[Hiring] Bodily Injury Specialist II @First Acceptance

Role Description

• Plans and/or conducts investigations to analyze coverage and determine liability, compensability, and extent of damages.
• Completes Bodily Injury Evaluation forms and/or makes recommendations for the disposition of claims in excess of individual settlement authority.
• Compiles information for discussion and decision-making by the claims committee where appropriate.
• Determines the need for independent adjusters, cause and origin experts, independent medical examiners, economists, accident re-constructionists, and engineers.
• Assesses actual damages associated with claims and conducts negotiations to settle claims.
• Determines if subrogation is appropriate and takes steps necessary to initiate recovery efforts.
• Evaluates policy coverage, and contacts insureds, claimants, attorneys, body shops, and medical staff to determine injuries stemming from an accident while determining and establishing reserve requirements.
• Evaluates the medical injury exposure within guidelines, obtaining authority when appropriate, and makes proper and timely payments.
• Maintains accurate records and handles administrative responsibilities associated with the processing and payment of claims.
• Records/updates status notes and documents results of contacts, the duration of contacts, and relevant medical information; reports are consistent with internal procedures and best practices.
• Maintains computer log indicating results of claim review and intentions for claim handling.
• Keeps internal and/or external customers advised of file status and other matters as required.
• Responds timely and appropriately to all settlement demands.
• Evaluates each claim for potential fraud and works with Special Investigations Unit as required.
• Performs other duties as assigned.

Qualifications

• High School Diploma or equivalency required.
• A 2-year degree or higher in a field related to the position is preferred.
• At least one year of automobile liability experience is required.
• A minimum of 2 years of previous auto liability claim handling experience or minimum 1 year of bodily injury claims experience is preferred.
• Must currently hold or have the ability to secure and maintain adjuster license(s) within 60 days of employment.
• Knowledge and understanding of applicable insurance statutes, regulations, and case law.
• Insurance industry knowledge.
• Proficiency in Microsoft Office Suite products such as Word, Excel, PowerPoint, etc.
• Strong customer service skills.
• Time management, prioritization, and organizational skills.
• Ability to make effective decisions on behalf of the organization with regards to casualty claims processing.
• Ability to think critically and anticipate, recognize, identify, and develop solutions to problems in a timely manner.
• Excellent interpersonal and communication skills, including presentation skills.
• Commitment to First Acceptance’s company values.

Requirements

• The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee is regularly required to do manual tasks, which may include the use of hands to finger and handle controls.
• Tasks may also require the ability to talk or hear.
• The employee will frequently sit, bend, and reach with hands and arms and is occasionally required to stand and walk.
• Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.
• The employee may occasionally lift and/or move up to 10 pounds.
• Other abilities include possessing the capacity to learn, concentrate, think, and read.
• Oftentimes the employee will be communicating and interacting with others while working.
• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
• The requirements listed are representative of the knowledge, skill, and/or ability required.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position.
• Employee(s) will be required to follow any other job-related instructions and perform any other job-related duties requested by anyone authorized to give instructions or assignments.

Benefits