Injury adjuster

SUMMARY

Handling and supervision of liability claims. Responsible for the investigation of coverage, liability and damages, negotiating with claimants, contractors, and attorneys, through the life of the claim, maintain a pending and closing ratio of 100%, be responsible for the establishment and maintenance of reserves and payments, presenting status reports and communicate with their manager as well as internal and external customers.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following :

• Negotiate and settle liability and property claims
• Prepare written status reports for clients
• Ability to interpret routine policy contracts and coverage.
• Ability to plan, organize and establish priorities to maintain various responsibilities under critical deadlines.
• Attend mediations and settlement conferences as necessary
• Direct and monitor defense counsel to settle litigated claims
• Provide monetary authority and strategy to counsel to ensure client’s money and claims are protected
• Knowledge of current case law, statutory law, DOI regulations, etc. that apply to claims practices and issues within the territory of operation
• The ability to determine, evaluate, investigate and resolve claims
• Demonstrate sound analytical skills
• Other duties as assigned

CERTIFICATES, LICENSES, AND REGISTRATIONS

Multiple state adjuster licenses preferred.

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to manage claims at every angle including litigation, coverage, damage analysis, experts, reserving, subrogation and risk transfer
• Ability to prepare detailed reports and recommendations to clients.
• Ability to analyze and research legal and claim trends
• Ability to understand policies and strong reading, writing skills
• Legal experience
• Strong negotiation skills
• Ability to review and interpret estimates
• Basic computer knowledge and skills required

COMPETENCIES

Attendance / Punctuality Is consistently at work and on time; ensures work responsibilities are covered when absent; arrives at meetings and appointments on time.

Customer Service Manages difficult or emotional customer situations; responds promptly to customer needs; solicits customer feedback to improve service;

responds to requests for service and assistance; meets commitments.

Decision Making Skills - Identifying and understanding issues, problems and opportunities; comparing data from different sources to draw conclusions;

using effective approaches for choosing a course of action or developing appropriate solutions; taking action that is consistent with available facts, constraints and probable consequences.

Dependability Follows instructions, responds to management direction; takes responsibility for own actions; keeps commitments;

commits to long hours of work when necessary to reach goals; completes tasks on time or notifies appropriate person with an alternative plan.

Initiative Volunteers readily; undertakes self-development activities; seeks increased responsibilities; takes independent actions and calculated risks;

looks for and takes advantage of opportunities; asks for and offers help when needed.

Integrity - To maintain social, ethical and organizational norms and adhere to codes of conduct and ethical principles.

Motivation Sets and achieves challenging goals; demonstrates persistence and overcomes obstacles; measures self against standard of excellence;

takes calculated risks to accomplish goals.

Oral Communication Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions;

demonstrates group presentation skills; participates in meetings.

Planning / Organizing Prioritizes and plans work activities; uses time efficiently; plans for additional resources; sets goals and objectives;

organizes or schedules other people and their tasks; develops realistic action plans.

Professionalism Approaches others in a tactful manner; reacts well under pressure; treats others with respect and consideration regardless of their status or position;

accepts responsibility for own actions; follows through on commitments.

EDUCATION and / or EXPERIENCE

Bachelor's degree (B.A.) from four-year college or university; or one to two years related experience and / or training;

or equivalent combination of education and experience.

LANGUAGE SKILLS

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.

Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

MATHEMATICAL SKILLS

Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.

Ability to apply concepts of basic algebra and geometry.

REASONING ABILITY

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and talk or hear.

The employee is occasionally required to stand, walk, and reach with hands and arms.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Last updated : 2024-08-01