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Bodily Injury Claims Adjuster Non-Attorney Represented

Bodily Injury Claims Adjuster Non-Attorney Represented

GAINSCO Auto InsuranceRichardson, TX, US
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Bodily Injury Claims Adjuster Non-Attorney Represented

GAINSCO is looking to hire a Bodily Injury Claims Adjuster for our Claims department. This individual should be looking to build a continued career within the industry, as our company will be growing, and giving plenty of potential to make advancements. This role will investigate, evaluate, negotiate, and resolve auto claims. While maintaining full compliance with internal and external quality standards and state specific regulations. As a Bodily Injury Claims Adjuster, you'll help customers get back on the road after an accident. Building relationships with customers while working in a fast-paced environment and managing the claims process from start to finish is a key aspect of this role. You'll have the support of a collaborative team and ongoing coaching from leaders.

What does a Bodily Injury Claims Adjuster Non-Attorney Represented do at GAINSCO?

  • Strong knowledge and applications of auto policies, as well as state specific coverages.
  • Assigns field appraisers to assist with investigation.
  • Conducts telephone and electronic investigations as well as handles non-attorney represented injury claims.
  • Handles non-attorney rep soft tissue bodily injury claims.
  • Handles moderate to complex liability and coverage investigations with the ability to interpret policy language.
  • Efficiency in time management, multi-tasking, and organizational skills to handle a high volume of claims.
  • Gathers and evaluates complex coverage information, takes recorded statements, secures police reports, repair estimates and other related documents.
  • Evaluates property damage and bodily injury, determines coverage and liability. Negotiates and settles bodily injury and liability claims.
  • Initiate investigation of claims involving complex coverage claims, complex liability, and / or bodily injury claims (non-attorney represented), as well as questionable claims.
  • Ensures legal compliance by following guidelines, company policies, as well as state and federal insurance regulations.
  • Resolves claim by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter.

What is required?

Education :

  • High School Diploma or Equivalent; Bachelor's degree is preferred.
  • Licenses / Certifications :

  • To perform the essential functions of this job an active Texas or Florida Adjuster License will be required to comply with state and GAINSCO requirements.
  • Upon hire, additional license(s) may be required. If that is the case, license(s) must be obtained.
  • All licenses must be maintained in accordance with state requirements.
  • Professional Insurance and / or Claims Designations are a plus.
  • Experience :

  • Minimum of Two years of experience in Auto Insurance as a Claims Adjuster.
  • Minimum of Two years of experience interpreting policy language and state statute is required.
  • Minimum of Two years of experience handling minor to moderately complexity of claims is required.
  • One or more years of experience handling bodily injury claims is required.
  • Knowledge of ImageRight and Claims Manager preferred.
  • Strong track record of making sound coverage and liability decisions based on facts and investigations.
  • Other skills and abilities :

  • Ability to manage time while prioritizing multiple tasks.
  • Have an aptitude for providing information in a clear, concise manner with an appropriate level of detail, empathy, and professionalism.
  • Demonstrates a high commitment to quality.
  • Possess strong negotiation and analytical skills.
  • Ability to gather and analyze information to evaluate results and choose the best solution to the problem.
  • What else do you need to know?

  • Hybrid
  • Excellent benefits package : medical, dental, & vision insurance, life insurance, short-term and long-term disability insurance.
  • Parental Leave Policy
  • 401K + Company Match
  • PTO Plan + Paid Company determined Holidays.
  • Applicants are required to be eligible to lawfully work in the U.S. immediately; employer will not sponsor applicants for U.S. work authorization (e.g. H-1B visa) for this opportunity
  • All offers are contingent upon a successful background investigation (including employment, education, criminal and DMV verification- when applicable) and a pre-employment drug test with results satisfactory to GAINSCO. GAINSCO is an Equal Employment Opportunity Employer

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