TPA Casualty BI Adjuster

Accountabilities

Manage and resolve a portfolio of third-party casualty and bodily injury claims, ensuring timely and effective handling from initial notification through final settlement.
Establish prompt contact with all relevant parties, including insureds, claimants, attorneys, and other stakeholders, to gather information and investigate reported losses.
Review applicable insurance policies, assess coverage, and identify and address potential coverage issues.
Investigate claims and determine liability for third-party losses based on available evidence and applicable policy provisions.
Evaluate and document damages, ensuring all relevant information is accurately recorded in claim files.
Coordinate damage inspections and oversee field assignments to ensure timely inspections, appropriate documentation, and accurate loss estimates.
Handle, negotiate, and settle bodily injury and litigated claims in accordance with established guidelines and client expectations.
Review claim tenders and make appropriate decisions regarding their acceptance or rejection.
Maintain detailed claim notes, correspondence, and diary entries throughout the entire claim lifecycle.
Manage multiple claims and competing priorities effectively while maintaining high standards of accuracy, responsiveness, and service.
Ensure compliance with client-specific claims handling procedures, performance expectations, and applicable requirements.
Perform additional duties as assigned to support overall claims operations.
Requirements
Minimum of 4 years of commercial claims handling experience, including direct experience managing bodily injury claims.
Previous experience as a Casualty Adjuster, preferably within a Third-Party Administrator (TPA) environment.
Valid Multi-Line Adjuster's License, with evidence of current adjuster licensure required.
Strong understanding of Commercial General Liability policies, casualty claims handling, liability assessment, and coverage evaluation.
Demonstrated experience investigating, evaluating, negotiating, and resolving bodily injury and litigated claims.
Excellent verbal and written communication skills, with the ability to interact professionally with insureds, claimants, attorneys, and other stakeholders.
Strong interpersonal, negotiation, analytical, and problem-solving skills.
Proficiency in Microsoft Office and other business-related software.
Ability to independently prepare claim reports, documentation, file notes, and professional correspondence.
Strong organizational skills, attention to detail, and the ability to manage multiple assignments in a fast-paced environment.
Ability to successfully pass a background check, where applicable and in accordance with relevant laws and regulations.
Dependable attendance and availability to perform responsibilities during established working hours.
Benefits
Annual Salary: $75,000–$85,000, depending on experience, qualifications, skills, and geographic location.
Work Arrangement: Fully remote position, offering the flexibility to work from home within the United States.
Employment Type: Permanent, full-time opportunity.
Healthcare Coverage: Medical, dental, and vision insurance plans.
Retirement Benefits: 401(k) retirement savings plan with employer matching.
Paid Time Off: Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non-exempt employees.
Paid Holidays: Company-recognized paid holidays.
Insurance Protection: Life insurance, short-term disability, and long-term disability coverage.
Additional Leave: Paid sick leave, family leave, parental leave, and other legally required benefits, depending on applicable state and local regulations.
Employee Well-being: A benefits package designed to support employees' health, financial security, and work-life balance.