Senior Auto Claims Adjuster

Job SummaryThe Senior Auto Claims Adjuster is responsible for handling commercial auto losses, focusing on complex auto physical damage claims, disputed property damage liability claims, non-litigated bodily injury claims, and general liability claims.Essential Job FunctionsInvestigate reports of loss by interviewing claimants, witnesses, and other involved parties, gathering evidence, police reports, photographs, and repair estimatesEngage and manage external vendors as needed in the investigation and evaluation of reports of lossDetermine liability by analyzing the facts of each case, including review of applicable laws and regulationsEnsure timely vehicle inspections to assess the extent of damage and determine cost of repairs, working with independent adjusters, vendors, and body shops as neededManage financial transactions associated with commercial auto claims, including reserves, payments, and recoveries, as well as negotiating settlements and ensuring fair compensation for lossApply the terms and conditions of the appropriate coverage forms to facts of loss as reported or developed during investigationsConsistently and frequently communicate with vehicle owners regarding the status of their claim, providing updates, answering questions, and ensuring a positive customer experienceAccurately and thoroughly document claims with all pertinent activity and rationale for decisions made and actions taken; prepare detailed reports documenting findings, decisions, and justification for settlements reachedEvaluate medical documentation to determine appropriate settlement amounts of third-party bodily injury claimsNegotiate settlements of bodily injury claims with claimants and attorneysEnsure compliance with Medicare Secondary Payer ActPerform all actions relating to customers and companies in a manner that will avoid issues involving potential errors and omissionsParticipate in seminars and other training to maintain required licenses and for knowledge and skill developmentAdditional ResponsibilitiesThis job description is intended to describe the level of work required of the person performing the position. Essential functions are outlined; however, other duties may be assigned, as needs arise, or as required to support the essential functions. Specific performance objectives may be developed each year to measure the performance of the tasks and functions listed in this job description.Telecommuting opportunities vary by location, department, and business need and are subject to change, as needed. Each manager will provide details on any telecommuting opportunities, as well as scheduling, within their department.Job Qualifications3 – 5 years of previous auto claim handling experience preferredHigh school diploma or equivalent requiredBachelor's degree preferred, but not requiredPossession of, or the ability to immediately attain, a Texas Adjuster’s License requiredKnowledge, Skills, and AbilitiesAbility to interpret and correctly apply commercial auto coverage formsExcellent customer service aptitudeAbility to work collaboratively and to resolve conflict using effective negotiation skillsAbility to manage and prioritize multiple tasksProficient PC skills, with a focus on the Microsoft Office suite of products (Excel, Word, Outlook, Teams, etc.)Understand medical terminologySelf-motivated, with the initiative to prioritize and be self-directedAbility to communicate effectively, both verbally and in writingExcellent interpersonal skills, with the ability to interact effectively with both colleagues, customers, and managers, across all levelsAbility to promote and maintain a team environment, willing to find accommodating solutions for our customers, companies, and the AgencyAbility to successfully adhere to company policies and procedures, as well as maintain strict confidentialityWork Conditions and AccommodationsFast-paced, multi-tasking, office environment with periodic high disruption and changing prioritiesAbility to perform approximately 80% sedentary work, exerting up to 10 pounds of force occasionally, and negligible force frequentlyAbility to lift up to 20 pounds occasionallyRequires operation of a computer workstation, including keyboard and video displayAll requirements may be modified to reasonably accommodate physical or mental impairment #J-18808-Ljbffr INSURICA, Inc.