Claims Resolution Specialist, Bodily Injury Adjuster

Description

The Bodily Injury Claims Specialist will investigate, manage and resolve Bodily Injury claims assigned directly with injured parties, as well as assist in providing service to policyholders.

All qualified applicants will reside within a 50-mile radius of the Lake Mary, FL office.

There may be several in-office days per month for the first few months following initial virtual training to support your learning and to build relationships with leaders and others in the department. This position requires a minimum of two days in office per month as the standard beyond the training period, with occasional additional days for special meetings a few times a year.

Training is a critical component to your success and that success starts with reliable attendance. Attendance and active engagement during training is mandatory.


In a high performing culture, WE in PL Core:

• Strive to be better tomorrow than today; little improvements lead to big ones!
• Embrace change. We may need to let go of what's familiar in order to embrace and try something new.
• Understand how our individual work contributes to our teams, our organizations and the company
• Are adaptable and resilient. Change is imperative to being better tomorrow and resiliency allows us to handle unexpected challenges
• Are an exporter of Talent. We maintain a focus on development and growth.
• Contribute positively; We come to work every day with the intent to make a positive impact on our work and on everyone around us. One positive interaction with you can turn someone's day around.

• Investigates and evaluates coverage, liability, damages, and settles Bodily Injury claims directly with injured parties, within prescribed authority levels.
• Pursues proactive contact with injured parties through various creative means to connect, listen, empathize and make early settlement offers whenever appropriate to resolve injury claims.
• Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation.
• Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims; refers tasks to auxiliary resources as necessary and advises as to proper course of action. Sends and responds to various written, telephone and SMS text inquiries to pursue resolution of the claim.
• Ensures adequacy of reserves.
• Accountable for security of financial processing of claims, as well as security information contained in claims files.
• Makes effective use of loss management tools and techniques to ensure accuracy in decision making.
• Keeps files updated with clear documentation for ease in understanding the status of investigations, evaluations and negotiations throughout the claim life cycle.

• Strong written and oral communication skills required.
• Good interpersonal, analytical, investigative, and negotiation skills required.
• Growth mindset; adapts well to change including new standard work and new tools
• Basic knowledge of legal liability, general insurance policy coverage and State Tort Law preferred.
• Liability experience or policy and claims knowledge preferred.
• Bachelor's degree preferred.
• Ability to obtain proper licensing as required.

• California
• Los Angeles Incorporated
• Los Angeles Unincorporated
• Philadelphia
• San Francisco