Bodily Injury Adjuster - Represented Third Party Casualty (NY, NJ, PA) - Remote

About the role

This job is responsible for investigating moderate/complex represented claims which typically will include claims in single or multi car accidents and represented moderate or major claims. The individual also may handle complex and highly complex specialized claims (e.g., business interruption, loss of income, Errors and Omissions (E&O) policies, etc.). The individual oversees liability and bodily injury investigations, takes recorded statements, resolves loss of use claims, makes payments to appropriate parties, and negotiates and settles or refers bodily injury issues that cannot be resolved.

Responsibilities

• Summarizes documents and enters into claim system notes
• Manages, researches, and resolves complex and highly complex customer communications, concerns, conflicts or issues
• Reviews medical reports in preparation for claims settlement evaluation
• Researches, responds to, or participates in Department of Insurance complaints or investigations
• Negotiates and settles claims in accordance with business unit best practices
• Sets initial reserve, updates reserve, documents rationale and claim summary notes
• Determines and explains minimum coverage limits in complex and highly complex claims involving single or multiple claimants, also determines claim value
• Documents a claim file with notes, evaluations and decision making process

Qualifications

• Prior represented casualty claim handling experience is required
• NY, NJ, PA claims experience preferred
• 2-5 years of moderate/complex Bodily Injury claim handling experience is required
• Proficient communication skills, especially over the phone, to establish rapport and assess claims accurately
• Ability to work independently and remotely, while managing time efficiently
• Familiarity with insurance policies, coverage, and liability determination
• Strong critical thinking and problem-solving skills to evaluate and negotiate injury claims successfully
• Knowledge of innovative tools and platforms for effective claims evaluation

Remote Home-Based Work

• A technology bundle that includes all equipment needed to perform your work from home (laptop, monitors, headset, keyboard, mouse)
• Connectivity reimbursement of $80 per month to off set some of the cost of internet

Compensation

Compensation offered for this role is 53,500.00 – 84,625.00 annually and is based on experience and qualifications.

Skills

• Bodily Injury Claims
• Business Communications
• Claims Evaluation
• Claims Resolution
• Complex Claims
• Critical Thinking
• Fraud Investigations
• Information Collection
• Time Management