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.
Job Tags
Work experience placement,