Bodily Injury Claims Adjuster

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🔥 12 hours ago

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Logo of MDD Forensic Accountants

MDD Forensic Accountants

201 - 500 employees

Founded 1933

💸 Finance

Finance • Insurance • Consulting

MDD Forensic Accountants is a forensic accounting firm specializing in business valuations, shareholder disputes, and economic damage quantification. With over 40 offices globally, MDD provides expertise across a wide range of industries, delivering services to insurance companies, law firms, governments, and individuals. Their services include business interruption, lost profits, fraud investigations, and more, making them a trusted advisor for sound financial decision-making.

📋 Description

• Adjust bodily injury, personal injury, and wrongdoing claims in a timely and professional manner • Perform all duties outlined in the Property Damage Adjuster role • Review new claim assignments within 24 hours and develop a clear plan of action • Establish contact with insureds and claimants within 24 hours of assignment • Conduct thorough investigations including: • Gathering evidence and documentation • Obtaining recorded statements from claimants, insureds, and witnesses • Reviewing internal client investigation reports when applicable • Evaluate damages and determine need for appraisers or field adjusters • Review estimates and supporting documentation for accuracy and appropriateness • Set reserves and maintain accurate claim evaluations • Manage claim workflow and system reminders; ensure progress within 72 hours of assigned tasks • Coordinate with defense counsel and monitor litigation activity when applicable • Handle claim denials in accordance with client and regulatory guidelines • Request payment authorization in alignment with client and Davies procedures • Maintain consistent, professional communication with clients, claimants, and partners • Ensure accurate and timely documentation of all claim activity in the claim system • Manage Medicare reporting and compliance where applicable • Run ISO ClaimSearch and evaluate potential fraud indicators • Identify and report claims to excess carriers when thresholds are met • Respond to reservation of rights and excess carrier communications as needed • Maintain compliance with state regulations (including PIP/No-Fault laws where applicable) • Monitor claim progress and maintain a target 95% claim closure ratio • Participate in continuing education to maintain adjuster licensure • Support team members and assist leadership with additional duties as assigned

🎯 Requirements

• Active Adjuster License (required, as applicable by state) • Relevant claims adjusting experience (bodily injury and liability required) • Experience handling bodily injury and liability claims (GL, Auto, E&O, Law Enforcement preferred) • Strong investigative and analytical skills • Ability to evaluate liability, damages, and exposure • Knowledge of litigation processes and working with defense counsel • Understanding of coverage analysis and claims handling best practices • Familiarity with Medicare reporting requirements and compliance • Strong written and verbal communication skills • Highly organized with the ability to manage multiple claims and deadlines • Experience with claims management systems and documentation standards • Ability to work independently and exercise sound judgment • Working knowledge of No-Fault/PIP laws (preferred)

🏖️ Benefits

• Medical, dental, and vision plans to support your health and that of your family • A 401(k) plan with employer matching • Time‑off policies, including Discretionary Time Off (DTO) for exempt employees and Paid Time Off (PTO) for non‑exempt employees • Paid holidays • Life insurance and short‑term and long‑term disability coverage

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