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Auto Bodily Injury Claims Specialist

Auto Bodily Injury Claims Specialist

LonestarRichardson, TX, US
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Job Description

Job Description

As an Auto Bodily Injury Claims Specialist and embrace a role that offers the thrill of tackling complex cases while championing customer well-being. You'll be empowered to innovate solutions, ensuring clients receive the support they truly deserve. The position's work-from-home flexibility allows you to create your ideal work environment, promoting a healthy work-life balance without sacrificing productivity. Contribute to a fun and energetic team that thrives on high performance and forward-thinking ideas.

Your empathetic approach and problem-solving skills will shine as you build meaningful connections while resolving claims efficiently. With Lonestar, you'll not only advance your career but also make a positive impact in the lives of others. You will be provided great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, Health Savings Account, Flexible Spending Account. Commitment to Training & Development, Competitive Salary, and Paid Time Off. Take the leap and bring excellence and integrity to the forefront of our claims process!

What would you do as a Auto Bodily Injury Claims Specialist

As an Auto Bodily Injury Claims Specialist at Lonestar, you can expect a dynamic day filled with engaging responsibilities and meaningful client interactions. Each day will involve reviewing and assessing new claims, investigating details, and communicating with policyholders to gather necessary information. You'll collaborate with medical professionals to evaluate claims and determine appropriate compensations, using your problem-solving skills to navigate complex situations.

Your schedule will be Monday to Friday, either from 8 AM to 5 PM or 8 : 30 AM to 5 : 30 PM, after training, this position is hybrid (3 days in-office / 2 days work from home), allowing you ample time to focus, strategize, and innovate. You'll participate in regular team meetings to share insights, ensuring everyone stays aligned and empowered to provide exceptional customer service. Expect an energetic environment where your contributions matter, and every day brings new challenges and opportunities to excel!

Does this sound like you?

To thrive as an Auto Bodily Injury Claims Specialist at Lonestar, you will need a blend of technical knowledge and superior interpersonal skills. With 3-5 years of experience in Auto Bodily Injury / Casualty claims, you should possess a Texas Licensed Adjuster certification and familiarity with multi-state licensing is a plus. Proficiency in legal and medical terminology will aid in conducting thorough investigations and preparing accurate claim evaluations. Strong negotiation and analytical skills are essential for effectively resolving claims and presenting them for settlement authority. You should be comfortable in an automated claims processing environment, utilizing various software tools to document policy status, coverage, liability, and damages accurately.

A knack for organization and the ability to maintain positive relationships with customers, co-workers, and third parties will be key to your success. You will also benefit from knowledge of fraud reduction practices and state-specific regulations, ensuring a compliance-driven approach to your role.

Knowledge and skills required for the position are :

  • Review & determine course of action on each file assigned
  • utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss.
  • Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage
  • liability status
  • and damages that are applicable for each claim.
  • Process Bodily Injury
  • and coverage claims in accordance with established office procedures.
  • Work closely with Third Parties
  • plaintiff counsel and Claims Director to determine necessary injury and coverage investigation.
  • Research case and statutory law in order to conduct proper claim investigation.
  • Document policy status
  • coverage
  • liability and damages on all claims and notify re-insurer on qualifying claims.
  • Prepare and present claim evaluations for the appropriate settlement authority.
  • Maintain reasonable expense factors.
  • Handle other duties as assigned.

QUALIFICATIONS REQUIRED :

  • Minimum of 3-5 years in Auto Bodily Injury / Casualty claims experience a MUST!
  • Texas Licensed Adjuster - All Lines is required (Multi-State licensing is preferred)
  • Non-Standard insurance experience a plus, not required
  • Bi-lingual a preferred but not required!
  • Knowledge of legal and medical terminology.
  • Excellent negotiation, analytical, organizational, and interpersonal and communication (verbal, written, and phone) skills.
  • Strong skills in the areas of verbal and written communication with an ability to develop and maintain positive customer experience, co-worker, management and third-party relationships.
  • Experience in an automated claims processing work environment
  • Knowledge of fraud reduction practices
  • General working knowledge of policies
  • file procedures
  • state rules and regulations.
  • Ability to pass written examinations where required by state statutes to become a licensed Claims Adjuster.

    • Make your move

    If this sounds like the right job for you, don't wait - apply today to join our team. We look forward to hearing from you!

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