Auto PD - Adjuster Service Claims

Position Overview The Auto PD Adjuster – Service Claims is a full-time, exempt role with a hybrid work schedule (two days in the office) at one of our Hanover offices: Worcester, MA Richmond, VA Syracuse, NY Itasca, IL Howell, MI Responsibilities Manage a caseload of moderately complex service claims from intake through resolution. Conduct thorough investigations, assess liability, and evaluate damages using established procedures. Engage underwriting, legal, and stakeholders for comprehensive investigation and evaluation. Identify and refer suspicious claims to the Special Investigation Unit. Transfer risk to appropriate parties. Maintain appropriate adjuster licenses and continuing education credits. Handle claims within specific limits and authority; use discretion and independent judgment. Set reserves and authorize payments within scope of authority. Review and validate intake claims; conduct investigations and document findings. Coordinate with stakeholders to resolve issues; adhere to claims processing procedures. Utilize technology and data tools to enhance claims processing efficiency and accuracy. Resolve claims with empathy and customer‑centricity; prepare documentation and evidence. Maintain detailed and compliant documentation of claim activities and communications. May represent the company in mediations, arbitrations, and trials. Participate in problem‑solving discussions and cross‑functional coordination. Handle sensitive communications professionally and translate complex information for diverse audiences. Mentor entry‑level adjusters and share best practices learned through training and experience. Provide exceptional customer service; educate policyholders and ensure satisfaction. Ensure compliance with all licensing requirements. Identify and assign subrogation potential appropriately; set up files to support successful recovery efforts. Qualifications Associate degree required; bachelor’s degree preferred or a combination of education and experience. Typically 3–4 years of relevant Auto claim‑handling experience. Guidewire experience is a plus. Proficient with basic computer navigation; ability to use basic software and the internet. Knowledge of insurance products, processes, and relevant laws. Learn and handle negotiations independently within authority, understanding common tactics for moderately complex claim resolution. Communicate clearly and empathetically across various channels. Operate with decision‑making latitude; adapt to changing situations. Deliver difficult messages with clarity and professionalism. Collaborate with team members and maintain constructive relationships. Manage multiple tasks and deadlines with strong organizational skills. Negotiate claims independently within authority limits. Understand insurance principles, policies, procedures, and terminology. Possess investigative skills and follow procedures and guidelines. Core Capabilities Analytical Reasoning: The ability to identify problems, understand your impact, gather input and data, and develop an effective solution. Customer Centricity: Makes customers and their needs a primary focus of one’s actions; shows interest in and understanding of the needs and expectations of internal and external customers; gains customer trust and respect; meets or exceeds customer expectations. Digital Fluency: Effectively uses digital tools and technology appropriately to find, #J-18808-Ljbffr