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Senior Bodily Injury Adjuster

1 month ago

Texas City, United States Allcat Claims Service Full time
ABOUT ALLCAT CLAIMS SERVICE

Allcat Claims Service is an energetic company that places a high emphasis on learning and personal development by supporting and challenging its people to reach their full potential. As a result, Allcat Claims Service places a premium on customer service, quality, and rapid integration of emerging technology. Most importantly, we pride ourselves on handling claims both professionally and ethically. Our commitment to "Raising the Bar" has allowed us to grow our client and adjuster relationships over the years into something special. The experience of our team and their work ethic is unparalleled in the claims industry.

DESCRIPTION

This is a remote position that provides auto claims service to customers using multiple communication channels. Within defined guidelines and framework, responsible for investigating, evaluating, negotiating, and adjusting simple to moderately complex auto injury claims presented by or against a policyholder. The role will include confirming coverage, determining liability and equitably settling claims in compliance with all state and regulatory requirements. Works under minimal supervision to perform work assignments and problem resolution. Accountable for delivering a high level of service in every interaction through setting appropriate expectations, proactive communications, advice and empathy. This role will also provide the opportunity to utilize leadership and conflict management skills as you guide the customer through the claims and repair process.

JOB RESPONSIBILITIES
  • Accountable for delivering best in class claim service through setting appropriate expectation proactive communications.
  • Provides claims service via internal channels (phone/fax/email/mail) to policy holders and third party customers on behalf of clients.
  • Claim ownership and adjusts soft tissue, moderately complex Bodily Injury claims, PIP/Med Pay, UM/UIM and Personal Liability claims as well as all auto physical damage associated with those claims.
  • Identify, confirm, and make coverage decisions on soft tissue to moderately complex claims.
  • Investigate loss details, determine legal liability, evaluate, negotiate, and resolve claims within appropriate authority guidelines.
  • Clearly document thought process, investigation, evaluation, negotiation and settlement decisions.
  • Prioritize and manage assigned claims workload to keep policyholders and other involved parties informed, and provide timely claims status updates.
  • Collaborate and support team members to resolve issues and identify appropriate matters for escalation.
  • May act as an informal resource for team members with less experience.
  • Acquires and applies basic knowledge of Property & Casualty insurance industry products, services, and processes to include P&C insurance policy contracts and coverage's and the claim handling process and procedures.
  • Ability to maintain discretion in business relationships and exercise sound business judgement
  • Supports workload surges and/or Catastrophe operations as needed.
MINIMUM REQUIREMENTS
  • Bachelor's degree
  • 7+ years of auto liability/casualty adjusting experience with emphasis on attorney represented and non-attorney represented Bodily Injury claim handing
  • Current global auto adjuster license or acquisition and maintenance of state adjuster licenses
  • Working knowledge and understanding of the auto claims contract as well as application of case law, state laws and regulations.
  • Ability to mentor and assist with training adjusters
  • Strong customer service, communication, organizational skills.
  • Ability to interface with internal and external customers in a pleasant manner on an ongoing basis
  • Enjoys working in a fast-paced environment and easily acclimates to changes in process/systems for overall improvement of the organization.
  • Must be accurate and detail-oriented.
  • Ability to muti task and learn new technologies
  • Working knowledge of Microsoft Office applications, such as Outlook, Excel, and Word.
Preferred Requirements
  • Insurance designation
  • 5+ years Bodily Injury claim handling
  • Medical bill review experience
  • Guidewire Claim System knowledge a plus
  • Familiarity with CCC/Mitchell/ Audatex estimating platforms
  • Fluent in English and Spanish: speak, read and write


BENEFITS

Eligibility to participate in Comprehensive Benefits Package: Medical, Dental and Vision, 401K, Paid Time Off and Paid Holidays, in accordance with Company policy.

Salary: $24.00-$36.00 per hour DOE