Adjuster BI Attorney Rep

Location: Remote

• Request medical records/bills for independent review.
• Evaluates claimed injuries; identifies strong and weak points of both claimant’s and insured’s position. 
• Review PD/collision photographs.
• Keeps track of required correspondence and reviews files. 
• Sends excess letters to insured (s) on serious injury and multiple competing claims.
• Negotiates settlements with either attorney or unrepresented claimant; identifies and notes any lien holders against settlement.
• Keeps insureds advised of developments in claims and settlements. Reserving the Company’s rights, when appropriate.
• Upon settlement, prepares and sends release and hold harmless documents.
• Evaluate claims for potential fraud and work with Special Investigations Unit as required.
• Assess actual damages associated with claims and conduct negotiations to settle claims.
• Determine if subrogation exists and take steps necessary to initiate recovery efforts.
• Determine the need for independent adjusters, cause and origin experts, independent medical examiners, economists, accident “reconstructionist”, and engineers.
• Respond timely and appropriately to all settlement demands.
• Keep internal and external customers advised of file status and other matters as required.
• Proficiently handle first reports of Bodily Injury claims.
• Accurate recognition of other relevant claims exposures.
• Identify and present files that need further review with management. 

• Associate or bachelor’s degree preferred and/or 5 years of related work experience, preferably with bodily injury claims.
• Active Adjuster’s license 
• Bilingual (English & Spanish)

• Non-standard auto industry experience is a plus. 
• Proficient in Word, Excel, Windows-based applications, and internet usage.
• Guidewire knowledge preferred. 
• Must be familiar with forms, procedures, regulations, coverages, and business processes.
• Must be able to exercise good judgment and state opinions assertively.
• Must be able to write and speak clearly and concisely.
• Must be able to perform work effectively in a highly intense environment and handle multiple tasks and demands simultaneously. 
• Must illustrate analytical skills to identify, gather, and organize information.
• Must be able to work independently in a team environment.

• 401(k) Retirement Savings Plan with employer match.
• Comprehensive Medical, Prescription Drug, Vision, and Dental Insurance
• Paid Time Off, Holidays, and Leave programs.
• Flexible spending accounts
• Basic Life Insurance and Voluntary Life/ADD
• Short Term and Long-Term Disability