Bodily Injury Claims Adjuster II

Key Responsibilities

• Claims Investigation & Evaluation
  • 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.
• Claims Resolution & Negotiation
  • 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.
• Customer Experience & Communication
  • 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.
• Professional Development & Collaboration
  • 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

• Required
  • 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.
• Preferred
  • Prior bodily injury claims experience.
  • Experience handling attorney-represented claims.
  • Exposure to litigation claims.
  • Demonstrated ability to work independently while managing a high-volume claim inventory.

Skills & Competencies

• Strong investigation and analytical skills
• Effective negotiation and conflict resolution
• Sound judgment and decision-making