Injury Claims Examiner (East Region)
Core
Adjust complex auto and homeowner bodily injury claims, UM/UIM, and small business claims by confirming coverage, determining liability, investigating, negotiating, and adjudicating in compliance with state laws.
Role type
Senior IC injury claims adjuster
Builds
Resolved insurance claims for members
Domain
Insurance / Auto & Homeowner bodily injury
Deliverable
client delivery
Required skills
Auto injury claims adjusting, coverage evaluation, legal liability determination, claim negotiation, investigation, state law application, medical terminology, loss reserving
Preferred skills
Catastrophic injury experience (TBI, disfigurement, fatality), UM/UIM coverage expertise, insurance designations, military experience
Technologies
None stated
Responsibilities
Adjust complex auto bodily injury claims with significant injuries; investigate loss details and determine legal liability; negotiate and adjudicate claims within authority guidelines; manage assigned claims workload and provide status updates; collaborate with team members and direct vendors to resolve issues; serve as a resource for complex claims; ensure risks are identified and controlled per compliance policies.
Seniority
Mid-to-Senior, hands-on IC