Remote Bodily Injury Claims Adjuster (CA)

Aspire General; United States; À distance; USD 65 000 - 90 000; Plein temps

Résumé du poste

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

Qualifications

• 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.

Responsabilités

• 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.

Connaissances

BI claims investigation

Negotiation skills

Communication skills

Investigative reasoning

Multitasking

MS Office

Claims management systems

Attention to detail

Formation

Bachelor's degree or equivalent insurance claims experience

Outils

Claims management systems

Microsoft Office Suite

Description du poste

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