Bodily Injury Claims Negotiator (Pre-Litigation)

EDGE CLAIMS LLC

United States

On-site

USD 65,000 - 90,000

Full time

3 days ago
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Benefits offered by this job

Health insurance

Job summary

EDGE CLAIMS LLC seeks a Bodily Injury Pre-Litigation Adjuster to review complex claims pre-suit. You’ll research, evaluate, negotiate, and communicate with insureds and claimants to secure prompt settlements.

You will investigate coverage, establish reserves, and draft clear, fact-based file notes while upholding company standards. A Bachelor's degree or equivalent experience and valid adjuster licenses in states handled are required.

Qualifications

  • Bachelor's degree or equivalent work experience.
  • Commercial Bodily Injury Claims Handling Experience or 4+ years related claim experience.
  • Licensed and/or certified in all states in which claims are being handled.
  • Highly organized with excellent time management skills.
  • Excellent oral, written and interpersonal communication skills.
  • Excellent MS Office, Word, Power Point, and Excel expertise.

Responsibilities

  • Interprets and determines policy coverages under personal and commercial lines.
  • Investigates the claim or coverage by making timely contact with involved or interested parties including the insured or employer representatives, claimant, witnesses and producers.
  • Gathering and evaluate evidence, including medical bills and injury and reports.
  • Verifies coverage and policy conditions and drafts positions as needed.
  • Depending on the type of claim may interact internally or externally to gather information.
  • Establishes reserves by estimating the most likely outcome of a claim and adjusts as evidence is received.
  • Effectively negotiates and settles high-priority claims before litigation.
  • Builds critical thinking and decision-making skills for root-issue analysis.
  • Maintains effective relationships with customers with trust and respect.
  • Demonstrates ability to absorb technical information and learn from mistakes.

Skills

Time management
Communication skills
Organizational skills
Negotiation skills
Attention to detail

Education

Bachelor's degree or equivalent

Tools

MS Office
Word
Excel
PowerPoint

Job description

EDGE CLAIMS LLC seeks a Bodily Injury Pre-Litigation Adjuster to review complex claims pre-suit. You’ll research, evaluate, negotiate, and communicate with insureds and claimants to secure prompt settlements.

You will investigate coverage, establish reserves, and draft clear, fact-based file notes while upholding company standards. A Bachelor's degree or equivalent experience and valid adjuster licenses in states handled are required.

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