Senior Auto Claims Adjuster

INSURICA INC•Marble Falls, TX

4d•$70,000 - $95,000•Onsite

About The Position

The Senior Auto Claims Adjuster is responsible for handling commercial auto losses, focusing on complex auto physical damage claims, disputed property damage liability claims, non-litigated bodily injury claims, and general liability claims. This role involves investigating reports of loss, determining liability, managing financial transactions, applying coverage forms, communicating with customers, documenting claims, evaluating medical documentation, and negotiating settlements. The position requires adherence to company policies and procedures, maintaining confidentiality, and participating in training for license and skill development. Additional responsibilities may be assigned as needs arise. Telecommuting opportunities vary by location, department, and business need.

Requirements

3 – 5 years of previous auto claim handling experience preferred
High school diploma or equivalent required
Possession of, or the ability to immediately attain, a Texas Adjuster’s License required
Ability to interpret and correctly apply commercial auto coverage forms
Excellent customer service aptitude
Ability to work collaboratively and to resolve conflict using effective negotiation skills
Ability to manage and prioritize multiple tasks
Proficient PC skills, with a focus on the Microsoft Office suite of products (Excel, Word, Outlook, Teams, etc.)
Understand medical terminology
Self-motivated, with the initiative to prioritize and be self-directed
Ability to communicate effectively, both verbally and in writing
Excellent interpersonal skills, with the ability to interact effectively with both colleagues, customers, and managers, across all levels
Ability to promote and maintain a team environment, willing to find accommodating solutions for our customers, companies, and the Agency
Ability to successfully adhere to company policies and procedures, as well as maintain strict confidentiality

Nice To Haves

Bachelor's degree preferred, but not required

Responsibilities

Investigate reports of loss by interviewing claimants, witnesses, and other involved parties, gathering evidence, police reports, photographs, and repair estimates
Engage and manage external vendors as needed in the investigation and evaluation of reports of loss
Determine liability by analyzing the facts of each case, including review of applicable laws and regulations
Ensure timely vehicle inspections to assess the extent of damage and determine cost of repairs, working with independent adjusters, vendors, and body shops as needed
Manage financial transactions associated with commercial auto claims, including reserves, payments, and recoveries, as well as negotiating settlements and ensuring fair compensation for loss
Apply the terms and conditions of the appropriate coverage forms to facts of loss as reported or developed during investigations
Consistently and frequently communicate with vehicle owners regarding the status of their claim, providing updates, answering questions, and ensuring a positive customer experience
Accurately and thoroughly document claims with all pertinent activity and rationale for decisions made and actions taken; prepare detailed reports documenting findings, decisions, and justification for settlements reached
Evaluate medical documentation to determine appropriate settlement amounts of third-party bodily injury claims
Negotiate settlements of bodily injury claims with claimants and attorneys
Ensure compliance with Medicare Secondary Payer Act
Perform all actions relating to customers and companies in a manner that will avoid issues involving potential errors and omissions
Participate in seminars and other training to maintain required licenses and for knowledge and skill development