, dental, vision, life insurance and 401(K) with match. If you are seeking a career where you can achieve great things for great clients in a supportive and collaborative environment, then we may be the place for you.</div>
<div><br>
Values<br>
At Charles Taylor, our values define our identity, principles and conduct. This person will demonstrate and champion Charles Taylor Values by ensuring Agility, Integrity, Care, Accountability and Collaboration.</div>
<div><br>
Equal Opportunity Employer<br>
Here at Charles Taylor, we are proud to be an Inclusive Employer. We provide an environment of mutual respect with zero tolerance to discrimination of any kind regardless of age, disability, gender identity, marital/ family status, race, religion, sex, or sexual orientation.</div>
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Our external partnerships and the dedicated work we do in promoting a transparent and fair recruitment and selection process all contribute to the successful, inclusive, and diverse culture and environment which we are proud to be a part of at Charles Taylor.</div>
<div><br>
About Charles Taylor<br>
Charles Taylor is an independent, global provider of claims solutions, insurance management services and technology platforms for all property and casualty markets, including commercial property, workers&rsquo; compensation, and auto/liability. We offer complex loss adjusting, technical services, third-party administration, and managed care programs with specialization in catastrophic, aviation, energy, and marine claims. With over 100 years of expertise at our core, we offer a comprehensive suite of solutions across all lines of business to help our clients manage risk.</div></div><div></div>

Liability Adjuster - Remote EST

AAA Auto Club Enterprises

Job Summary
<br>The Claims Senior Medpay Adjuster handles moderate to high complexity Auto claims matters involving material damage, property and / or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, and negotiation of moderate to high-complexity claims. Employs discretion and independent judgment to ensure compliance with state and federal law, and with established company, technical, and customer service best practices.
<br><br>
Job Duties
<br>Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address coverage issues.
<br>Conduct phone investigations to determine liability and damages. Identify and obtain statements from insureds, claimants and witnesses. Verify and resolve coverage by gathering necessary information to ensure policy applicability.
<br>Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data.
<br>Negotiate within settlement authority with insureds and claimants to resolve first and third party claims.
<br>Update database production reports, document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc.
<br>Control expenses for areas of responsibility.
<br>Verify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required.
<br>Independently resolve claim exposures within level of authority.
<br>Respond quickly to customer needs and problems.
<br>May attend and participate in legal proceedings.
<br><br>
Qualifications
<br>Bachelors Equivalent combination of education and experience Preferred
<br>7-9 years Prior claims handling experience. Required
<br>7-9 years Property, Auto, Casualty or relevant claims administration experience. Preferred
<br>Comprehensive knowledge of claims administration best practices and procedures.
<br>Comprehensive knowledge of building and vehicle repair procedures and third-party liability issues.
<br>Extensive knowledge of insurance, fault assessment, negligence and subrogation principles required.
<br>Advanced knowledge of Microsoft Office suite, general computer software and claims software.
<br>Advanced organization and planning recognition skills required.
<br>Advanced oral and written communication skills required.
<br>Advanced interpersonal skills required.
<br>Advanced leadership skills among peers required.
<br>Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required
<br>An insurance/claims adjuster license may be required for claims administration in specific states.
<br><br>
Travel Requirements
<br>Occasional travel to off-site business meetings or conferences. (5% proficiency)
<br><br>
The starting pay range for this position is $35.94 - $47.87 per hour. Additionally, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.
<br><br>
<b>Remarkable benefits:</b><br>
<ul>
<li>Health coverage for medical, dental, vision</li>
<li>401(K) saving plans with company match AND Pension</li>
<li>Tuition assistance</li>
<li>Floating holidays and PTO for community volunteer programs</li>
<li>Paid parental leave</li>
<li>Wellness programs</li>
<li>Employee discounts (membership, insurance,</li>
</ul>
travel, entertainment, services and more!)
<br><br>
Auto Club Enterprises is the largest club within the national AAA federation. We have nearly 17,000 employees in 24 states helping more than 18 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity – we win. All of Us! With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.
<br><br>
"Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.”
<br><br>
AAA is an Equal Opportunity Employer
<br><br>
Our organization participates in E-Verify

Claims Senior MedPay Adjuster

lonestar

<div><p>As an Auto Bodily Injury Claims Specialist and embrace a role that offers the thrill of tackling complex cases while championing customer well-being. You'll be empowered to innovate solutions, ensuring clients receive the support they truly deserve. The position's work-from-home flexibility allows you to create your ideal work environment, promoting a healthy work-life balance without sacrificing productivity. Contribute to a fun and energetic team that thrives on high performance and forward-thinking ideas.</p><p>
Your empathetic approach and problem-solving skills will shine as you build meaningful connections while resolving claims efficiently. With Lonestar, you'll not only advance your career but also make a positive impact in the lives of others. You will be provided great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, Health Savings Account, Flexible Spending Account. Commitment to Training &amp; Development, Competitive Salary, and Paid Time Off. Take the leap and bring excellence and integrity to the forefront of our claims process!</p><h3 class="jobSectionHeader"><b>
WHAT WOULD YOU DO AS A AUTO BODILY INJURY CLAIMS SPECIALIST</b></h3><p>
As an Auto Bodily Injury Claims Specialist at Lonestar, you can expect a dynamic day filled with engaging responsibilities and meaningful client interactions. Each day will involve reviewing and assessing new claims, investigating details, and communicating with policyholders to gather necessary information. You'll collaborate with medical professionals to evaluate claims and determine appropriate compensations, using your problem-solving skills to navigate complex situations.</p><p>
Your schedule will be Monday to Friday, either from 8 AM to 5 PM or 8:30 AM to 5:30 PM, after training, this position is hybrid (3 days in-office/2 days work from home), allowing you ample time to focus, strategize, and innovate. You'll participate in regular team meetings to share insights, ensuring everyone stays aligned and empowered to provide exceptional customer service. Expect an energetic environment where your contributions matter, and every day brings new challenges and opportunities to excel!</p><h3 class="jobSectionHeader"><b>
DOES THIS SOUND LIKE YOU?</b></h3><p>
To thrive as an Auto Bodily Injury Claims Specialist at Lonestar, you will need a blend of technical knowledge and superior interpersonal skills. With 3-5 years of experience in Auto Bodily Injury/Casualty claims, you should possess a Texas Licensed Adjuster certification and familiarity with multi-state licensing is a plus. Proficiency in legal and medical terminology will aid in conducting thorough investigations and preparing accurate claim evaluations. Strong negotiation and analytical skills are essential for effectively resolving claims and presenting them for settlement authority. You should be comfortable in an automated claims processing environment, utilizing various software tools to document policy status, coverage, liability, and damages accurately.</p><p>
A knack for organization and the ability to maintain positive relationships with customers, co-workers, and third parties will be key to your success. You will also benefit from knowledge of fraud reduction practices and state-specific regulations, ensuring a compliance-driven approach to your role.</p><p>
Knowledge and skills required for the position are:</p><ul><li>
Review &amp; determine course of action on each file assigned</li><li>
utilizing technical knowledge &amp; experience for the purpose of supporting final disposition of a loss.</li><li>
Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage</li><li>
liability status</li><li>
and damages that are applicable for each claim.</li><li>
Process Bodily Injury</li><li>
and coverage claims in accordance with established office procedures.</li><li>
Work closely with Third Parties</li><li>
plaintiff counsel and Claims Director to determine necessary injury and coverage investigation.</li><li>
Research case and statutory law in order to conduct proper claim investigation.</li><li>
Document policy status</li><li>
coverage</li><li>
liability and damages on all claims and notify re-insurer on qualifying claims.</li><li>
Prepare and present claim evaluations for the appropriate settlement authority.</li><li>
Maintain reasonable expense factors.</li><li>
Handle other duties as assigned.</li></ul><p>
QUALIFICATIONS REQUIRED:</p><ul><li>
Minimum of 3-5 years in Auto Bodily Injury/Casualty claims experience a MUST!</li><li>
Texas Licensed Adjuster - All Lines is required (Multi-State licensing is preferred)</li><li>
Non-Standard insurance experience a plus, not required</li><li>
Bi-lingual a preferred but not required!</li><li>
Knowledge of legal and medical terminology.</li><li>
Excellent negotiation, analytical, organizational, and interpersonal and communication (verbal, written, and phone) skills.</li><li>
Strong skills in the areas of verbal and written communication with an ability to develop and maintain positive customer experience, co-worker, management and third-party relationships.</li><li>
Experience in an automated claims processing work environment</li><li>
Knowledge of fraud reduction practices</li><li>
General working knowledge of policies</li><li>
file procedures</li><li>
state rules and regulations.</li><li>
Ability to pass written examinations where required by state statutes to become a licensed Claims Adjuster.</li></ul><h3 class="jobSectionHeader"><b>
MAKE YOUR MOVE</b></h3><p>
If this sounds like the right job for you, don't wait - apply today to join our team. We look forward to hearing from you!</p></div>

Auto Bodily Injury Claims Specialist

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