Bodily Injury Claims Adjuster

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🕒 vor 2 Tagen

🐊 Florida – Remote

info

💵 $75.000 - $80.000 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

📋 Schadensspezialist

🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of MDD Forensic Accountants

MDD Forensic Accountants

201 - 500 Mitarbeiter

Gegründet 1933

💸 Finanzen

Finance • Insurance • Consulting

MDD Forensic Accountants ist eine Wirtschaftsprüfungsgesellschaft, die sich auf Unternehmensbewertungen, Streitigkeiten zwischen Gesellschaftern und die Quantifizierung wirtschaftlicher Schäden spezialisiert hat. Mit über 40 Büros weltweit bietet MDD Fachwissen in einer Vielzahl von Branchen und erbringt Dienstleistungen für Versicherungsunternehmen, Anwaltskanzleien, Regierungen und Einzelpersonen. Zu ihren Dienstleistungen gehören Betriebsunterbrechungen, entgangene Gewinne, Betrugsermittlungen und mehr, was sie zu einem vertrauenswürdigen Berater für fundierte finanzielle Entscheidungen macht.

Beschreibung

• 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

🎯 Anforderungen

• 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)

🏖️ Vorteile

• 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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