Senior Auto Claims Adjuster

Location: Marble Falls

Job Summary The Senior Auto Claims Adjuster is responsible for handling commercial auto losses, focusing on complex auto physical damage claims, disputed property damage liability claims, non-litigated bodily injury claims, and general liability claims.

Essential Job Functions Investigate reports of loss by interviewing claimants, witnesses, and other involved parties, gathering evidence, police reports, photographs, and repair estimates

Engage and manage external vendors as needed in the investigation and evaluation of reports of loss Determine liability by analyzing the facts of each case, including review of applicable laws and regulations

Ensure timely vehicle inspections to assess the extent of damage and determine cost of repairs, working with independent adjusters, vendors, and body shops as needed

Manage financial transactions associated with commercial auto claims, including reserves, payments, and recoveries, as well as negotiating settlements and ensuring fair compensation for loss Apply the terms and conditions of the appropriate coverage forms to facts of loss as reported or developed during investigations

Consistently and frequently communicate with vehicle owners regarding the status of their claim, providing updates, answering questions, and ensuring a positive customer experience

Accurately and thoroughly document claims with all pertinent activity and rationale for decisions made and actions taken; prepare detailed reports documenting findings, decisions, and justification for settlements reached

Evaluate medical documentation to determine appropriate settlement amounts of third-party bodily injury claims

Negotiate settlements of bodily injury claims with claimants and attorneys

Ensure compliance with Medicare Secondary Payer Act Perform all actions relating to customers and companies in a manner that will avoid issues involving potential errors and omissions

Participate in seminars and other training to maintain required licenses and for knowledge and skill development

Additional Responsibilities This job description is intended to describe the level of work required of the person performing the position. Essential functions are outlined; however, other duties may be assigned, as needs arise, or as required to support the essential functions. Specific performance objectives may be developed each year to measure the performance of the tasks and functions listed in this job description.

Telecommuting opportunities vary by location, department, and business need and are subject to change, as needed. Each manager will provide details on any telecommuting opportunities, as well as scheduling, within their department.

Job Qualifications3 – 5 years of previous auto claim handling experience preferred

High school diploma or equivalent required

Bachelor's degree preferred, but not required

Possession of, or the ability to immediately attain, a Texas Adjuster’s License required

Knowledge, Skills, and Abilities Ability to interpret and correctly apply commercial auto coverage forms

Excellent customer service aptitude

Ability to work collaboratively and to resolve conflict using effective negotiation skills

Ability to manage and prioritize multiple tasks

Proficient PC skills, with a focus on the Microsoft Office suite of products (Excel, Word, Outlook, Teams, etc.)Understand medical terminology

Self-motivated, with the initiative to prioritize and be self-directed

Ability to communicate effectively, both verbally and in writing

Excellent interpersonal skills, with the ability to interact effectively with both colleagues, customers, and managers, across all levels

Ability to promote and maintain a team environment, willing to find accommodating solutions for our customers, companies, and the Agency Ability to successfully adhere to company policies and procedures, as well as maintain strict confidentiality

Work Conditions and Accommodations Fast-paced, multi-tasking, office environment with periodic high disruption and changing priorities

Ability to perform approximately 80% sedentary work, exerting up to 10 pounds of force occasionally, and negligible force frequently

Ability to lift up to 20 pounds occasionally

Requires operation of a computer workstation, including keyboard and video display

All requirements may be modified to reasonably accommodate physical or mental impairment
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