Auto Bodily Injury Claims Specialist

Lonestar•Richardson, TX

13d•Hybrid

About The Position

Lonestar is seeking an experienced Auto Bodily Injury Claims Specialist to investigate and resolve complex bodily injury and casualty claims while providing service to policyholders and claimants. The specialist manages claims from investigation through resolution, analyzes coverage, evaluates liability and damages, negotiates settlements, and maintains complete and accurate claim documentation in compliance with company procedures and state regulations. The role works with claimants, attorneys, third parties, medical providers, management, and reinsurers as appropriate. The schedule is Monday through Friday, either 8:00 AM–5:00 PM or 8:30 AM–5:30 PM. Following approximately 90 days of training, the role has a hybrid schedule of three days in-office and two days remote.

Requirements

3–5 years of Auto Bodily Injury and/or Casualty Claims experience.
Texas All-Lines Adjuster License.
Strong understanding of legal and medical terminology.
Experience investigating, evaluating, negotiating, and resolving bodily injury claims.
Excellent analytical, negotiation, organizational, and communication skills.
Experience working in an automated claims processing environment.
Ability to develop and maintain positive relationships with customers, attorneys, vendors, and internal team members.
Knowledge of policy interpretation, claim procedures, state regulations, and fraud prevention practices.

Nice To Haves

Multi-State Adjuster Licensing.
Non-Standard Auto Insurance experience.
Bilingual; Spanish preferred but not required.

Responsibilities

Review assigned claims and determine appropriate courses of action.
Investigate coverage, liability, and damages.
Accurately document claim activity and maintain complete claim files.
Handle bodily injury and coverage claims in accordance with company procedures and regulatory requirements.
Collaborate with claimants, attorneys, third parties, medical providers, and management throughout the claims process.
Research applicable case law and state statutes to support claim investigations and evaluations.
Evaluate claims and prepare recommendations for settlement authority.
Monitor claim expenses and use cost-effective claim-handling practices.
Notify reinsurers on qualifying claims.
Perform additional duties as assigned.