Claims Adjuster I - Casualty (Auto)

Brotherhood Mutual Insurance Company•Fort Wayne, IN

26d•Onsite

About The Position

Responsible for effectively analyzing and resolving assigned claims consistent with Claims Department standards and company objectives. This role involves handling a defined volume of auto claims daily, ensuring timely contact, investigation, and resolution. The Claims Adjuster I will conduct thorough investigations including liability determination, damage evaluation, and coverage analysis, initiating prompt contact with all involved parties to gather facts and document statements. They will review police reports, estimates, photos, and related documentation to assess damages and exposure, maintaining accurate and complete claim file documentation in accordance with guidelines. Professional communication with insureds, claimants, agents, repair facilities, and vendors is essential, as is establishing and updating reserves based on claim developments. The position requires resolving claims within authority in a prompt, fair, and equitable manner, identifying cost containment opportunities and subrogation potential, and coordinating with appraisers, repair facilities, and other service vendors. Providing timely updates and status reports to management and meeting file quality and audit expectations are key responsibilities. The role also includes participation in meetings, training, and process improvement efforts, as well as assisting team members and supporting department objectives as needed.

Requirements

High School Diploma or equivalent required.
Must be able to take and pass mandatory adjuster licensing requirements.
Must have one to two years of general business, insurance, or related experience.
Must be able to effectively communicate with others (both oral and written).
Must be able to make independent decisions.
Must have strong interpersonal skills.
Must demonstrate strong organizational skills.
Must have the ability to handle confrontational situations in a productive manner.
Must be able to access, input and retrieve information from a computer.
Ability to sit for prolonged periods of time.

Nice To Haves

Bachelor’s degree or equivalent work experience desired.
AIC/CPCU or other insurance-related course work is desired.
Experience in investigation, customer service, negotiation, and/or construction is desired.
Experience in insurance, legal and/or medical knowledge is desired.

Responsibilities

Resolve all assigned claims within established settlement authority in a prompt, fair and equitable manner.
Identify and investigate coverage, damage, and reserve adequacy on assigned claims.
Apply statutes, common law, and other applicable legal and regulatory concepts for the effective, efficient and equitable resolution of assigned claims.
Achieve established claim file audit objectives.
Communicate with policyholders, agents, claimants, attorneys, medical providers and other persons as needed and direct independent adjusters, appraisers and other support service providers to ensure effective, efficient, and equitable claims resolution.
Acquire, record and maintain all essential file documentation in accordance with established guidelines.
Provide timely status reports regarding assigned claims to Claim Department management and others.
Identify and pursue appropriate cost containment, loss mitigation and subrogation recovery opportunities.
Participate and provide input in departmental meetings or interdepartmental meetings, projects or processes that relate to the claims function.
Travel as needed to attend training programs, conferences, mediations/other legal proceedings, and conduction of investigations relating to claims resolution.
Further the attainment of overall Claim Department objectives by assisting other claims personnel as needed.
Complete other projects as assigned.
Handle a defined volume of auto claims daily, ensuring timely contact, investigation, and resolution.
Conducts thorough investigations including liability determination, damage evaluation, and coverage analysis.
Initiates prompt contact with all involved parties to gather facts and document statements.
Reviews police reports, estimates, photos, and related documentation to assess damages and exposure.
Maintains accurate and complete claim file documentation in accordance with guidelines.
Communicates professionally with insureds, claimants, agents, repair facilities, and vendors.
Establishes and updates reserves based on claim developments.
Resolves claims within authority in a prompt, fair, and equitable manner.
Identifies cost containment opportunities and subrogation potential.
Coordinates with appraisers, repair facilities, and other service vendors.
Provides timely updates and status reports to management.
Meets file quality and audit expectations.
Participates in meetings, training, and process improvement efforts.
Assists team members and supports department objectives as needed.