Senior Injury Adjuster
Indexed description
Job Description As a Sr. Injury Adjuster, you will handle attorney-involved, moderately complex claims. Responsibilities include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims per state laws and regulations. You will provide best-in-class member service through setting expectations, proactive communication, advice, and empathy. Key Responsibilities: • 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. Must Have Qualifications: • 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. Nice to Have Qualifications: • 4+ years auto liability/casualty adjusting experience. • 1+ year claims experience. • Ongoing professional development in insurance. • Bachelor's degree or higher. Compensation and 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. #HireFinder #LI-PROMOTED #LI-Hybrid
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