Bodily Injury Claims Adjuster

3 days ago

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Aspire General Insurance

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Description

• Conduct thorough investigations into bodily injury claims, including reviewing medical records, police reports, and witness statements. • As we work to broaden and strengthen your skill base, you will handle some litigated files, but this will not be your primary responsibility. • Evaluate the extent of injuries and determine liability based on policy coverage, state regulations, and legal precedents. • Communicate with claimants, attorneys, medical providers, and other parties to gather necessary information and documentation. • Analyze medical reports and bills to assess the nature and severity of injuries and determine appropriate compensation. • Negotiate settlements with claimants and their representatives in accordance with company policies and regulatory requirements. • Collaborate with internal parties, legal counsel, and management, to resolve complex claims and mitigate risk. • Maintain accurate and detailed claim files, documentation, and activity logs in accordance with company standards and industry best practices. • Stay informed about changes in laws, regulations, and industry trends related to bodily injury claims management. • All demand evaluations are to be reviewed and submitted to your supervisor for authority within 7 calendar days of receipt. • All demand conditions are to be met at the time our offer is extended in writing. • All initial offers must be made no later than 3 days before the demand expires.

Requirements

• A bachelor's degree or comparable insurance experience. • A minimum of 3 years of experience in bodily injury claims adjusting or related role. • CA and non-standard auto insurance experience is a plus. • Strong knowledge of insurance principles, policies, and procedures. • Familiarity with medical terminology, anatomy, and injury assessment. • Excellent analytical and decision-making skills with the ability to assess complex issues and negotiate fair settlements. • Exceptional communication and interpersonal skills, with the ability to effectively interact with diverse stakeholders. • Proficiency in claims management software and Microsoft Office Suite.