Auto PD Adjuster – Service Claims

TPI Global Solutions; EE. UU.; A distancia; USD 65.000 - 90.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Major medical insurance

Dental and vision

401(k)

Descripción de la vacante

TPI Global Solutions is seeking an Auto PD Adjuster – Service Claims to manage a caseload of moderately complex claims remotely. You’ll investigate, assess liability, determine damages and settle claims within policy terms.

The role requires 2–3 years of auto claim handling experience, strong communication, negotiation and organizational skills, plus a solid home internet setup for a hybrid environment. Training and career development are provided.

Formación

• Associate degree required; bachelor’s degree preferred or an equivalent combination of education and experience.
• Typically requires 2–3 years of front-line auto claim handling, investigation and phone queue experience including third-party handling and liability determinations.
• Proficient with basic computer navigation, toggling between multiple systems/applications and the MS Office suite; Guidewire experience is a plus.
• Must possess and maintain a sufficient home-based internet connection (minimum 50 Mbps download / 10 Mbps upload) to ensure productivity in a hybrid environment.
• Ability to learn and handle negotiation conversations independently within authority limits, understanding common tactics for moderately complex resolutions.
• Clear, professional and empathetic communication skills across all channels with the ability to de-escalate challenging customer calls.
• Operates with decision-making latitude to anticipate, identify and adapt solutions to changing situations and priorities.
• Strong organizational and time-management skills to effectively manage multiple tasks and strict deadlines.
• Fosters an environment of teamwork and supports teammates with workload management.

Responsabilidades

• Manage an active inventory of 80–120 moderately complex service claims from intake through resolution.
• Conduct thorough investigations, assess liability, handle loop calls and evaluate damages using established procedures.
• Engage underwriting, legal and other stakeholders for investigations and evaluations.
• Identify subrogation potential and set up files to support recovery efforts.
• Refer possibly suspicious claims to the Special Investigation Unit.
• Transfer risk and implement loss-mitigation strategies within limits.
• Set reserves and authorize payments within scope of authority; use independent judgment.
• Utilize technology and data tools to improve processing efficiency in a paperless environment.
• Maintain compliant, clear documentation of claim activities for easy understanding by others.
• Maintain adjuster licenses and continuing education credits across required states.

Conocimientos

Negotiation

Communication

Critical Thinking

Organization

Collaboration

Educación

Associate degree

Bachelor’s degree preferred

Herramientas

MS Office

Guidewire

Descripción del empleo

Job Title: Auto PD Adjuster – Service Claims

Location: Remote

Duration: Full-time

Position Overview

The Adjuster Service Claims is responsible for managing a caseload of moderately complex claims from initiation to resolution. This includes determining coverage and liability, conducting thorough investigations, evaluating damages, and negotiating settlements in accordance with policy terms, best practices, and jurisdictional requirements. The role involves direct communication with insureds and third parties, as well as accurate input and management of claim data.

What's in it For You?

Career Development:

Permanent position robust training and development, on-the-job experiences, personalized coaching and ongoing mentorship.

Flexible Schedule: Full-time role. Primary need is for standard 1st shift office hours, but also considering a mid-day shift option from 11:30 AM-8:00 PM.

Benefits:

Yes, client offers major medical insurance, dental, vision and 401(k).

Responsibilities:

• Manage an active pending inventory of approximately 80-120 moderately complex service claims from intake through resolution, receiving an average of 5 new claims daily.
• Conduct thorough investigations, assess liability, handle loop calls and evaluate damages using established procedures.
• Engage underwriting, legal and other core stakeholders for comprehensive investigation and evaluations.
• Identify and assign subrogation potential appropriately; set up files to support successful recovery efforts.
• Identify possibly suspicious claims and refer them to the Special Investigation Unit.
• Transfer risk to appropriate parties and implement management techniques to mitigate loss.
• Set reserves and authorize payments within specific limits and moderate scope of authority; utilize discretion and independent judgment.
• Utilize technology and data tools to enhance claims processing efficiency and accuracy in a paperless environment.
• Resolve claims with empathy and customer-centricity; handle sensitive communications professionally and translate complex information for diverse audiences.
• Maintain detailed, compliant and clear documentation of claim activities and communications so files are easily understood by others.
• Maintain appropriate adjuster licenses and continuing education credits across required states.
• Mentor entry-level adjusters and share best practices learned through training and experience.
• May represent the company in mediations, arbitrations and trials.

Skills and Experience:

• Education: Associate degree required; bachelor's degree preferred or an equivalent combination of education and experience.
• Experience: Typically requires 2-3 years of relevant front-line Auto claim-handling, investigation and phone queue experience, including handling third party handling and liability determinations
• Technical Proficiency: Proficient with basic computer navigation, toggling between multiple systems/applications and utilizing the MS Office suite; Guidewire experience is a plus.
• Remote Setup: Must possess and maintain a sufficient home-based internet connection (minimum 50 Mbps download / 10 Mbps upload) to ensure productivity in a hybrid environment.
• Negotiation Skills: Ability to learn and handle negotiation conversations independently within authority limits, understanding common tactics for moderately complex resolutions.
• Communication: Clear, professional and empathetic communication skills across all channels with the ability to de-escalate challenging customer calls.
• Critical Thinking: Operates with decision-making latitude to anticipate, identify and adapt solutions to changing situations and priorities.
• Organization: Strong organizational and time-management skills to effectively manage multiple tasks and strict deadlines.
• Collaboration: Fosters an environment of teamwork, maintains constructive relationships despite differing perspectives and actively supports teammates with workload management.