Bodily Injury Claims Adjuster- Central/West States

Bodily Injury Claims Adjuster- Central / West States We are Farmers!

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Job Summary

This position handles Tier 3 mid-loss auto policy claims requiring in-depth claim investigation, coverage confirmation, damage assessment, liability determination, and settlement negotiation.

The role owns the entire claim process and serves as the primary point of contact to facilitate claim resolution. This position uses in-depth expertise to manage claim scenarios such as multi-vehicle auto losses withparative negligence and bodily injury losses pertaining to soft tissue injury, fracture, dislocation, ligament injury, herniated disc and nerve injuries.

Works within prescribed authority to proactively and accurately resolve claims. Escalates claims with exposures exceeding financial authority, Tier 3plexity, or requiring advanced policy interpretation to supervisor.

Essential Job Functions

• Evaluates bodily injury claims promptly including assessment of medical and general damages and wage loss.
• Analyzes injury causation for all alleged injuries.
• Evaluates, sets, and updates case reserve amount for injury exposures throughout the life of the claim.
• Negotiates settlement of bodily injury claims with unrepresented claimants and with represented claimants attorneys.
• Recognizes and investigates all potential claim exposures, including injury exposures.
• Conducts investigations by obtaining recorded statements of involved parties.
• Collects police reports, vehicle photos, scene inspections, signed medical authorizations, medical bills and medical records, and other supporting evidence.
• May conduct in-person or virtual meetings with customers based on claim needs.
• Analyzes duties owed and breached by all potential responsible parties and determines liability percentage for each party.
• Recognizes subrogation potential and makes referrals to Subrogation department when appropriate.
• Conducts material misrepresentation investigations and submits findings to Underwriting.
• Maintains active diary and resolution plan on open claim files.
• Handles and documents claim files inpliance with regulatory requirements.
• Authorizes and issues claim payments to customers, repair facilities, rental vendors, and others.
• Obtains signed release of claims and issues payment upon final settlement.
• Provides professional verbal and writtenmunication to customers including claim status updates, coverage explanations and decisions, and correspondence within prescribed authority limits.
• Makes same-day contact with customers to explain the claim process and verify facts of loss.
• Explains coverage details to policyholders.
• Determines vehicle location and condition.
• Secures timely auto physical damage estimates via proper inspection method and repair channel.
• Explains repair process and estimates to customers and offers repair and rental service options.
• Proactively manages and mitigates storage costs and arranges release of vehicles accruing storage fees.
• Coordinates with auto physical damage and total loss specialists to facilitate claim resolution.
• Performs other duties as assigned.

Education Requirements

High School Diploma or equivalent required. Bachelors degree preferred.pletion of, or actively pursing a major insurance designation, or actively pursuing insurance related courses.

Experience Requirements

Minimum one year of experience in customer service required. Minimum one year of experience in claims adjusting or related field preferred.

Physical Actions

This role, whether performed virtually or in an office setting, will include normal and customary distractions, noise, and interruptions.

Sits or stands for extended periods of time, up to a full work shift. Occasionally reaches overhead and below the knees, including bending, twisting, pulling, and stooping.

Occasionally moves, lifts, carries, and places objects and supplies weighing 0-10 pounds without assistance. Listens to, interprets, and differentiates auditory information (example others speaking) at normal speaking levels with or without correction.

Visually verifies and reads information. Visually locates material, resources and other objects. Ability to continuously operate aputer for extended periods of time, up to a full work shift.

Physical dexterity sufficient to use hands, arms, and shoulders repetitively to operate keyboard and other office equipment up to a full work shift.

Benefits

Farmers offers apetitive salarymensurate with experience, qualifications and location.

o CA Only : $ - $

o CO Only : $ - $

o HI Only : $ - $

o IL / MN Only : $ - $

o MD Only : $ - $

o NY / DC / Jersey City Only : $ - $

o Albany County : $ - $

o WA Only : $ - $

• Bonus Opportunity (based onpany and Individual Performance)
• 401(k)
• Medical
• Dental
• Vision
• Health Savings and Flexible Spending Accounts
• Life Insurance
• Paid Time Off
• Paid Parental Leave
• Tuition Assistance

Job Location(s) : West / Central States

Anticipated application deadline : At Farmers, the recruitment process is designed to ensure that we find the best talent to join our team.

As part of this process, we typically close open positions within 8 to 21 days after posting.