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About the role
Key responsibilities & impact- Adjust attorney-involved soft tissue and moderately complex injury claims (e.g., torn meniscus, broken bones, disc herniations) and related auto physical damage.
- Identify and confirm coverage decisions on soft tissue and moderately complex bodily injury claims.
- Investigate loss details, determine liability, evaluate, negotiate, and adjudicate claims timely with clear documentation within authority guidelines.
- Manage claims workload, keep members and parties informed, provide timely updates.
- Collaborate with team members to resolve issues and escalate when appropriate.
- Coordinate with vendors and internal partners to facilitate claim resolution.
- Deliver excellent member service with appropriate expectations and communication.
- Support workload surges and catastrophe (CAT) response including on-call duties, possible evenings, weekends, holidays.
- May travel for CAT deployments with minimal notice.
- Handle claims of higher complexity and additional duties as needed.
- Ensure effective risk management per policies and procedures.
Requirements
What you’ll need- High School Diploma or GED.
- 2 years auto claims adjusting experience.
- 1 year injury adjusting experience with attorney-represented claims.
- Proficient knowledge of auto claims contract, investigation, evaluation, negotiation, adjudication, case law, and state regulations.
- Strong negotiation, investigation, communication, and conflict resolution skills.
- Time management and decision-making skills.
- Investigatory, prioritizing, multi-tasking, and problem-solving skills.
- Knowledge of human anatomy and medical terminology related to injury claims.
- Ability to exercise sound financial judgment.
- Proficient in coverage evaluation, loss assessment, and reserving.
- Obtain and maintain insurance adjuster license within 90 days and 3 attempts.
- 4+ years auto liability/casualty adjusting experience (Nice to Have).
- 1+ year claims experience (Nice to Have).
- Ongoing professional development in insurance (Nice to Have).
- Bachelor's degree or higher (Nice to Have).
Benefits
Comp & perks- Salary: $63,590 - $90,000
- Hybrid schedule: Mandatory 3 days in-office in Phoenix.
- Comprehensive benefits supporting physical, financial, and emotional wellness.
- Medical, dental, vision, 401(k), pension, life insurance.
- Parental benefits, adoption assistance, paid time off with holidays, 16 paid volunteer hours, wellness programs.
- Career path planning and continuing education support.
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Claims InvestigationClaims EvaluationClaims AdjudicationLoss AssessmentRisk ManagementMedical TerminologyHuman Anatomy KnowledgeFinancial JudgmentTime ManagementMulti-tasking
Soft Skills
Communication SkillsConflict ResolutionDecision-Making SkillsProblem-Solving SkillsTeam Collaboration
Certifications
Insurance Adjuster License
