Bodily Injury Claims Adjuster II

4 weeks ago

Cleveland, United States Acceptance Insurance Agency of TN, Inc. Full time
Essential Job Functions

Key Function: Investigations
  • Plans and/or conducts investigations to analyze coverage, determine liability, compensability, and extent of damages
  • Completes Bodily Injury Evaluation forms and/or makes recommendations for the disposition of claims in excess of individual settlement authority
  • Compiles information for decision making with discussion of claims committee where appropriate
  • Determine need for independent adjusters, cause and origin experts, independent medical examiners, economists, accident re-constructionists, and engineers
  • Assesses actual damages associated with claims and conduct negotiations to settle claims.
  • Determines if subrogation exists and take steps necessary to initiate recovery efforts.
Key Function: Administration Skills
  • Evaluates policy coverage, contacts insureds, claimants, attorneys, body shops and medical staff to determine injuries stemming from an accident while determining and establishing reserve requirements
  • Evaluates the medical injury exposure within guidelines, obtain authority when appropriate and make proper and timely payments
  • Maintains accurate records and handle administrative responsibilities associated with processing and payment of claims. Record and update status notes, and document results of contacts, relevant medical reports and duration information per Best Practices
  • Documents computer log with results of review and intentions for handling
Key Function: Interpersonal Skills
  • Keeps internal and/or external customers advised of file status and other matters as required.
  • Responds timely and appropriately to all settlement demands.
  • Evaluates claim for potential fraud and work with Special Investigations Unit as required.
  • Other duties as assigned
Desired Qualifications
  • High School Diploma/GED required
  • 2 year degree or higher is preferred.
  • Minimum of 2 years previous auto liability claim handling experience or minimum 1 year bodily injury claims experience preferred.
  • Must have or secure and maintain adjuster license(s) within 60 days of employment
  • Knowledge and understanding of applicable statues, regulations and case law
  • Training in Excel and industry (insurance) knowledge
  • Proficient in Microsoft Suite (i.e. Word, Excel, PowerPoint, etc.)
  • Possesses strong customer service skills and behaviors
  • Time management, prioritization, and organizational skills
  • Ability to make effective decisions on behalf of the organization
  • Thinks critically and anticipates, recognizes, identifies, and develops solutions to problems in a timely manner
  • Excellent interpersonal and communication skills, including presentation skills
  • Commitment to Acceptance's company values
  • Able to lift 0-10 pounds without assistance


#LI-REMOTE

As a Team Member at Acceptance Insurance, you will be part of a growing organization that continues to evolve and positively impacts the lives of our team members and customers.

We are looking for team members that engage - who take responsibility for themselves and take care of their customers and colleagues. Ideal candidates can compose themselves under pressure, have a "make It right" mindset, and focus their energies on solving problems. This means you'll be supported by a team with all these qualities, too. If this sounds like the kind of team you'd like to join, we want to hear from you

Acceptance Insurance offers a full line of benefits including: Health Insurance, Dental, Vision, Paid Vacation, Disability Insurance and Employer Matching 401(k) Program.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants are considered for position and are evaluated without regard to mental or physical disability, race, religion, sexual orientation, color, gender, national origin, age, marital status, military or veteran status or any other protected local, state or federal status unrelated to the performance of the work involved.

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