[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-261282-105":53,"doc-detail-261282-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","injury-claims-adjuster-job-description-posting","Injury Claims Adjuster Job Description - Posting","","Injury Claims Adjuster responsibilities focus on timely, accurate adjudication of commercial and personal lines automobile injury claims. The role investigates coverage and liability, interviews parties, evaluates damages, reviews medical and investigative materials, and documents claim files with clear facts and recommendations. The adjuster negotiates and settles claims in good faith, maintains required licensure, establishes appropriate reserves, assesses causal injury relationships, and escalates complex or potential litigated matters. 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The position requires the adjuster to appropriately investigate claims beginning with coverage and liability, evaluate damages, negotiate, and settle such claims. The Injury Claims Adjuster maintains appropriate licensure to adjust claims where required. They ensure they adjudicate claims and actin compliance with regulations, laws, and Company policy.  \nAs a member of the injury claims team, the Injury Claims Adjuster exhibits accountability, teamwork, professionalism, personal development, and proactivity toward improving performance and contributions to the Company’s success. They act with great integrity, professionally engaging internal and external customers.  \nPRINCIPAL ACCOUNTABILITIES:  \nAdjudication  \n• Applies appropriate policy, regulations, and law to each claim.  \n• Considers each claim based upon its merits, approaching adjudication to suit the needs of the claim.  \n• Contacts all interested parties, interviewing, and collecting pertinent information.  \n• Maintains open communication with insured, unrepresented parties, their attorneys, agents, and other interested parties.  \n• Establishes adequate and timely reserves according to the known factsand circumstances involved in the claim.  \n• Able to review, digest, analyze, and provide synopsis and recommendations for further handling from medical records, investigative reports, statements, and other material or communication.  \n• Evaluates the casual relationship of injuries to the accident, including the mechanism of injury and any exacerbation of previous condition/injury.  \n• Completes injury evaluations and negotiates settlements in good faith, ensuring fair and equitable settlements.  \n• Assists interested parties with understanding the claim process.  \n• Documents the claim file with facts and recommendations in a timely manner.  \n• Exhibits sense of urgency to assess claims and demands for potential new or excess exposures.  \n• Responds to inquiries and demands promptly.  \n• Reports all potentially fraudulent activity to the Special Investigations Unit.  \n• Actively seeks opportunities for potential subrogation, ensuring information sent toSubrogation team is of high-quality and ready for pursuit of recovery.  \n• Escalates complex or potential litigated matters to their management in a timely manner.  \nOwning Performance  \n• Accountable for working within their authority to make sound decisions.  \n• Achieves quality, productivity, and acceptable customer service results by following leading practicesand procedures, management direction, and professional behavior.  \n• Upon identification of questions or concerns, seeks guidance immediately.  \n• Learns from feedback, training, direction, and observations to improve their performance.  \n• Identifies areas of opportunity to develop, creating realistic and timely activities to resolve the gap.  \n• Keeps abreast of industry trends, including new case law.  \n• Attends and participates in all mandatory training.  \n• Offers solutions to problems and concerns.  \nTeamwork  \n• Exhibits a positive, collaborative attitude toward assisting others to achieve favorable outcomes.  \n• Seeks to understand others, building relationships across the claims team.  \n• When confronted with negativity, able to refocus the situation on a productive and positive path.  \n• With minimal supervision, helps others when appropriate, ensuring the team reaches their goals.  \nTechnology & Information  \n• Safeguards systems and information within their scope of work against misuse, fraud, malware, and cyberattacks.  \n• Maintains strict confidentiality with sensitive information.  \n• Utilizes resources provided by the Company to appropriately adjudicate claims.  \n• Participates during user acceptance training, providing specific feedback to the implementation team ","cbCaij92NEgVMgdg","https://ap.wps.com/l/cbCaij92NEgVMgdg","pdf",73492,"English","# Position Summary\n# Principal Accountabilities\n## Adjudication\n## Owning Performance\n## Teamwork\n## Technology & Information\n# Job Requirements\n## Education\n## Experience\n## Skills","[{\"question\":\"What does the Injury Claims Adjuster do for automobile injury claims?\",\"answer\":\"The adjuster investigates coverage and liability, evaluates damages, reviews medical and investigative materials, negotiates and settles claims, and documents claim files with facts and recommendations.\"},{\"question\":\"What skills and behaviors are emphasized in the role?\",\"answer\":\"The role emphasizes accountability, teamwork, professionalism, proactivity, integrity, conflict resolution, negotiation, critical thinking, attention to detail, and professional communication.\"},{\"question\":\"What are the key job requirements for this position?\",\"answer\":\"A four-year degree is preferred, minimum two years of third-party automobile injury claims experience is required, and the adjuster must obtain licenses in Rhode Island, Connecticut, Florida, and Texas within 90 days of hire.\"}]","Injury Claims Adjuster Job Description - Posting | PDF",1789351112]