Injury Adjuster- FPI

As a dedicated Injury Adjuster- FPI, you will within defined guidelines and framework, responsible to adjust First Party Injury non-attorney involved soft tissue bodily injury or auto Personal Injury Protection (PIP) and MedPay (MP) medical claims to include confirming coverage, determining liability, investigating, evaluating, negotiating, and adjudicating claims in compliance with state laws and regulations. Responsible for delivering a concierge level of best-in-class member service through setting appropriate expectations, proactive communications, advice, and empathy. This hybrid role requires an individual to be in the office 3 days per week. These multiple positions can be based in one of the following locations: San Antonio, TX, Phoenix, AZ Colorado Springs, CO, Chesapeake, VA or Tampa, FL. Relocation assistance is not available for this position. Training Schedule: Must be available to attend mandatory training for 5 weeks. PTO will not be permitted during these time frames. Work Schedule: Must be open and available to work any schedule assigned between Monday - Friday 7:00a.m - 7:30 p.m. What you'll do: Adjusts moderately complex and complex 1st party Personal Injury Protection (PIP) and Medical Payments (MP) claims. Identifies, confirms, and makes coverage decisions on soft tissue claims. Investigates loss details, determines legal liability, evaluates, negotiates, and adjudicates claims appropriately and timely; within appropriate authority guidelines with clear documentation to support accurate outcomes. Provides advice and sets expectations into next steps to members. Collaborates and supports team members to resolve issues and identify appropriate matters for escalation. Partners with and/or directs vendors and internal business partners to facilitate timely claims resolution. Delivers a best-in-class member service experience through setting appropriate expectations and proactive communication. Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours. May be assigned CAT deployment travel with minimal notice during designated CATs. Works various types of claims, including ones of higher complexity, and may be assigned additional work outside normal duties as needed. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled.