Bodily Injury Claims Adjuster III

Key Responsibilities

Complex Claims Investigation & Resolution

• Investigate and manage complex bodily injury claims, including litigation, uninsured/underinsured motorist claims, and other high-exposure losses.
• Verify coverage, determine liability, evaluate damages, and conduct thorough investigations to support claim decisions.
• Analyze medical documentation, applicable laws, and case precedent to complete comprehensive bodily injury evaluations.
• Demonstrate sound judgment in evaluating liability, damages, and settlement opportunities.

Litigation & Negotiation

• Manage injury litigation from assignment through resolution.
• Prepare mediation and arbitration submissions and represent the company through the dispute resolution process.
• Partner with defense counsel and other legal professionals to develop claim strategies and achieve appropriate outcomes.
• Negotiate settlements while adhering to company best claim practices and regulatory requirements.

Customer Experience & Communication

• Deliver an exceptional customer experience by maintaining proactive, transparent communication throughout the life of the claim.
• Keep insureds, claimants, attorneys, and other involved parties informed regarding claim status and resolution.
• Handle sensitive and high-stress customer interactions with professionalism and empathy.

Technical Leadership

• Serve as a technical resource and subject matter expert for complex bodily injury claims.
• Mentor and provide guidance to less experienced claim professionals.
• Share knowledge and best practices to support team development and continuous improvement.

Compliance & Operational Excellence

• Maintain compliance with all state regulations, company policies, and claims handling standards.
• Obtain and maintain all required state adjuster licenses.
• Effectively utilize claims management systems and other technology tools to manage assigned inventory.
• Maintain ownership of assigned claims while meeting quality, productivity, and service expectations.

Qualifications & Experience

Required

• Minimum 7 years of bodily injury claims experience preferred.
• Demonstrated experience handling complex bodily injury and litigation claims.
• Strong knowledge of insurance coverage, liability, medical terminology, and bodily injury evaluation.
• Experience handling Uninsured Motorist (UM) and Underinsured Motorist (UIM) claims.
• Proven ability to prepare and manage mediation and arbitration submissions.
• Strong business acumen, analytical skills, and sound decision-making abilities.
• Ability to work independently with minimal supervision.
• Obtain and maintain all required state adjuster licenses.

Skills & Competencies

• Excellent investigation and negotiation skills.