Bodily Injury Claims Adjuster

Aspire General; United States; A distancia; USD 65.000 - 90.000; Jornada completa

Descripción de la vacante

Aspire General is seeking a highly skilled Bodily Injury Claims Adjuster to join our growing Claims team. This remote role supports California claims operations, investigates, evaluates, negotiates, and resolves bodily injury claims to deliver fair, timely, and compliant outcomes.

Ideal candidates have attorney-represented claims experience, strong negotiation and communication skills, and the ability to work independently in a fast-paced environment while coordinating with management and legal

Formación

• Investigate bodily injury claims including medical records and reports.
• Evaluate liability and damages based on policy language and regulations.
• Negotiate settlements within authority guidelines and timelines.

Responsabilidades

• Conduct thorough investigations of bodily injury claims, including review of medical records, police reports, and witness statements.
• Evaluate liability and damages based on policy language, state regulations, and applicable legal standards.
• Communicate with claimants, attorneys, medical providers, and other involved parties to obtain necessary documentation and information.
• Analyze medical records, treatment plans, and billing documentation to assess injury severity and claim exposure.
• Negotiate fair and timely settlements within authority guidelines.
• Handle attorney-represented claims from initial investigation through resolution.
• Work collaboratively with management, legal counsel, and internal stakeholders to resolve complex claims.
• Maintain complete and accurate claim file documentation in accordance with company standards and regulatory requirements.
• Stay current on bodily injury claim trends, insurance regulations, and industry best practices.
• Review and submit all demand evaluations to your supervisor within seven calendar days of receipt.
• Ensure all demand conditions are satisfied when extending settlement offers.
• Make all initial settlement offers no later than three days before demand expiration.
• Assist with litigated claim files as needed, although litigation will not be the primary focus of this position.
• Perform other duties as assigned.

Conocimientos

BI claims investigation

Negotiation skills

Communication skills

Investigative reasoning

Multitasking

MS Office

Claims management systems

Attention to detail

Educación

Bachelor's degree or equivalent insurance claims experience

Herramientas

Claims management systems

Microsoft Office Suite

Descripción del empleo

Remote | Multiple States: AL, AZ, CA, FL, GA, HI, IL, IN, KS, LA, MI, MO, MS, NV, NJ, NY, NC, OK, OH, PA, TN, TX, WI

To be considered for this opportunity, candidates must possess:

• Minimum 3 years of attorney-represented Bodily Injury claims handling experience
• Minimum 3 years of Bodily Injury Claims Adjusting experience
• Auto claims handling experience
• Litigation experience handling attorney-represented claims
• Strong understanding of insurance coverage, liability investigations, and bodily injury claim evaluation
• Knowledge of medical terminology, anatomy, and injury assessment
• Excellent negotiation and settlement skills
• Strong written and verbal communication abilities
• Proficiency with claims management systems and Microsoft Office Suite
• Ability to work Monday-Friday, 8:00 AM - 4:30 PM PST supporting California claims operations
• Bachelor's degree or equivalent insurance claims experience

Preferred Qualifications:

• Multi-state claims handling experience
• Active adjuster licenses in multiple states
• Join a team where every individual takes pride in driving their role for shared success.

We are seeking a highly skilled and detail-oriented Bodily Injury Claims Adjuster to join our growing Claims team. This position is responsible for investigating, evaluating, negotiating, and resolving bodily injury claims while ensuring fair, timely, and compliant claim outcomes.

The ideal candidate has strong bodily injury claim handling experience, excels at negotiating settlements, and understands the complexities of attorney-represented claims.

• Conduct thorough investigations of bodily injury claims, including review of medical records, police reports, and witness statements.
• Evaluate liability and damages based on policy language, state regulations, and applicable legal standards.
• Communicate with claimants, attorneys, medical providers, and other involved parties to obtain necessary documentation and information.
• Analyze medical records, treatment plans, and billing documentation to assess injury severity and claim exposure.
• Negotiate fair and timely settlements within authority guidelines.
• Handle attorney-represented claims from initial investigation through resolution.
• Work collaboratively with management, legal counsel, and internal stakeholders to resolve complex claims.
• Maintain complete and accurate claim file documentation in accordance with company standards and regulatory requirements.
• Stay current on bodily injury claim trends, insurance regulations, and industry best practices.
• Review and submit all demand evaluations to your supervisor within seven calendar days of receipt.
• Ensure all demand conditions are satisfied when extending settlement offers.
• Make all initial settlement offers no later than three days before demand expiration.
• Assist with litigated claim files as needed, although litigation will not be the primary focus of this position.
• Perform other duties as assigned.

What You'll Bring:

• Strong investigative and analytical skills
• Sound judgment and decision-making abilities
• Ability to manage multiple priorities in a fast-paced environment
• Strong attention to detail and organizational skills
• Excellent customer service and relationship-building skills
• Professional written and verbal communication skills
• Ability to work independently while contributing to a collaborative team culture

Working Conditions:

• Remote position supporting California claims operations
• Schedule: Monday-Friday, 8:00 AM - 4:30 PM PST
• Fast-paced and technology-driven paperless environment
• Occasional overtime may be required
• Occasional travel as business needs dictate
• Extended periods of computer and desk work

Aspire is an Equal Opportunity Employer committed to creating an inclusive workplace where all employees and applicants are treated with dignity and respect. All qualified applicants will receive consideration for employment without regard to any characteristic protected by applicable federal, state, or local law.

Aspire provides reasonable accommodations to qualified individuals with disabilities and for sincerely held religious beliefs and practices. Applicants requiring accommodation during any stage of the recruitment or hiring process should inform us right away.

Aspire complies with all applicable fair chance, ban-the-box, and criminal history consideration laws. Qualified applicants with criminal histories will be considered in a manner consistent with applicable law and the requirements of the position.

The pay range provided for this position represents the Company's good-faith estimate of the compensation for this role at the time of posting. Compensation for this position will be determined based on job-related qualifications, experience, education, skills, geographic location, and business needs. Aspire reserves the right to modify compensation and benefits programs as permitted by law.