Injury Adjuster

Job Description

Job Description

A client of AlphaStaffHCM™ is seeking an Injury Adjuster to support non‑attorney involved soft tissue bodily injury claims. This role is responsible for confirming coverage, determining liability, investigating losses, evaluating damages, negotiating settlements, and adjudicating claims in compliance with applicable state laws and regulations.

The Injury Adjuster delivers a concierge‑level, best‑in‑class member experience through proactive communication, setting clear expectations, and timely claim resolution. This role collaborates closely with internal teams, vendors, and business partners while managing varying levels of claim complexity.

Key Responsibilities

• Adjust non‑attorney involved soft tissue bodily injury claims , including related auto physical damage exposures
• Identify, confirm, and make coverage decisions in accordance with policy terms and state regulations
• Investigate loss details, determine legal liability, evaluate damages, negotiate settlements, and adjudicate claims within assigned authority
• Document claim activity clearly and thoroughly to support accurate and compliant outcomes
• Provide guidance to members regarding next steps, timelines, and claim expectations
• Deliver a best‑in‑class member service experience through proactive communication and responsiveness
• Collaborate with team members to resolve issues and escalate matters appropriately
• Partner with vendors and internal business partners to facilitate timely claim resolution
• Manage claims of varying complexity and support workload surges as needed
• Participate in catastrophe (CAT) response operations, including mandatory on‑call periods and potential evening, weekend, or holiday work
• Support CAT deployment travel with minimal notice during designated events
• Identify, measure, monitor, and control risks associated with claims handling activities
• Perform other duties as assigned

Environment

• Hybrid position requiring in‑office presence 3 days per week
• Position may be based in one of the following locations:
• San Antonio, TX
• Phoenix, AZ
• Colorado Springs, CO
• Chesapeake, VA
• Tampa, FL
• Typical schedule: Monday – Friday, 9:00 a.m. – 5:30 p.m. (local office time)
• Mandatory training required (schedule to be determined)
• Relocation assistance is not available

Must‑Have Qualifications

• High School Diploma or General Equivalency Diploma (GED)
• Minimum 1 year of injury adjusting or auto liability adjusting experience , including highly complex vehicle physical damage claims (e.g., multi‑vehicle, non‑owned vehicle, or total loss claims)
• Working knowledge of auto claims contracts, coverage evaluation, investigation, negotiation, and claim adjudication
• Familiarity with applicable case law and state insurance laws and regulations
• Strong negotiation, investigation, communication, and conflict resolution skills
• Proven ability to prioritize, multitask, and solve problems effectively
• Demonstrated sound financial judgment and discretion in claim handling
• Knowledge of coverage evaluation, loss assessment, and loss reserving
• Ability to acquire and maintain required insurance adjuster licenses within 90 days (up to 3 attempts)

Nice‑to‑Have Qualifications

• Currently in a Senior Auto Adjuster / Complex role
• 1+ year of experience as a Complex Senior Auto Adjuster
• 2+ years of auto liability or casualty adjusting experience, including complex or multi‑vehicle claims
• Experience handling total loss claims

AlphaStaff, Inc. and the Client are equal employment opportunity employers and do not discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, past or present military service, disability, genetic information, or any other basis protected by applicable federal, state, or local laws.