Job Description

Job Title: Auto PD Adjuster

Work Location: Worcester, MA - Howell, MI - Syracuse, NY - Itasca, IL

Work Type: Hybrid

Duration: Full Time

Job Description

Position Overview

• The Adjuster Service Claims is responsible for managing a caseload of moderately complex claims from initiation to resolution.
• This includes determining coverage, conducting thorough investigations, evaluating damages, and negotiating settlements in accordance with policy terms, best practices, and jurisdictional requirements.
• The role involves direct communication with insureds and third parties, as well as accurate input and management of claim data.

Responsibilities:

• Manage an active pending inventory of approximately 80-120 moderately complex service claims from intake through resolution, receiving an average of new claims daily.
• Conduct thorough investigations, assess liability, handle loop calls, and evaluate damages using established procedures.
• Engage underwriting, legal, and other core stakeholders for comprehensive investigation and evaluations.
• Identify and assign subrogation potential appropriately; set up files to support successful recovery efforts.
• Identify possibly suspicious claims and refer them to the Special Investigation Unit.
• Transfer risk to appropriate parties and implement management techniques to mitigate loss.
• Set reserves and authorize payments within specific limits and moderate scope of authority; utilize discretion and independent judgment.
• Utilize technology and data tools to enhance claims processing efficiency and accuracy in a paperless environment.
• Resolve claims with empathy and customer-centricity; handle sensitive communications professionally and translate complex information for diverse audiences.
• Maintain detailed, compliant, and clear documentation of claim activities and communications so files are easily understood by others.
• Maintain appropriate adjuster licenses and continuing education credits across required states.
• Mentor entry-level adjusters and share best practices learned through training and experience.
• May represent the company in mediations, arbitrations, and trials.

Skills and Experience:

• Education: Associate degree required; bachelor's degree preferred or an equivalent combination of education and experience.
• Experience: Typically requires of relevant front-line Auto claim-handling, investigation, and phone queue experience
• Technical Proficiency: Proficient with basic computer navigation, toggling between multiple systems/applications, and utilizing the MS Office suite; Guidewire experience is a plus.
• Remote Setup: Must possess and maintain a sufficient home-based internet connection (minimum 50 Mbps download / 10 Mbps upload) to ensure productivity in a hybrid environment.
• Negotiation Skills: Ability to learn and handle negotiation conversations independently within authority limits, understanding common tactics for moderately complex resolutions.
• Communication: Clear, professional, and empathetic communication skills across all channels with the ability to de-escalate challenging customer calls.
• Critical Thinking: Operates with decision-making latitude to anticipate, identify, and adapt solutions to changing situations and priorities.
• Organization: Strong organizational and time-management skills to effectively manage multiple tasks and strict deadlines.
• Collaboration: Fosters an environment of teamwork, maintains constructive relationships despite differing perspectives, and actively supports teammates with workload management.

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