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INSURICA, Inc.

Auto Claims Adjuster

Career Insights for Claims Adjuster / Specialist (General)

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What they do

A Claims Adjuster or Specialist investigates and evaluates insurance claims. Specializes in a particular type of insurance. Inspects property damage, including damage to homes, buildings and cars; reviews claims after they are submitted; may authorize or deny payment for claims. May work directly for insurers or on behalf of claimants.

$70,991 / year median in the U.S.

+10% projected growth

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Job Description

Job Summary The Auto Claims Adjuster is responsible for handling commercial auto claims, which include, but are not limited to, claims investigation, liability determination, vendor engagement, accurate interpretation and application of coverage language, appropriate management of loss and expense reserves, and decision-making that is supported by well-reasoned analysis and appropriate documentation. The Auto Claims Adjuster will ensure excellent and effective customer service throughout the claim process. Essential Job Functions Investigate reports of loss by interviewing claimants, witnesses, and other involved parties, gathering evidence, police reports, photographs, and repair estimates Engage and manage external vendors as needed in the investigation and evaluation of reports of loss Determine liability by analyzing the facts of each case, including a review of applicable laws and regulations Ensure timely vehicle inspections to assess the extent of damage and determine the cost of repairs, working with independent adjusters, vendors, and body shops as needed Manage financial transactions associated with commercial auto claims, including reserves, payments, and recoveries, as well as negotiating settlements and ensuring fair compensation for loss Apply the terms and conditions of the appropriate coverage forms to the facts of loss as reported or developed during investigations Consistently and frequently communicate with vehicle owners regarding the status of their claim, providing updates, answering questions, and ensuring a positive customer experience Accurately and thoroughly document the claim with all pertinent activity and rationale for decisions made and actions taken, and prepare detailed reports documenting findings, decisions, and justification for settlements reached Perform all actions relating to customers and companies in a manner that will avoid issues involving potential errors and omissions Participate in seminars and other training to maintain required licenses and for knowledge and skill development Additional Responsibilities This job description is intended to describe the level of work required of the person performing the position. Essential functions are outlined; however, other duties may be assigned, as needs arise, or as required to support the essential functions. Specific performance objectives may be developed each year to measure the performance of the tasks and functions listed in this job description. Telecommuting opportunities vary by location, department, and business need and are subject to change, as needed. Each manager will provide details on any telecommuting opportunities, as well as scheduling, within their department. Job Qualifications 1 - 3 Years of previous auto claim handling experience preferred High school diploma or equivalent required Bachelor's degree preferred, but not required Possession of, or the ability to immediately attain, a Texas Adjuster's License is required Knowledge, Skills, and Abilities Ability to interpret and correctly apply commercial auto coverage forms Excellent customer service aptitude Ability to work collaboratively and to resolve conflict Ability to manage and prioritize multiple tasks Proficient PC skills, with a focus on the Microsoft Office suite of products (Excel, Word, Outlook, Teams, etc.) Ability to work within a fast-paced, changing-priority environment Self-motivated, with the initiative to prioritize and be self-directed Regular and punctual attendance is required Ability to communicate effectively, both verbally and in writing Excellent interpersonal skills, with the ability to interact effectively with both colleagues, customers and managers, across all levels Ability to promote and maintain a team environment, willing to find accommodating solutions for our customers, companies and the Agency Ability to successfully adhere to company policies and procedures, as well as maintain strict confidentiality Work Conditions and Accommodations Fast-paced, multi-tasking, office environment with periodic high disruption and changing priorities Ability to perform approximately 80% sedentary work, exerting up to 10 pounds of force occasionally, and negligible force frequently Ability to lift up to 20 pounds occasionally Requires operation of a computer workstation, including keyboard and video display All requirements may be modified to reasonably accommodate physical or mental impairment