Commercial Casualty Adjuster - Represented

Kemper•Lake Mary, AL

About The Position

The Commercial Casualty Adjuster – Represented investigates, evaluates, and negotiates attorney-represented bodily injury and uninsured motorist commercial vehicle claims of varying complexity. The role requires advanced claim-handling skills, including interpreting commercial vehicle policies, and the ability to work independently and collaboratively. Strong analytical abilities, knowledge of relevant venues, and attention to detail are important. The adjuster conducts investigations and develops strategies to resolve coverage, liability, injury, and property-damage issues. They interpret policy provisions and related records to verify coverage and make financial decisions within their authority. The role also involves communicating and negotiating with insureds, claimants, attorneys, medical providers, and other parties; attending legal proceedings when needed; analyzing represented injury claims; maintaining thorough claim documentation and reserves; mentoring and training staff; and collaborating across departments to resolve claims.

Requirements

High school diploma or equivalent.
At least three years of casualty claim experience in the auto insurance industry.
Proficiency in basic computer skills, including Microsoft Office Suite products and web-based applications.
Obtain and maintain state-required licensing where applicable.
Initiative, sound judgment, and discretion.
Comprehensive understanding of insurance policies and relevant state laws and regulations governing auto insurance claims.
Time-management skills to meet claim-resolution deadlines.
Strong analytical skills to evaluate claim information, assess damages, and make informed liability and settlement decisions.
Effective verbal and written communication skills for interacting with stakeholders.
Excellent customer service skills.
Excellent negotiation skills for resolving disputes and reaching agreements.

Responsibilities

Investigate claims of varying complexity, including policy language, limits, and bodily injury matters, using investigative tools and following claims and state regulatory guidelines and department procedures.
Develop strategies to identify and resolve coverage, liability, injury, and property-damage issues efficiently and accurately.
Examine policy provisions, endorsements, legal relationships, and other records to verify coverage and make financial decisions within authority limits.
Develop and implement negotiation strategies when communicating settlement-related information to insureds, claimants, attorneys, body shop personnel, medical providers, and other parties.
Attend depositions, mediations, arbitrations, pre-trials, trials, and other legal proceedings when needed.
Analyze represented bodily injury claims, research applicable statutory provisions and case law, assess damage and injury information, obtain releases and medical reports, document treatment history, and develop settlement strategies.
Document claim progression thoroughly and set bodily injury reserves to maintain accurate and organized records.
Mentor and provide training to staff.
Collaborate with various departments to move claims toward final resolution.
Perform other duties as assigned.