Investigate, evaluate, negotiate, and settle complex bodily injury claims from auto accidents and premises liability.
Use investigative methods and negotiate settlements within prescribed limits with insurers, repair facilities, and legal staff.
Initiate billing and collection for money owed due to damage to equipment or property.
Manage an average caseload of 70-85 claims.
Determine coverage and liability for bodily injury claims based on policy language, statutes, and case law.
Conduct thorough investigations, interview claimants, witnesses, policyholders, and medical professionals.
Gather and analyze documentation: police reports, medical records, lost wage documentation, photographs.
Communicate with claimants, attorneys, medical providers, and internal stakeholders.
Prepare reports documenting investigations, evaluations, and settlement recommendations.
Collaborate with legal counsel on litigated claims.
Maintain accurate claim files and ensure regulatory and company policy compliance.
Requirements
Typically requires a minimum of 8 years of related experience with a Bachelor’s degree; or 6 years and a Master’s degree; or a PhD with 3 years experience; or equivalent experience.
Thorough knowledge of personal injury law, insurance policies, and claims handling procedures.
Exceptional written and verbal communication skills, including the ability to articulate complex information clearly and concisely.
Proven negotiation and conflict resolution abilities.
Ability to work independently and manage a high-volume caseload effectively.