Sr. Injury Adjuster

As a dedicated Sr. Injury Adjuster, you will work within defined guidelines and framework, responsible to adjust attorney involved moderately complex bodily injury and UM claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, defending, and settling claims in compliance with state laws and regulations. Accountable for delivering a concierge level of best in class member service through setting appropriate expectations, proactive communications, advice, and compassion. This hybrid role requires an individual to be in the office 3 days per week. This position can be based in one of the following locations: San Antonio, TX; Chesapeake, VA; or Tampa, FL. Relocation assistance is not available for this position. What you'll do: Identifies and manages existing and emerging risks that stem from business activities and the job role. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled. Follows written risk and compliance policies, standards, and procedures for business activities. Adjusts attorney-involved moderately complex bodily injury claims with demonstrable injuries (e.g. torn meniscus, broken bones, disc herniations) and UM claims, as well as all auto physical damage associated with those claims. Identifies, confirms, and makes coverage decisions on moderately complex bodily injury claims or catastrophic PIP/MP medical claims. Investigates loss details, determines legal liability, evaluates, negotiates, and arrives at claim settlement within appropriate authority guidelines. Clearly documents thought process, investigation, evaluation, negotiation, and settlement decisions. Prioritizes and manages assigned claims workload to keep members and other involved parties informed, provides timely claims status updates. Collaborates and supports team members to resolve issues and identify appropriate matters for escalation. Partners and/or directs vendors and internal business partners to facilitate timely claims resolution. Supports workload surges and/or Catastrophe Operations as needed. May act as an informal resource for team members with less experience.