Bodily Injury Claims Adjuster II

Key Responsibilities

• Verify coverage, investigate liability, and determine the scope of damages for assigned bodily injury claims.
• Conduct thorough, detailed, and accurate investigations to evaluate claim facts and determine appropriate resolutions.
• Evaluate accident facts, injuries, medical records, and medical bills to determine causation, liability, and claim value.
• Analyze claim information and move claims toward timely and appropriate resolution.
• Negotiate settlements in accordance with company best claim practices and applicable state regulations.
• Manage an assigned inventory of bodily injury claims while working independently and making sound claims decisions.
• Gain exposure to claims involving litigation, partnering with leaders or peers as appropriate.
• Maintain ownership of the claim throughout the claim lifecycle while providing a seamless customer experience.
• Provide proactive, transparent, and timely communication to customers, claimants, attorneys, and other involved parties.
• Deliver an extraordinary customer experience through professionalism, empathy, and responsive service.
• Effectively utilize claims operating systems and communication tools to support claim handling activities.
• Demonstrate leadership and conflict resolution skills when working with customers and business partners.
• Collaborate with internal departments and external vendors to ensure efficient claim resolution.
• Continue building technical knowledge of bodily injury claims, litigation, and regulatory requirements.

Qualifications & Experience

• Experience handling bodily injury claims or related casualty claims.
• Ability to investigate coverage, liability, and damages independently.
• Strong understanding of insurance policies, claims handling practices, and applicable regulations.
• Ability to obtain and maintain all required state adjuster licenses.
• Strong analytical, negotiation, and decision-making skills.
• Excellent verbal and written communication skills.
• Strong organizational and time management abilities.
• Prior bodily injury claims experience (preferred).
• Experience handling attorney-represented claims (preferred).
• Exposure to litigation claims (preferred).
• Demonstrated ability to work independently while managing a high-volume claim inventory (preferred).