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Bodily injury adjuster skills for your resume and career

15 bodily injury adjuster skills for your resume and career
1. Bodily Injury Claims
- Utilized knowledge of NYS Regulation 64 to effectively investigate and negotiate bodily injury claims made against personal auto policies.
- Negotiate attorney represented auto bodily injury claims to ensure validity, determine liability, and negotiate settlement value.
2. Liability Claims
Liability claims are insurance claims where the insured is accused of holding responsibility for some damage or loss. Upon hearing or receiving the accusations, the insured reaches out to his or her insurance company for financial or other assistance, at which point the insurance company would determine whether the damage or loss is covered by the insured's policy. If covered, the insurance company may conduct an investigation or manage and legal processes for the insured.
- Handle liability claims involving personal injuries or third-person property damage from liability situations, such as motor vehicle accidents.
- Investigated and resolved third-party liability claims for property damage or injury resulting from automobile accidents or homeowner losses.
3. Claims Handling
- Coordinate all processes for claims handling from initial filing of a claim to settlement with damage releases.
- Specialize in diverse market claims handling, focusing on assisting Spanish speaking members and customers.
4. Customer Service
Customer service is the process of offering assistance to all the current and potential customers -- answering questions, fixing problems, and providing excellent service. The main goal of customer service is to build a strong relationship with the customers so that they keep coming back for more business.
- Provide claims customer service through internal channels (phone/email/fax/mail/other electronic channels) to insured and third-party customers.
- Interpreted medical reports, negotiated and settled claims by keeping claims severity down without sacrificing customer service.
5. Litigation
- Determined and executed proper disposition plans on all claims and negotiated claims to a conclusion to minimize litigation where appropriate.
- Handled negotiations and settlements with opposing counsel in order to prevent litigation.
6. Auto Accidents
- Conduct detailed coverage analysis of personal automobile policies in conjunction with auto accidents.
- Investigated auto accidents for liability determination when bodily injury was reported.
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- Exhibited and implemented strong analytical skills.
- Forward thinking with strong analytical skills.
8. Medical Reports
- Certified bilingual medical claims representative excelling in negotiations with expertise in medical terminology, coding, and analysis of medical reports.
- Reviewed medical reports and completed negotiations for settlements.
9. Status Reports
- Provided status reports to CSAA insured customers.
- Responded to various written and telephone inquiries including status reports.
10. Medical Terminology
- Developed in-depth knowledge of human anatomy, injury causation, medical conditions, medical terminology, and medical billing/coding.
- Enter claims data into system while interpreting coding and understanding medical terminology in relation to diagnoses and procedures.
11. Policy Coverage
Policy coverage is an agreement between a person and an insurer outlining the coverage - what is covered, what is not, and other details of the agreement. Policy coverage is typically a combination of several standard forms, including a declaration page, coverage form, and endorsements. These forms delineate the coverage term, the policy limits, the grant of coverage, exclusions and other limitations of coverage, and the duties and responsibilities of the insured in the event of a loss.
- Administered, and examined policy coverage for assigned personal injury claims.
- Evaluate policy coverage, contact insured's, claimants, attorney, body shops, and medical providers to determine injuries.
12. Police Reports
Police reports, also known as "incident reports," are recorded by members of the police department and detail a (potentially) illegal incident or confrontation. The following information is usually found on a police report: the date and time of the incident, which officers were involved, the address of the incident, what kind of incident (theft, assault, etc.), and how the officers were alerted to the incident.
- Investigated liability, ordered police reports, took statements from the insured/claimant, and negotiated bodily injury settlements.
- Completed scene investigations and reviewed police reports in order to complete full and accurate liability decisions.
13. Medical Bills
- Evaluated medical bills and reports, peer reviews, and independent medical examinations; ensured timely payments of wages/medicals.
- Evaluated medical bills and identified areas of concern for investigation and/or negotiated settlements.
14. Soft Tissue
- Investigated, evaluated and negotiated settlement of soft tissue bodily injuries.
- Analyze Florida casualty claims ranging from soft tissue injury claims to serious injury loss claims in a high paced aggressive venue.
15. Legal Liability
- Manage claim investigations and ensure their validity and assess the company's legal liability.
- Determined legal liability based on the analysis of the evidence.
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List of bodily injury adjuster skills to add to your resume
The most important skills for a bodily injury adjuster resume and required skills for a bodily injury adjuster to have include:
- Bodily Injury Claims
- Liability Claims
- Claims Handling
- Customer Service
- Litigation
- Auto Accidents
- Strong Analytical
- Medical Reports
- Status Reports
- Medical Terminology
- Policy Coverage
- Police Reports
- Medical Bills
- Soft Tissue
- Legal Liability
- Arbitration
- Coverage Issues
- PIP
- Conduct Investigations
- Process Claims
- Insurance Policies
- Insurance Carriers
- Authority Limits
- Insurance Coverage
- Defense Counsel
- Claim Settlement
- State Regulations
- Medical Claims
- Suspicious Claims
- Strong Negotiation
- Excellent Negotiation
- Policy Holders
- Liability Decisions
- Property Damage Claims
- Conduct Negotiations
- Policy Limits
- Coverage Investigations
- Relevant Parties
- CPT
- ISO
- Property Loss
- Commercial Property
- State Laws
- Policy Language
- Medical Documentation
- Body Shop
- Medical Payments
- Liability Investigations
- Analyze Coverage
- Questionable Claims
Updated January 8, 2025