Auto PD Adjuster

TekWissen•Syracuse, NY

1d•Hybrid

About The Position

The Adjuster Service Claims is responsible for managing a caseload of moderately complex claims from initiation through resolution. The role includes determining coverage and liability, conducting investigations, evaluating damages, negotiating settlements in accordance with policy terms and jurisdictional requirements, communicating directly with insureds and third parties, and maintaining accurate claim data. The position is full-time, permanent, and hybrid, with locations in Worcester, Massachusetts; Howell, Michigan; Syracuse, New York; and Itasca, Illinois. The adjuster manages an active inventory of approximately 80–120 claims and receives an average of five new claims daily. The role requires sound judgment within defined authority limits, professional and empathetic customer communication, thorough documentation, effective collaboration with internal stakeholders, and maintenance of appropriate adjuster licenses and continuing education across required states. The position may also involve representing the company in mediations, arbitrations, and trials, as well as mentoring entry-level adjusters.

Requirements

Associate degree required; a bachelor's degree is preferred, or an equivalent combination of education and experience.
Typically 2–3 years of relevant front-line Auto claim-handling, investigation, and phone queue experience.
Experience handling third-party claims and making liability determinations.
Basic computer-navigation proficiency and experience using multiple systems and applications.
Proficiency with Microsoft Office Suite.
Ability to maintain a home-based internet connection of at least 50 Mbps download and 10 Mbps upload for the hybrid work environment.
Ability to learn and independently handle negotiations within authority limits, with an understanding of common negotiation tactics for moderately complex claim resolutions.
Clear, professional, empathetic communication skills across channels and ability to de-escalate challenging customer calls.
Critical thinking and decision-making ability to anticipate, identify, and adapt solutions to changing situations and priorities.
Strong organizational and time-management skills for handling multiple tasks and strict deadlines.
Ability to foster teamwork, maintain constructive relationships despite differing perspectives, and support teammates with workload management.
Ability to use a personal computer, phone systems, and standard office equipment.
Ability to sit and/or stand for extended periods (75%–90%) in a standard office or remote workspace setting.
Ability to perform effectively in a dynamic, fast-paced environment.

Nice To Haves

Bachelor's degree.
Guidewire experience.

Responsibilities

Manage an active inventory of approximately 80–120 moderately complex service claims from intake through resolution, receiving an average of five new claims daily.
Investigate claims, assess liability, handle loop calls, and evaluate damages using established procedures.
Engage underwriting, legal, and other stakeholders in investigations and evaluations.
Identify subrogation potential and set up files to support recovery efforts.
Identify potentially suspicious claims and refer them to the Special Investigation Unit.
Transfer risk to appropriate parties and use management techniques to mitigate loss.
Set reserves and authorize payments within specified limits and moderate authority, using discretion and independent judgment.
Use technology and data tools to improve claims-processing efficiency and accuracy in a paperless environment.
Resolve claims with empathy and customer focus; handle sensitive communications professionally and explain complex information to diverse audiences.
Maintain clear, detailed, compliant documentation of claim activities and communications.
Maintain appropriate adjuster licenses and continuing education credits across required states.
Mentor entry-level adjusters and share best practices gained through training and experience.
May represent the company in mediations, arbitrations, and trials.
Manage negotiation conversations independently within authority limits and apply negotiation tactics to moderately complex claim resolutions.
De-escalate challenging customer calls and collaborate with teammates, including supporting workload management.