Job Description

Responsibilities:

• Conduct in-depth investigations into complex bodily injury claims, determining coverage, establishing liability, and evaluating damages by analyzing medical records, police reports, and witness statements.
• Develop and execute effective negotiation strategies to achieve fair and timely settlements with claimants, attorneys, and other parties.
• Manage litigated files, including developing defense strategies, communicating with legal counsel, and attending mediations, arbitrations, and trials as necessary.
• Maintain meticulous and accurate claim file documentation in compliance with company standards and regulatory requirements.
• Provide exceptional customer service, guiding insureds and claimants through complex claim processes with professionalism and empathy.

Candidate & SkillsTop 3-5 Skills:

• 5 + years of direct experience handling casualty claims, with a strong focus on bodily injury (BI) claims across various lines (Auto, Homeowners, Commercial).
• Proven ability to investigate, analyze, and evaluate complex BI claims, including understanding medical terminology and injury causation.
• Solid understanding of insurance policies, relevant state laws, and the litigation process.
• Strong negotiation and conflict resolution skills, with a track record of successful settlements.
• Takes ownership of files, even when litigation is involved.

Soft Skills:

• Exceptional communication (verbal and written), interpersonal, and customer service skills.
• Ability to work independently, manage a challenging caseload, and make sound judgments.
• Strong analytical, problem-solving, and decision-making abilities.
• Meticulous attention to detail and excellent organizational skills.
• An eagerness to learn, adapt, and embrace new technologies
• Ability to work effectively both independently and as part of a supportive team.

Certifications/Licenses/Education:

• Active Adjuster License in CT, MA, RI – willing to get additional licenses as needed (company to assist)
• A bachelor's degree is preferred, or equivalent work experience.

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