Senior Auto Bodily Injury Claims Adjuster - Remote

Tivra Management LLC; New York (NY); Hybrid; USD 55,000 - 83,000; Full time

Job summary

Tivra Management LLC seeks an experienced auto bodily injury claims professional to manage a caseload of complex UM/UIM claims remotely in the United States. You will assess coverage and liability, conduct investigations, review medicals and bills, and establish accurate reserves while maintaining high levels of customer service and professionalism.

As a senior member, you will mentor junior adjusters, collaborate across subrogation and legal teams, and drive settlements with attention to

Qualifications

• 7+ years of auto bodily injury claims experience, including complex liability bodily injury claims.
• Experience with UM/UIM exposures required.
• Strong proficiency in coverage and liability analysis, negotiation, and investigative techniques.
• Excellent communication, conflict resolution, and customer service skills.
• Demonstrated ability to work independently and mentor others.
• Advanced problem-solving and analytical skills
• Strong leadership and mentorship abilities
• Exceptional organization and time management
• High degree of professionalism and emotional intelligence
• Ability to manage complex claims with minimal oversight

Responsibilities

• Manage a caseload of complex auto BI (UM/UIM) claims.
• Conduct detailed investigations using statements, scene analysis, police reports, repair estimates, and expert input.
• Evaluate and handle claims, including review of medical records, bills, causation, and treatment reasonableness.
• Assess UM/UIM claims for coverage, injury exposure, and settlement value.
• Establish and maintain appropriate claim reserves based on liability, injury severity, medical treatment, and potential settlement exposure.
• Negotiate settlements directly with claimants, attorneys, medical providers, and other representatives.
• Handle claims involving attorney representation, litigation, arbitration, and mediation.
• Serve as a subject-matter resource for junior adjusters, providing guidance on coverage interpretation, investigative strategy, and claims best practices.
• Assist in training and mentoring new team members when needed.
• Collaborate with Subrogation, SIU, and Legal on complex issues including fraud indicators, coverage disputes, and recovery opportunities.
• Prepare comprehensive claim documentation, maintaining detailed and well-organized electronic files.
• Ensure compliant issuance of coverage letters, reservations of rights, denials, and settlement communications.
• Maintain deep understanding of state-specific claims regulations and ensure all timelines and standards are met.
• Communicate effectively and professionally with insureds, claimants, attorneys, repair shops, and internal partners.
• Provide clear explanations of coverage, liability decisions, and the claims process.
• Handle escalated customer concerns with diplomacy and problem-solving skills.

Job description

Tivra Management LLC seeks an experienced auto bodily injury claims professional to manage a caseload of complex UM/UIM claims remotely in the United States. You will assess coverage and liability, conduct investigations, review medicals and bills, and establish accurate reserves while maintaining high levels of customer service and professionalism.

As a senior member, you will mentor junior adjusters, collaborate across subrogation and legal teams, and drive settlements with attention to