Insurance Adjuster

Responsibilities

Conduct investigation of varying complexity, represented casualty, physical and property damage claims, utilizing investigative tools, based on claims and state regulatory guidelines and procedures established by the department.

Develop a comprehensive strategy to identify and resolve coverage, liability, injury, and property damage, efficiently and accurately.

Examine all provisions, endorsements of the claim policy and other records to verify applicable insurance coverage and make financial decisions within authority limits.

Develop and implement negotiation strategies when communicating settlement related information to insureds, claimants, attorneys, body shop personnel, medical providers, and other parties.

Conduct analyses of represented bodily injury claims. Research and interpret injury related statutory provisions and case law, examine points of impact and extent of damage relative to the injury claimed, access prior injury information, obtain proper release documentation, obtain medical reports, and conduct detailed injury-specific research relating to the injury claimed, thoroughly document injury related treatment history and develop a comprehensive settlement strategy.

Thoroughly document the progression of each claim and set bodily injury reserves ensuring an accurate and organized record.

Attend depositions/mediation/arbitration/pre-trials/trials and all other legal proceedings, when needed.

Act as mentor and provide staff training.

Collaborate with various departments to efficiently move claim toward final resolution.

Performs other duties as assigned.

Requirements

A high school diploma or equivalent is required.

A minimum of three years of casualty claim experience in the auto insurance industry.

Proficiency in basic computer skills including Microsoft Office Suite products and webbased applications.

Must obtain and maintain state required licensing, where applicable.

Initiative, sound judgement, and discretion.

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