Senior Injury Adjuster

Job Description

Job Description

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.

Key Responsibilities:

• Adjust attorney-involved soft tissue and moderately complex injury claims (e.g., torn meniscus, broken bones, disc herniations) and related auto physical damage.

• Identify and confirm coverage decisions on soft tissue and moderately complex bodily injury claims.

• Investigate loss details, determine liability, evaluate, negotiate, and adjudicate claims timely with clear documentation within authority guidelines.

• Manage claims workload, keep members and parties informed, provide timely updates.

• Collaborate with team members to resolve issues and escalate when appropriate.

• Coordinate with vendors and internal partners to facilitate claim resolution.

• Deliver excellent member service with appropriate expectations and communication.

• Support workload surges and catastrophe (CAT) response including on-call duties, possible evenings, weekends, holidays.

• May travel for CAT deployments with minimal notice.

• Handle claims of higher complexity and additional duties as needed.

• Ensure effective risk management per policies and procedures.

Must Have Qualifications:

• High School Diploma or GED.

• 2 years auto claims adjusting experience.

• 1 year injury adjusting experience with attorney-represented claims.

• Proficient knowledge of auto claims contract, investigation, evaluation, negotiation, adjudication, case law, and state regulations.

• Strong negotiation, investigation, communication, and conflict resolution skills.

• Time management and decision-making skills.

• Investigatory, prioritizing, multi-tasking, and problem-solving skills.

• Knowledge of human anatomy and medical terminology related to injury claims.

• Ability to exercise sound financial judgment.

• Proficient in coverage evaluation, loss assessment, and reserving.

• Obtain and maintain insurance adjuster license within 90 days and 3 attempts.

Nice to Have Qualifications:

• 4+ years auto liability/casualty adjusting experience.

• 1+ year claims experience.

• Ongoing professional development in insurance.

• Bachelor's degree or higher.

Compensation and Perks:

• Salary: $63,590 - $90,000

• Hybrid schedule: Mandatory 3 days in-office in Phoenix.

• Comprehensive benefits supporting physical, financial, and emotional wellness.

• Medical, dental, vision, 401(k), pension, life insurance.

• Parental benefits, adoption assistance, paid time off with holidays, 16 paid volunteer hours, wellness programs.

• Career path planning and continuing education support.

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We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. 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.