First Party Injury Sr Adjuster - General Motors Insurance

GM Financial • Fort Worth, TX

12d • Remote

About The Position

At General Motors Insurance, we are building an Insurtech business that will reinvent auto insurance. We are fully owned and backed by auto industry leaders General Motors and GM Financial.

This is a truly unique opportunity to join at the foundational stage of a start-up leading the transformation of the auto insurance experience.

GM has the largest connected vehicle fleet worldwide. In the US alone, there are currently 9M+ connected GM vehicles on the road and that number is projected to triple in the next 10 years. More than that, the OnStar system currently has access to over 900 data points from the vehicle. This surge in information about vehicles and how they are driven will revolutionize auto insurance. This disruption is backed by the bold GM vision of zero crashes, zero emissions and zero congestion. We are serious about the safety and financial security of our customers.

As a First Party Sr Injury Adjuster, you will investigate, evaluate, negotiate, and adjust medical bills under PIP and Medical payment coverages. You will need to understand the limits available and investigate the relationship between the treatment and the injuries claimed. You will be responsible for handling the more complex and challenging states and will be expected to understand the policy coverage and state statutes. You will also be expected to mentor and train others with less experience in the first party injury role. This role often needs to negotiate and adjust bills directly with providers, or with legal representatives acting on their behalf, based on state requirements. You will look for recovery opportunities resulting from these first party payments. You will work under direct supervision to perform routine work assignments and problem resolution. This is a remote position that does not require any travel.

Responsibilities

• Provide claims service via various channels to policyholders and third-party customers
• Investigate and resolve medical bills associated with first party injuries in the most complex PIP states
• Acquire and apply basic knowledge of Property & Casualty insurance industry products, services, and processes to include P&C insurance policy contracts and coverages and the General Motors Insurance claims handling processes and procedures
• Seek guidance from team members to resolve issues and identify appropriate issues for escalation
• Provide mentoring and training to less experienced First Party Casualty Adjusters
• Partner with and/or directs vendors and internal business partners to facilitate claims resolution
• Contribute to business goals, performance metrics, and effectively uses tools & technology

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed