Claims Adjuster, Bodily Injury (AV)

Reserv; United States; A distancia; USD 75.000 - 110.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health insurance

401(k) matching

PTO

Family leave

Remote role

Empowerment culture

Descripción de la vacante

Reserv is seeking an experienced AV BI Adjuster to investigate, evaluate, and resolve bodily injury claims arising from autonomous and driver-assist vehicle incidents. You will analyze vehicle data, video, and records to determine liability and valuation.

In this remote-first role, you will contact claimants, witnesses, and medical providers; set reserves; negotiate settlements; and coordinate with safety and legal teams on high-stakes cases while maintaining audit-ready file notes and compliant

Formación

• 4–6+ years of bodily injury claims experience, preferably commercial auto, rideshare, or trucking.
• Strong medical-records review and injury valuation skills.
• Experience with represented claimants and attorney negotiation.
• Bachelor's degree or equivalent claims experience.
• Proficiency in the claims system, document management, and Microsoft Office.
• Clear written and verbal communication with claimants, counsel, carriers, and client partners.
• Active adjuster license: resident-state license where available, otherwise a Designated Home State (DHS) license. Willing to obtain licenses within 60 days.

Responsabilidades

• Investigate and evaluate BI claims using vehicle data, video, and records.
• Contact claimants, witnesses, medical providers, and counsel promptly.
• Set and maintain reserves reflecting liability, damages, venue, and representation.
• Negotiate and settle claims within authority and document strategy.
• Identify claims with litigation risk and escalate to the Litigation Adjuster and Team Lead, coordinating with safety and legal teams on sensitive cases.
• Manage medical bills, liens, Medicare/Medicaid reporting, and settlement documentation, and maintain audit-ready notes.

Conocimientos

Medical records review

Injury valuation

Claim negotiation

Written and verbal communication

License: adjuster

Educación

Bachelor's degree or equivalent

Herramientas

Claims system

Document management

Microsoft Office

Descripción del empleo

About Reserv

Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need people who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can't wait to meet you.

Location Requirement

Candidates must reside in an eligible U.S. state throughout employment. We are unable to hire candidates residing in California, Alaska, Hawaii, U.S. territories, or outside the United States.

About the role

The AV BI Adjuster investigates, evaluates, and resolves bodily injury claims from incidents involving autonomous and driver‑assist vehicles, including passengers, pedestrians, cyclists, and occupants of other vehicles. The role combines traditional BI evaluation with analysis of who was in control, what the system did, and whether the claim should be resolved or defended.

What you’ll do

• Investigate and evaluate BI claims, building liability analysis on vehicle data, video, and remote‑assistance records rather than statements alone
• Contact claimants, witnesses, medical providers, and counsel promptly, documenting injuries, treatment, and damages
• Set and maintain reserves that reflect liability, damages, venue, and representation
• Negotiate and settle claims within authority, and recommend and document settlement strategy above it
• Identify claims with litigation, product‑liability, or regulatory risk and escape early to the Litigation Adjuster and Team Lead, partnering with the AV operator’s safety and legal teams on sensitive or high‑visibility incidents
• Manage medical bills, liens, Medicare/Medicaid reporting, and settlement documentation, and maintain complete, audit‑ready file notes explaining the liability and valuation decision

Who you are

• Motivated and growth‑oriented, excited by the prospect of building a tech‑driven claims org
• Passionate adjuster who cares about the customer experience and brings empathy and patience to everyone you interact with
• Sense of urgency at all times (without working at all hours), paired with curiosity to learn the whole story so you can make the right decisions early and reach a prompt resolution
• Creative problem‑solver who finds the right exit ramp for resolving each claim in the insured’s best interest, and who isn’t afraid of conflict as long as it stays conversational rather than adversarial
• Anti‑status quo, acting on ideas for doing things differently, with strong communication skills and a collaborative, team‑player attitude
• Sense of humor, because claims are hard enough as it is, plus a detailed understanding of the SAE J3016 levels of driving automation (Levels 0–5), including how driver‑assist (Levels 0–2) and driverless (Levels 3–5) systems shift responsibility among the human, the system, and the operator

Qualifications

• 4–6+ years of bodily injury claims experience, preferably commercial auto, rideshare, or trucking
• Strong medical‑records review and injury valuation skills
• Experience with represented claimants and attorney negotiation
• Bachelor's degree or equivalent claims experience
• Proficiency in the claims system, document management, and Microsoft Office
• Clear written and verbal communication with claimants, counsel, carriers, and client partners
• Active adjuster license: resident‑state license where available, otherwise a Designated Home State (DHS) license. Willing to obtain any additional required licenses within 60 days, including state testing.

Benefits

• Generous health‑insurance package with nationwide coverage, vision, & dental
• 401(k) retirement plan with employer matching
• Competitive PTO policy – we want our employees fresh, healthy, happy, and energized!
• Generous family leave policy after 8 months of continuous work
• 100% remote (home‑based) role designed to support your work‑life balance Additionally, we will
• Listen to your feedback to enhance and improve upon the long‑standing challenges of an adjuster and the claims role
• Work toward reducing and eliminating all the administrative work from an adjuster role
• Foster a culture of empathy, transparency, and empowerment in a remote‑first environment

At Reserv, we value diversity in backgrounds, perspectives, and life experiences and believe that diversity in viewpoints and critical thinking drives innovation, first‑principles thinking, and success. We welcome applicants from all backgrounds and encourage those from all walks of life to apply.