Injury Claims Examiner (Regional)
Health Care Administrators Association® (HCAA) · Chesapeake, VA · Today
On-siteFinance$85k–$163k/yrFull-time
About the role
Responsible for adjusting complex auto, homeowner, bodily injury, UM/UIM, and small business claims, ensuring accurate coverage determination, liability assessment, investigation, negotiation, and adjudication in compliance with laws and regulations.
Responsibilities
- Investigate loss details, evaluate claims, and determine legal liability.
- Negotiate and settle claims while providing exceptional member service through proactive communication and setting expectations.
- Manage workload efficiently, prioritize claims, and collaborate with team members, vendors, and internal partners to facilitate timely resolutions.
- Support team members on complex claims and ensure risks are identified and mitigated per policies.
Qualifications
- High School Diploma or equivalent; 4+ years auto injury claims adjusting experience.
- Advanced knowledge of auto claims, investigation, evaluation, legal frameworks, and medical terminology.
- Strong negotiation, communication, conflict resolution, and decision-making skills.
- Ability to exercise sound judgment, prioritize tasks, and manage multiple complex claims.
- Must obtain insurance adjuster license within 90 days.
Preferred Attributes
- Experience handling high-value catastrophic injuries and UM/UIM coverage.
- College degree, insurance designation, or military experience.
Work Arrangement
Position offers remote or hybrid work options, with some on-site requirements.
Pay
Compensation ranges from $85,040 to $162,550.
Benefits
Benefits supporting health, financial security, and professional growth.