Bodily Injury Claims Adjuster (Attorney Represented)

GAINSCO•Richardson, TX

28d•Hybrid

About The Position

We are seeking a skilled and experienced Bodily Injury Claims Adjuster to join our team, focusing on attorney-represented claims. This role involves investigating, evaluating, and settling claims by leveraging technical expertise and human relations skills to ensure fair and prompt resolutions. The ideal candidate will have a strong background in auto insurance claims, including experience handling attorney-represented injury claims and a solid understanding of policy language, state statutes, and compliance regulations.

Requirements

Bachelor’s degree preferred.
To perform the essential functions of this job an active Texas or Florida Adjuster License will be required to comply with state and GAINSCO requirements.
Upon hire, additional license(s) may be required. If that is the case, license(s) must be obtained.
All licenses must be maintained in accordance with state requirements.
5+ years of auto insurance claims adjusting experience.
Prior experience handling minor to moderately severe attorney-represented injury claims required.
Strong background in interpreting policy language and state statutes.
Proven ability to make sound coverage and liability decisions.
Ability to manage time while prioritizing multiple tasks.
Have an aptitude for providing information in a clear, concise manner with an appropriate level of detail, empathy, and professionalism.
Demonstrates a high commitment to quality.
Possess strong negotiation and analytical skills.
Ability to gather and analyze information to evaluate results and choose the best solution to the problem.

Nice To Haves

Professional Insurance and/or Claims Designations are a plus.
Knowledge of ImageRight and Claims Manager preferred.

Responsibilities

Establish proof of loss by evaluating and investigating submitted documentation.
Secure additional information from claimants, witnesses, physicians, employers, hospitals, and other insurance companies.
Initiate and conduct investigations of claims with complex coverage concerns, utilizing knowledge of comparative negligence, causation, and injury mechanisms.
Employ effective investigation skills to amicably resolve files, with a focus on litigation handling, communication, and coverage issues.
Investigate newly assigned claims in multiple states, including analyzing complex coverage and conducting liability investigations.
Handle attorney-represented bodily injury, property damage, UM/UIM, and Med/PIP claims.
Provide timely evaluations of demands from attorneys to facilitate prompt resolutions.
Ensure compliance with legal guidelines, company policies, and state and federal insurance regulations.
Maintain accurate and thorough documentation in all claim files.