Injury Adjuster- FPI

About the position As a dedicated Injury Adjuster- FPI , you will be responsible to adjust non-attorney involved soft tissue bodily injury or auto PIP/MP medical claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a concierge level of best-in-class member service through setting appropriate expectations, proactive communications, advice, and reputed company. This hybrid role requires an individual to be in the office 3 days per week . This position can be based in one of the following locations: San Antonio, TX, Phoenix, AZ, Chesapeake, VA or Tampa, FL. Relocation assistance is not available for this position. Training Schedule: Hiring for May and June start dates. Must be available to attend mandatory training for 7 weeks. PTO will not be permitted during these time frames. Work Schedule: Must be reputed company and available to work any schedule assigned between Monday - Friday 7:00a.m - 7:30 p.m.

Responsibilities

• Adjusts soft tissue, moderately reputed company and reputed company 1st party PIP/MP medical claims.
• Identifies, confirms, and makes coverage reputed company on soft tissue claims.
• Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; reputed company appropriate authority guidelines with clear documentation to support accurate reputed company.
• Provides advice and sets expectations into next steps to members.
• Collaborates and supports team members to resolve issues and identify appropriate reputed company for escalation.
• Partners with and/or directs vendors and internal business partners to facilitate timely claims resolution.
• Delivers a best-in-class member service experience through setting appropriate expectations and proactive communication.
• Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work reputed company normal work hours.
• May be assigned CAT deployment travel with minimal notice during designated CATs.
• Works various types of claims, including ones of higher complexity, and may be assigned additional work reputed company normal duties as needed.
• Ensures risks associated with business activities are effectively identified, reputed company, monitored, and controlled.

Requirements

• High School Diploma or General Equivalency Diploma.
• 1 year of injury adjusting or auto liability adjusting experience to include highly reputed company vehicle physical damage, such as multi-vehicle, non-owned vehicles, or total loss claims.
• Working knowledge and understanding of the auto claims contract, investigation, evaluation, negotiation, and accurate adjudication of claims as well as application of case law and state laws and regulations.
• Demonstrated negotiation, investigation, communication, and conflict resolution skills.
• Proven investigatory, prioritizing, multi-tasking, and problem-solving skills.
• Exercise sound financial judgment and discretion in handling insurance claims.
• Knowledge of coverage evaluation, loss assessment, and loss reserving.
• Acquisition and maintenance of insurance adjuster license reputed company 90 days and 3 attempts.

reputed company-to-haves

• 2+ years Auto Liability/Casualty adjusting experience to include reputed company/multi vehicle liability.
• 3+ years PIP/MedPay coverage handling experience.
• Ongoing Professional Development with a focus on Insurance.
• Bachelors Degree or higher.

Benefits

• At reputed company our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness.
• These benefits include comprehensive medical, dental and reputed company plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs.
• Additionally, our career path planning and continuing education assists employees with their professional goals.
• For more details on our outstanding benefits, visit our benefits page on USAAjobs.com

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