Full Time

Staff Adjuster

No

A Bachelor's degree or equivalent relevant work experience is required, as well as a minimum of 12 months prior Personal Injury Protection (PIP), Medical Payments, and/or Worker's Compensation claim adjusting experience. This would include client contact and injury and/or work loss investigation. Must possess proven negotiation skills and strong organizational skills. Excellent verbal, written, and interpersonal communication skills are required. Must possess the ability to multi-task and manage workflow in a high volume, fast paced environment. Must also have the ability to work with a high degree of accuracy and attention to detail, work independently and also contribute to a team environment. Must be a self-starter with willingness to accept change, and demonstrate a strong work ethic. The work schedule involves daytime hours, but must be flexible to some schedule variance as dictated by claim volume and customer need.

Investigate, assess, negotiate and settle automobile first party medical claims. Review initial claim assignment, confirm coverages, deny claims when appropriate, initiate first contact with injured parties, verify and investigate facts, set and maintain claim reserves, establish follow-up on claims, document claim files, and order Independent Medical Exams (IME) / Peer Reviews when necessary. Achieve timely and fair negotiations and settlements. Adhere to state specific and compliance requirements. Refer files to subrogation or special investigation unit as needed.