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Top 50 Bodily Injury Adjuster Skills

Below we've compiled a list of the most important skills for a Bodily Injury Adjuster. We ranked the top skills based on the percentage of Bodily Injury Adjuster resumes they appeared on. For example, 18.2% of Bodily Injury Adjuster resumes contained Liability Decisions as a skill. Let's find out what skills a Bodily Injury Adjuster actually needs in order to be successful in the workplace.

These Are The Most Important Skills For A Bodily Injury Adjuster

1. Liability Decisions
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high Demand
Here's how Liability Decisions is used in Bodily Injury Adjuster jobs:
  • Conduct investigations by making timely contact with insureds, claimants and witnesses, taking recorded statements and making liability decisions.
  • Determined coverage of the insured in accordance with company guidelines and made liability decisions based telephonic claims investigation.
  • Completed scene investigations and reviewed police reports in order to complete full and accurate liability decisions.
  • Make final liability decisions or settlements with attorneys or unrepresented claimants.
  • Apply necessary negligence laws when making liability decisions.
  • Conducted investigations and presented accurate liability decisions.
  • Conducted recorded interviews from insured, claimants and witnesses to preserve the facts of loss and to assist in liability decisions.
  • Investigated and resolved first and third party claims by contacting all involved parties, taking recorded statements making liability decisions.
  • Served as a vehicle inspector for claimant and insured vehicles and made complex liability decisions on claims.
  • Make liability decisions on first and third party claims.
  • Analyze customer policy coverage's to ensure coverage is available and accurate liability decisions are assessed based upon contractual agreements.
  • Utilized negotiation strategies while resolving bodily injury and property damage claims Made fair liability decisions and settlements while applying comparative negligence

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2. Bodily Injury Claims
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high Demand
Here's how Bodily Injury Claims is used in Bodily Injury Adjuster jobs:
  • Utilized knowledge of NYS Regulation 64 to effectively investigate and negotiate bodily injury claims made against personal auto policies.
  • Settled minor to complex auto bodily injury claims after monitoring ongoing medical treatment and/or other ongoing procedures for appropriateness.
  • Resolved bodily injury claims which require extensive negotiation skills, medical bill reviewing and injury release preparation.
  • Negotiated and settled bodily injury claims utilizing the NYS Significant Injury Threshold Guidelines.
  • Negotiated and settled complex auto liability bodily injury claims for attorney represented claimants.
  • Investigated, evaluated and negotiated attorney represented bodily injury claims.
  • Investigate and negotiate complex bodily injury claims to successful settlement.
  • Completed investigations for liability and bodily injury claims.
  • Negotiate and Settle Attorney represented bodily injury claims.
  • Manage a caseload of approximately 180 bodily injury claims
  • Investigated non-litigated first and third party property damage and bodily injury claims for NJ losses from inception to conclusion.
  • Investigated bodily injury claims by meeting with Insured, Claimants and witnesses, to secure written or recorded interviews.
  • Negotiate and settle bodily injury claims based on independent evaluation and settle within settlement range.
  • Investigated bodily injury claims by recorded phone interviews with Insured, Claimants and witnesses.
  • Work in a team environment handling complex bodily injury claims and high-volume work.
  • Investigated litigated and non-litigated bodily injury claims for PA, NJ losses.
  • Handled all aspects of auto and homeowners bodily injury claims.
  • Negotiate, Evaluate & Settle Bodily injury Claims
  • Investigated bodily injury/liability claims Determined proper policy coverage to evaluate, negotiate, and equitably settle assigned bodily injury claims
  • Evaluated and negotiated attorney-represented and non-represented bodily injury claims.

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1 Bodily Injury Claims Jobs

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3. Auto Claims
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high Demand
Here's how Auto Claims is used in Bodily Injury Adjuster jobs:
  • Investigate & settle coverage/liability/bodily injury auto claims
  • Determine liability in auto claims by gathering facts and evaluating the evidence to assess liability for accidents involving automobiles and motorcycles
  • Investigated, evaluated, negotiated, determined liability and settled auto claims with minimal supervision for non-standard auto.
  • Negotiated and settled moderately complex auto claims involving injury and total loss of vehicle.
  • Managed auto claims involving moderate third-party exposure.
  • Adjusted moderately complex auto claims.
  • Investigated stolen auto claims, record statements, run VIN, issue file to fraud investigation team.
  • Determine extent of the client's financial exposure with respect to claims; Adjusts complex auto claims.
  • Investigated and adjusted moderately complex to complex auto claims involving 1st and 3rd party injuries.
  • Investigate personal lines and commercial auto claims to determine negligence of all parties involved.
  • Manage 70 Bodily Injury and Liability Auto Claims on a daily basis.
  • Take first reports on auto claims and follow through to resolution.
  • Adjust & evaluate low to moderately complex auto claims without injuries.
  • Investigate and adjudicate 25 personal injury auto claims per week.
  • Process non-standard auto claims while determining liability to bring claims to proper resolution in a timely manner.
  • Complete investigation of 300 pending auto claims * Determine liability, resolve the claim * Attended mandatory settlement conferences

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4. Total Loss Claims
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high Demand
Here's how Total Loss Claims is used in Bodily Injury Adjuster jobs:
  • Handled complex property total loss claims.
  • Handled collision, property damage, total loss claims to conclusion and identified subrogation potential.

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5. Customer Service
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Here's how Customer Service is used in Bodily Injury Adjuster jobs:
  • Provide claims customer service through internal channels (phone/email/fax/mail/other electronic channels) to insured and third-party customers.
  • Exceeded customer expectations, received multiple Farmers Superior Awards for Customer Service.
  • Empathized injured customers involved in auto accident while providing excellent customer service.
  • Provide exceptional customer service while investigating, evaluating and resolving casualty claims.
  • Provided customer service to internal and external customers.
  • Work collaboratively with fellow team members and outside vendors to provide the best resolution and customer service to each claim.
  • Provided excellent customer service to meet the needs of the insured and all other internal and external customers.
  • Exceeded the company standard for customer service surveys while adhering to the companies estimating guidelines at all times.
  • Use strong customer service skills to negotiate with policyholders, claimants, or attorneys to settle the claim.
  • Worked closely with agents, marketing, and underwriting departments to maintain business and customer service.
  • Excelled in a high-stress, fast-paced environment with a heavy emphasis on customer service.
  • Provided prompt, courteous, and knowledgeable customer service and earned a loyal clientele.
  • Provided superior customer service at all times; performed multiple tasks at once.
  • Adhere to company standards in the areas of cost mitigation and customer service.
  • Provided exceptional customer service; performed multiple tasks; strong-decision making skills.
  • Collaborated as a team to provide excellent customer service.
  • Assist customer service team with incoming questions and concerns.
  • Provided and promoted world class customer service.
  • Provided customer service to clients.
  • Maintained accurate record keeping to ensure efficient handling of claims and to provide excellent customer service.

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5,068 Customer Service Jobs

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6. Insurance Companies
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high Demand
Here's how Insurance Companies is used in Bodily Injury Adjuster jobs:
  • Reviewed, investigated, and summarized facts and issues involving accidents and negotiated liability with insurance companies and claimants.
  • Negotiated settlements with insurance companies, attorneys, city jurisdictions and uninsured parties.
  • Negotiated settlements with attorneys, insurance companies, medical providers and individuals.
  • Field investigate, interview, determine liability and negotiate settlements with claimants, attorneys and other insurance companies.
  • Investigated and handle claims filed by members, customers, attorneys, and other insurance companies.
  • Reviewed auto claim disputes between insurance companies and made decisions based upon the evidence presented.
  • Assist injured parties in coordinating with healthcare providers and insurance companies to settle injury claim.

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136 Insurance Companies Jobs

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7. Medical Bills
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high Demand
Here's how Medical Bills is used in Bodily Injury Adjuster jobs:
  • Evaluated medical bills and identified areas of concern for investigation and/or negotiated settlements.
  • Call medical providers and medical insurances to negotiate and reduce medical bills and
  • Authorized payment of medical bills for clients injured in automobile accidents.
  • Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.
  • Review and evaluate medical bills and treatment records associated with claimed and determine settlement range for each injured party.
  • Communicated daily with insured's and claimants relating to ongoing medical bills and treatment status.
  • Reviewed medical bills and reports and answered queries (via verbal/written) regarding investigation.
  • Review and analyze medical bills, reports and records to conclude BI claims.
  • Secure medical bills and reports and evaluate the injury portion of the claim.
  • Reviewed and processed medical bills as per the New Jersey Automobile Statute.
  • Analyzed medical bills and reports to post accurate reserves.
  • Pay medical bills and determine settlement if appropriate.
  • Review medical bills and settle medical claims.
  • Review all medical bills and negotiate settlements.
  • Review medical bills and notes.
  • Gather medical Bills Once all bills are received, I evaluate the bills and make an offer to settle the claim.
  • Reviewed medical bills/records including Medicare, Medicaid, Workers Comp, Loss Wage Claims, and subrogation.
  • Process medical bills by using Mitchell Bill re-pricing; release bills in a timely manner.
  • Issued written correspondence pertaining to claims handling while reviewing medical bills.
  • Verify coverage, contact claimants, insured verify injuries to properly set reserved Evaluation of medical bills Negotiations, settle claims

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5 Medical Bills Jobs

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8. Special Investigation Unit
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Here's how Special Investigation Unit is used in Bodily Injury Adjuster jobs:
  • Work closely with Special Investigation Unit to identify potential risk associated with reported claims.
  • Partnered with Police Department, Department of Justice, CIA, FBI and other agencies involved in Special Investigation Unit.
  • Identified possible fraud in critical files and referred cases to management or to the Special Investigation Unit (SIU)
  • Worked with special investigation units in the NYC area with the highest referrals in New York State.
  • Worked in connection with the Special Investigation Unit in the fight against Insurance fraud in Florida.
  • Identified possible fraudulent claims and referred them to Special Investigation Unit.
  • Refer claims to special investigation unit for fraud as needed.
  • Maintained a strong working relationship with our Special Investigation Unit and completed joint investigations and ride alongs helping to deter fraud.
  • Refer claims to Subrogation and Special Investigation Unit.
  • Partner with Special Investigation Unit and Subrogation to identify fraud and subrogation opportunities.
  • Work together with S.I.U ( special investigation unit )

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9. Police Reports
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Here's how Police Reports is used in Bodily Injury Adjuster jobs:
  • Investigated liability, ordered police reports, took statements from the insured/claimant, and negotiated bodily injury settlements.
  • Obtained police reports and supporting documents while following state/jurisdictional laws.
  • Obtained police reports and negotiated damage settlements.
  • Collect all documentation available to fairly and equitably adjust claims such as police reports, diagrams, and scene investigations.
  • Obtain necessary evidence to review and analyze, including recorded statements, police reports, medical records and locus reports.
  • Analyzed information such as medical records, police reports and physical property damage to determine the extent of liability.
  • Interviewed claimants and witnesses, reviewed statements, scene and police reports, prepared investigation and claim reports.
  • Obtain all pertinent documents needed for claims investigation, police reports, damage photos, scene investigation.
  • Review police reports, verify accident facts and determine coverage, set reserves and processed financial expenditures.
  • Analyze police reports and conduct interviews of insured's, claimant's and witnesses.
  • Assigned appraisers to inspect vehicles, ordered police reports and settled losses.
  • Secured relevant claim documents such as recorded statements and police reports.
  • Obtained recorded statements, scene diagrams/photos and police reports for analysis.
  • Ordered police reports for 1st and 3rd party auto claims.
  • Obtain recorded statements, review police reports, determine liability.
  • Reviewed and interpreted medical reports, police reports, etc
  • Ordered police reports and submitted assignments for inspections of vehicles involved in accident ensuring subrogation process could be completed efficiently.
  • Reviewed police reports for supplemental data, and participated in intercompany arbitration.
  • Handle investigation of claims including taking recorded statements, getting police reports and pictures of vehicles.
  • Investigated the details of an incident via recorded interviews, police reports, witness statements.

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7 Police Reports Jobs

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10. Policy Coverage
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Here's how Policy Coverage is used in Bodily Injury Adjuster jobs:
  • Administered, and examined policy coverage for assigned personal injury claims.
  • Determine whether claims met guidelines of individual policy coverage; comply with local and state laws regarding insurance coverage and standards.
  • Investigate loss details, policy coverage, liability, property damages, bodily injury and settlement opportunities.
  • Verified accident facts; determine policy coverage; review supporting case files and review insurance contracts.
  • Determine proper policy coverage for all assigned bodily injury claims with individual authority of $6,500.
  • Drafted statement of loss to summarize damages, payments and underlying policy coverage.
  • Conduct necessary investigations to determine policy coverage's and details of the loss.
  • Assess policy coverage, contact insured, determine and establish reserve requirements.
  • Explain applicable policy coverage's to involved parties in the loss.
  • Evaluate and resolve liability and settles claims within prescribed authority Verify accident facts, determine policy coverage and review insurance contracts.
  • Verified policy coverage and completed investigations on compensability.
  • Determined proper policy coverage and applied best claims practices to conclude assigned claims.

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1 Policy Coverage Jobs

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11. Medical Records
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high Demand
Here's how Medical Records is used in Bodily Injury Adjuster jobs:
  • Reviewed medical records, evaluated injury claim and negotiated settlement with unrepresented claimant or with attorney for represented claimants.
  • Collected medical records, evaluated injuries, set settlement range and negotiated settlement with unrepresented claimants.
  • Reviewed medical records and medical specials to help determine settlement value within monetary limits.
  • Reviewed medical records and bills to validate accuracy of services provided.
  • Reviewed and evaluated medical records and negotiated settlement of claims.
  • Collected, reviewed and evaluated medical records.
  • Pursued the receipt of medical records of treatment for injuries to actively negotiate settlements with individuals and attorneys.
  • Reviewed medical records and consulted with medical providers to determine injuries in relation to motor vehicle loss.
  • Reviewed 35+ files/week with documentation often totaling 2,000 - 3,000 pages of medical records and accident accounts.
  • Reviewed and evaluated medical records and bills for settlement * Negotiated with attorneys to reach a settlement
  • Reviewed medical records for diagnosis and procedural codes (ICD and CPT) usage and/or abuse.
  • Reviewed medical records and bills to determine that they are reasonable and necessary.
  • Interpreted medical records, itemized billing statements, CPT and ICD-9 Codes.
  • Evaluate medical records and place value on low speed vehicle impact claims.
  • Analyzed medical records to determine the cause and severity of injuries.
  • Consult police reports, hospital and medical records.
  • Request medical records and bills for unrepresented claimants.
  • Verify the nature and extent of injury by obtaining and reviewing appropriate medical records and documentation.
  • Settle bodily injury claims which include gathering reviewing medical records, bills and putting pain and suffering amount of injury.
  • Review police reports, medical records, and bills Examine claims forms and other records to determine insurance coverage.

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106 Medical Records Jobs

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12. Coverage Issues
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high Demand
Here's how Coverage Issues is used in Bodily Injury Adjuster jobs:
  • Handle bodily injury claims including coverage issues and injury evaluation from inception to resolution.
  • Developed strategies for handling lawsuits involving personal injury litigation and insurance coverage issues.
  • Prepared progress/status, coverage issues, liability, and bodily injury analysis reports.
  • Recommended appropriate resolution of coverage issues to management.
  • Use critical thinking skills to analyze and resolve complex coverage issues and liability disputes within varying state laws and restrictions.
  • Advised insured of bodily injury claims, exposure in excess of policy limit, and any coverage issues.
  • Branch Claims Office F9 Investigated complex coverage issues, determined liability, and negotiated bodily injury claims.
  • Identified and resolved coverage issues, set adequate reserves, handled claims within policy and insurance guidelines
  • Investigate first and third party material damage claims, identify coverage issues and injury exposures.
  • Resolved minor and complex coverage issues and wrote detailed response letters to named Insureds.
  • Evaluate high exposure, severe injury, complex coverage issues, and litigated claims.
  • Investigate auto casualty claims, resolve liability and coverage issues, and negotiate settlements.
  • Processed coverage issues, resolved customer complaints and assisted with claim filing questions.
  • Resolve coverage issues, assigned necessary reserves and secured releases.
  • Confirmed coverage and identified any coverage issues on all claims.
  • Review policy coverage, investigate and resolve coverage issues.
  • Handle complex coverage issues and disputed liability claims.
  • Identified and resolved multiple claims coverage issues.
  • Resolved highly complex coverage issues.
  • Identify and evaluate coverage issues in the claims environment while following state regulation and the Fair Claims Practice Act.

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13. Personal Injury Cases
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high Demand
Here's how Personal Injury Cases is used in Bodily Injury Adjuster jobs:
  • Identified liability conflicts in personal auto and personal injury cases involving clients and the victims involved.
  • Evaluated, negotiated, and settled a plethora of Personal Injury cases.

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14. Providers
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high Demand
Here's how Providers is used in Bodily Injury Adjuster jobs:
  • Negotiated and resolved complicated claims with multiple exposures between interested parties; including attorneys, agents and medical providers.
  • Negotiated rate reductions directly with providers as well as successfully provided and negotiated settlement offer to claimants.
  • Reduce company overhead, through investigating injury claims, negotiating with providers and reviewing medical treatments.
  • Disbursed all payments and reimbursements to individuals, medical providers, Medicaid/Medicare and attorneys.
  • Negotiated medical bill payments with medical providers and attorneys.
  • Settled claims promptly, issue payments to medical providers, review pending diaries and take appropriate action on files.
  • Negotiated with medical providers and law offices, saving an average of over $25,000.00 on a monthly basis.
  • Obtained medical records from providers pertaining to claimants' injuries with the intent of controlling medical expenses per claim.
  • Employed strong negotiating skills to arbitrate with providers to settle claims sooner, saving the company thousands of dollars.
  • Negotiate settlements with medical providers, and explain denials to policyholders, claimants, and medical providers.
  • Analyze demands sent by attorneys which include medical records/bills from medical providers to prepare for negotiations.
  • Communicate with claimants, medical providers, and attorneys regarding claims status and medical treatment.
  • Contacted insured's, attorneys and medical providers to follow up for current file status.
  • Issue settlement checks to claimants, attorneys, medical providers and insurance carriers.
  • Negotiated liability with insured, attorneys, claimants, and service providers.
  • Interviewed and corresponded with claimants, attorneys, medical providers and witnesses.
  • Cultivated contacts with new and existing healthcare providers, establishing rapport and increasing referral network.
  • Communicate with insured's claimants, providers and attorneys Monitor and close files- pay lost wages, prescriptions and mileage reimbursement
  • Communicated with medical providers, attorneys, and law enforcement professionals to aide in the resolution of the claim.
  • Evaluated and negotiated injury claims for individuals with attorneys, medical providers, and the customers themselves.

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1,019 Providers Jobs

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15. PIP
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Here's how PIP is used in Bodily Injury Adjuster jobs:
  • Handled bodily injury claims for auto and homeowner claims and processed PIP claims for auto insurance claims.
  • Adjust and analyze complex medical billing claims for PIP (Personal Injury Protection) and Med Pay claims
  • Calibrated with litigation teams to prepare PIP files for Insurance Arbitration Forum.
  • Review PIP claims to determine status of benefits and file issues.
  • Resolved PIP claims in all 50 states across America.
  • Maintained PIP payment ledgers in Excel for each patient.
  • Prepared and sent PIP termination letters when appropriate.
  • Processed payments and calculations for Florida PIP demands.
  • Managed first party PIP and Med-Pay claims.
  • Process PIP claims for states across America.
  • Evaluate all medical bills and records for PIP, MP, BI and UM.
  • Licensed in Texas, New Mexico and Louisiana, however, handles many PIP and Med Pay states.
  • Maintained a pending of 75-100 PIP files Ensuring the highest quality of customer service for all parties involved
  • Investigate and evaluate PIP claims Evaluate coverage based on provisions and exclusions of the policy.
  • Managed numerous counties of South East Georgia for medical, PIP and loss wage claims.
  • Volunteered to handle PIP suits, and mediations as needed for the department.
  • Identified coverages; oversaw an average caseload of 160 PIP non-litigation claims.
  • Closed 519 PIP features and settled an excess of 200 arbitrations.
  • Processed PIP applications subrogated Medpay, analyzed and ensured timely resolution of claims.
  • Answered Pip Subrogation and Auto Arbitrations.

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1 PIP Jobs

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16. Process Claims
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Here's how Process Claims is used in Bodily Injury Adjuster jobs:
  • Maintain contact with parties involved, set up inspections, decide liability and process claims.

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17. Medical Treatment Records
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Here's how Medical Treatment Records is used in Bodily Injury Adjuster jobs:
  • Review medical treatment records, medical bills, and diagnostic tests to determine the extent of liability.
  • Review medical treatment records/bills, and property damage to determine extent of liability.
  • Review medical treatment records, medical bills, and vehicle damage.

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18. Fraud Claims
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Here's how Fraud Claims is used in Bodily Injury Adjuster jobs:
  • Canvas accident scenes to determine liability Preform surveillance on ongoing auto, homeowner and WC Fraud claims .

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4 Fraud Claims Jobs

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19. Soft Tissue Management
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20. Liability Investigations
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Here's how Liability Investigations is used in Bodily Injury Adjuster jobs:
  • Face to face interviews for coverage and liability investigations.
  • Conducted coverage and liability investigations.

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21. Fraudulent Claims
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Here's how Fraudulent Claims is used in Bodily Injury Adjuster jobs:
  • Provided optimum service to policyholders, negotiated fair settlements and identified fraudulent claims.
  • Identified fraudulent claims and discovered best practices toward eliminating unnecessary settlements.
  • Identify possible fraudulent claims and submit for further investigation.
  • Conducted thorough investigations to identify potentially fraudulent claims.
  • Identified and investigated potentially fraudulent claims.
  • Work with SIU department in requesting background and social media investigations and use the findings to prevent fraudulent claims.
  • Conduct thorough investigations on potential fraudulent claims including but not limited to surveillance, confessions and with-drawls.
  • Investigated any potentially fraudulent claims with a focus on thoroughness, quality and cost control.
  • Detect fraudulent claims and wrongful billing or bulk billing by medical providers.
  • Recognized for SIU referrals in 2002 and 2003 for potentially fraudulent claims.
  • Identified and recommended referrals of potentially fraudulent claims to the SIU.
  • Follow up on potentially fraudulent claims that have been initiated.
  • Refer fraudulent claims to Special Investigations Unit.
  • Work with SIU to combat fraudulent claims
  • Uncovered fraudulent claims scheme; provided evidence leading to the prevention of thousands of dollars in insurance overpayments.

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22. Body Shops
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Here's how Body Shops is used in Bodily Injury Adjuster jobs:
  • Evaluate policy coverage, contact insured's, claimants, attorney, body shops, and medical providers to determine injuries.
  • Contacted insureds, claimants, attorneys, body shops, and medical providers on a daily basis.
  • Negotiated damage settlement with body shops, insured's and insurance carriers - issued payments.
  • Interact with attorneys, policyholders, claimants, medical insurers and a body shops.
  • Issued payments to auto body shops, insured, claimants and attorney's.
  • Negotiate with attorneys, adverse carriers, claimants, and body shops.
  • Prepared repair estimates for body shops and other auto repair facilities.
  • Negotiated estimates with body shops and appraisers.

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23. Injury Adjuster
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Here's how Injury Adjuster is used in Bodily Injury Adjuster jobs:
  • Hired as bodily injury adjuster, tasked with investigating, compiling and resolving bodily injury claims.
  • Created Bodily Injury Adjuster training manual and maintained/updated manual.
  • Trained to become a Bodily Injury Adjuster, while still handling a full liability desk.
  • Served as a mentor for new Bodily Injury and Non-Injury Adjusters.
  • Promoted from Property Damage Adjuster to Bodily Injury Adjuster Mentored and trained new hires and temporary assignment employees
  • Extended bodily Injury Adjuster, resolve medical cases, non rep and rep clients, siu investigation, litigation.

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24. Counsel
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Here's how Counsel is used in Bodily Injury Adjuster jobs:
  • Handled negotiations and settlements with opposing counsel in order to prevent litigation.
  • Utilized defense counsel, medical management services and outside appraisers.
  • Handle litigated files, attend depositions, work with legal counsel on plan of action and handle file until resolution.
  • Attended depositions, settlement conferences and trials and worked closely with staff and outside counsel to properly defend lawsuits.
  • Prepared for and attended trials, hearings; Conferred with trial counsel and prepared trial reports.
  • Worked closely with staff and outside counsel in an effort to bring claims to resolution.
  • Collaborated with defense counsel and managed files timely to reach the ultimate end result.
  • Prepared claims for litigation by drafting petitions and reviewing case files with staff counsel.
  • Retained legal counsel for insured when applicable and guided settlements to limit financial risk.
  • Prepare report of findings and negotiate settlement with claimant or legal counsel.
  • Work with staff counsel in the handling of personal injury litigation claims.
  • Worked with counsel on litigated injury claims and questionable fraud settlement.
  • Worked closely with defense counsel and Special Investigations Unit.
  • Conferred with legal counsel on claims requiring litigation.
  • Assist Defense Counsel with discovery.
  • Communicate with defense counsel to manage and assess routine and non-routine lawsuits throughout discovery and investigation phases, including pre-trial mediation.
  • Respond to suit notification, prepare, transfer file for litigation, attend mediation and pre-trials with the Counsel on file.
  • Reviewed lawsuits, presenting litigated files at roundtable discussions, directed and worked with defense counsel.
  • Work with counsel thru litigated files resulting in fair and reasonable settlements.
  • Selected to Countering Selective Counsel Project Litigated Significant Win Awards Member ICBC Speakers Bureau Member Abbotsford City Traffic Safety Committee

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332 Counsel Jobs

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25. Authority Level
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Here's how Authority Level is used in Bodily Injury Adjuster jobs:
  • Reviewed and evaluate demand packets, negotiated bodily injury and property damage claims within authority level with attorneys and claimants.
  • Evaluated and negotiated claims within authority level for property and bodily injury claims with attorneys and non-represented claimants.
  • Leveraged in-depth knowledge of California Case law and policy contracts to enter final settlements within authority levels.
  • Assumed accountability in establishing reserves up to authority level and made adjustments based on bills received.
  • Determined and established proper reserves, and made appropriate adjustments within authority level.
  • Determine liability, manage diary, and negotiate settlements within authority level.
  • Evaluated and negotiated all aspects of the bodily injury claims with settlement authority levels depending on severity and type of incident.
  • Evaluated coverage, liability, damages, and settled claims within authority level and with minimal supervision for 18 state territory.
  • Negotiate and settle bodily injury and UMBI/UIMBI claims up to $30,000 authority level based on medical documentation submitted.
  • Pay adjustment expenses up to granted authority levels.
  • Pay and process claims within designated authority level.
  • Reviewed policy coverage and processed bodily injury claims Administered and examined policy coverage for claim settlement and determinations within authority level.

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26. New Claims
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Here's how New Claims is used in Bodily Injury Adjuster jobs:
  • Investigated and determined liability of new claims.
  • Reduced pending from 160 claims to 130 claims in one month while still receiving 60 new claims in said month
  • Reviewed new claims to ensure appropriate insurance premium payments and coverage endorsements, listed drivers.
  • Train and educate new claims specialists on the products, procedures and expectations.
  • Process medical and facility claims while providing directions to new claims specialist.
  • Managed new claims, claims mail and diaries on older files.
  • Process new claims by verifying qualification for benefits.
  • Investigate coverage and liability for new claims.
  • Trained customer service team on auto insurance coverages, so that they will know how to properly assign new claims.
  • Entered claim payments, reserves and new claims on computer system, inputting concise yet sufficient file documentation.
  • Selected by management to help deploy a new claims system to the entire office in June 2013.
  • entered new claims, took claimant, client, witnesses statements.
  • entered new claims, took claimant, client,witnesses statements.

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8 New Claims Jobs

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27. High Volume
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Here's how High Volume is used in Bodily Injury Adjuster jobs:
  • Managed extremely high volume of claims to help peers during 1993, a year affected by high turnover.
  • Respond to high volume of mail, voice, and electronic communications on a daily basis.
  • Handled a high volume of non-standard auto claims with advanced coverage and complex liability issues.
  • Handled high volumes of customer contacts in a polite and professional manner during claim process.
  • Maintain and manage a high volume workload, while meeting time sensitive demands.
  • Handled high volume of phone situations in a professional, courteous manner.
  • Adapted to very high volume claim cycles with ease.
  • Handle high volume of claims and phone calls.
  • Handle a high volume of calls from claimants, insured, medical providers and attorneys.

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802 High Volume Jobs

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28. State Farm
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Here's how State Farm is used in Bodily Injury Adjuster jobs:
  • Trained on State Farm's ECS system to adjust claims, negotiate settlements with bodily injury claimants and attorneys to conclusion.
  • Handle in house adjusting of Bodily Injury claims from the Heartland region for State Farm Insurance Company.
  • Hired by State Farm Insurance Co. to investigate, negotiate, evaluate and settle auto claims.
  • Serve as a resource for other State Farm associates on claim and technical related issues
  • Received assignment to work on State Farm's California injury claims backlog.
  • Handle injury claims for State Farm
  • Contract work for State Farm.
  • Contracted to State Farm - Englewood, Co Personal auto adjuster, complex claims in NV, MO, and NJ.

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2 State Farm Jobs

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29. Suspicious Claims
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Here's how Suspicious Claims is used in Bodily Injury Adjuster jobs:
  • Identify suspicious claims and work with Special Investigations Unit to determine direction of investigation.
  • Obtained relevant evidence and information regarding suspicious claims.
  • Identify potential suspicious claims for further investigation.
  • Identify potential suspicious claims and submit SIU referrals when needed.
  • Identify and refer suspicious claims to SIU appropriately.
  • Identified potential suspicious claims and referred to SIU with opportunities of 3rd party subrogation.
  • Identified and referred possible suspicious claims to special investigations unit (SUI) and determinedopportunities for third-party subrogation.

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30. Internal Investigations
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31. Claim Settlement
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Here's how Claim Settlement is used in Bodily Injury Adjuster jobs:
  • Negotiated claim settlements with attorneys and claimants in personal and commercial automobile and homeowner insurance claims.
  • Negotiated claim settlements and recommended litigation when settlement could not be negotiated or the claim resolved.
  • Verified coverage; reviewed medical records and reports; negotiated claim settlement offers with attorneys.
  • Negotiate claim settlements and recommend/prepare a claim file for litigation when settlement cannot be negotiated
  • Negotiated and conveyed claim settlements within authority limits with all party's including attorneys.
  • Negotiate claim settlements and recommend litigation when settlement cannot be negotiated.
  • Negotiated injury claim settlements with the injured party or plaintiff attorneys.
  • Led the department in Year End Claim Settlements.
  • Assessed actual damages and negotiated claim settlements.
  • Set and reviewed reserves for claim settlement.
  • Negotiated claim settlements and issued payments.
  • Evaluated and decided claim settlements.
  • Negotiate Stowers/non-Stowers demands claim settlements with represented claimant attorneys Negotiate claim settlements with unrepresented claimants.

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32. Policy Limits
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Here's how Policy Limits is used in Bodily Injury Adjuster jobs:
  • Claim ownership - handled investigations, determined liability and evaluated policy limits.
  • Handle all coverage questions, fatalities, and disputed claims within policy limits with the customer or policy holder.
  • Handle excess policy demands as well as timed demands with in the policy limits and provisions.

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34. Medical Payments
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Here's how Medical Payments is used in Bodily Injury Adjuster jobs:
  • Coordinated medical payments to Medicare, Medicaid and Workers Compensation carriers.
  • Investigate coverage for first party medical claims for Personal Injury Protection and Medical Payments.
  • Approve all injury, medical payments and property damage claims payments within policy limits.
  • Work with PIP Unit on medical payments and advising of Independent Medical Examinations.
  • Investigated and resolved Personal Injury Protection (PIP) and Medical Payments claims
  • Maintained and issued manual medical payments and PIP payment logs.
  • Created files for liability and medical payments.
  • Resolved personal and commercial lines automotive claims to include coverages: medical payments, bodily injury and property damage.

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35. Property Damage
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Here's how Property Damage is used in Bodily Injury Adjuster jobs:
  • Evaluated injury claims, adjusted and prorated special/general damages, and negotiated settlement of bodily injury and property damage claims.
  • Investigated, evaluated, negotiated and settled complex bodily injury, auto physical damage and property damage liability claims.
  • Analyze, investigate and evaluate first party and third party automobile and general liability bodily injury and property damage.
  • Handle liability claims involving personal injuries or third-person property damage from liability situations, such as motor vehicle accidents.
  • Investigated, evaluated and settled litigated and non-litigated automobile and commercial trucking bodily injury and property damage claims.
  • Investigated and evaluated all relevant facts to determine coverage, damages and liability of first-party property damage claims.
  • Investigate and settle automobile claims for property damage and bodily injury in compliance with regulatory and legal requirements.
  • Investigate car accidents and settle bodily injury and property damage claims including negotiating with attorneys and claimants.
  • Negotiated settlements with all involved parties for bodily injury/property damage.
  • Evaluated and settled Bodily Injury Auto/General Liability/Property Damage Homeowner claims.
  • Assessed property damage and injuries sustained in automobile accidents.
  • Prepared and answered property damage homeowner arbitration contentions.
  • Investigated property damage and bodily injury claims.
  • Investigate and assess damage to property and create or review property damage estimates.
  • Handled first- and third-party personal automobile and property damage claims for various states.
  • Settle third party claims involving automobile and personal property and Property Damage.
  • Resolved total loss, theft, and complex property damage claims.
  • Resolved automobile collision, property damage, and bodily injury claims.
  • Assist in the setting up inspections for property damage.
  • Handle 1st party and 3rd property damage claims.

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36. Policy Holders
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Here's how Policy Holders is used in Bodily Injury Adjuster jobs:
  • Interviewed and obtained recorded statements from policy holders, witnesses, claimants, and law enforcement officers.
  • Provided excellent customer service to both our policy holders and possible future policy holders.
  • Collaborated with policy holders and claimants on gathering the accurate medical records and bills.
  • Issue payments to policy holders and businesses.

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37. Subrogation Potential
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Here's how Subrogation Potential is used in Bodily Injury Adjuster jobs:
  • Analyze and evaluate liability, subrogation potential and extent of injury based on investigation.
  • Identify subrogation potential and then take appropriate steps for recovery.
  • Determined subrogation potential and took steps necessary for recovery.
  • Determine subrogation potential and identify third-party information.
  • Recognized and prepared files for subrogation potential.
  • Investigated all exposure and/or perils to determine cause, scope, extent of damages and/or determine liability and possible subrogation potential.
  • Determined and reported on subrogation potential, handled 1st party injury claims as well as 3rd party attorney represented and non-represented claims
  • Identified subrogation potential and recovered payments from at fault parties.
  • Skip tracing for the debtors assets for subrogation potential.
  • Evaluated claim for potential fraud and subrogation potential.
  • Determined and reported on subrogation potential for property damage and bodily injury claims.

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38. Insurance Policies
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Here's how Insurance Policies is used in Bodily Injury Adjuster jobs:
  • Resolved coverage issues by reviewing and verifying information from insurance policies and applications.
  • Evaluate insurance policies and analyze damages to determine coverage.
  • Negotiated settlement agreements for personal injury cases on insurance policies worth up to $300,000.
  • Maintained knowledge of insurance laws and interpreted insurance policies for five separate states.
  • Obtain police reports, copies of insurance policies and medical/hospital reports.
  • Settle claims within the scope of insurance policies.

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1 Insurance Policies Jobs

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39. ISO
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low Demand
Here's how ISO is used in Bodily Injury Adjuster jobs:
  • Negotiate and settle claims within prescribed limits and submits recommendations to supervisor on cases exceeding personal settlement authority.
  • Assisted supervisor and company attorneys in preparing cases for litigation.
  • Referred cases as appropriate to supervisor and management.
  • Identify and recommend reserve increases to supervisor.
  • Formed a liaison between policyholders, claimants and attorneys to ensure proper management of all PIP claims from beginning to end.
  • Forwarded appropriate files to subject matter experts (litigation, staff/general counsel, SIU, PIP/AMC, supervisor/manager) as needed.
  • Selected by supervisor to assist with file closures; resolve complex claims-processing issues; lead special projects and provide training.
  • Based on seniority I served as the Interim Supervisor of my unit in my supervisor's absence.
  • Maintain claim status by obtaining background information, interviewing witnesses, gathering medical and ISO reporting.
  • Prepare reports about the claims with the status BI monthly and send to the Supervisor.
  • Served as an Assistant Supervisor for 6 months - reviewing files and coaching employee evaluations.
  • Worked as a liaison between the client and claimants managing numerous assigned large loss accounts.
  • Reviewed cases for possible other legal demands and notified supervisor of finding.
  • Verify backgrounds experience through ISO Claim Search.
  • Branch liaison for quality improvement team.
  • Field Territory: Kansas City, Kansas to Topeka and North of KCK to Atchison - St. Joseph Missouri.
  • Worked together with legal advisors, attorneys, clients and claimants to resolve claims.
  • Work closely with management and P&C corporate advisors.
  • Total Loss, Subrogation, SIU * Review ISO reports
  • witness canvass, scene investigation, vehicle inspections) Sought supervisory and management when necessary to settled pre-litigated injury claims.

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105 ISO Jobs

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40. Appropriate Parties
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Here's how Appropriate Parties is used in Bodily Injury Adjuster jobs:
  • Review available data to determine extent of coverage or non-coverage and communicates results to appropriate parties.
  • Updated appropriate parties as needed, providing new facts as they became available.
  • Evaluated claim values and negotiated final disposition of claims with appropriate parties.
  • Conclude settlement with issuing drafts to the appropriate parties.
  • Set reserves and make payment to appropriate parties.

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32 Appropriate Parties Jobs

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41. Allstate
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Here's how Allstate is used in Bodily Injury Adjuster jobs:
  • Contributed in attaining targeted performance goals for costs administration and support Allstate's industry-leading operational standards.
  • Adhere to Allstate best practices and Department of Insurance compliance standards by proper claim handling.
  • Achieved targeted performance goals to manage costs and support Allstate's industry- leading operational standards.
  • Relocated to FL, and no opportunities w/Allstate to transfer) Handled bodily injury claims.
  • Fulfilled the promise made to Allstate customers by indemnifing their policy and handling claims in a timely manner.
  • Represented Allstate at arbitrations, mediations and intercompany subrogation matters.

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42. Policy Language
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Here's how Policy Language is used in Bodily Injury Adjuster jobs:
  • Performed scene investigations, recorded statements and interpreted policy language.
  • Analyzed policy language, researched jurisdictional differences, statutes, and applied fair claim practices.
  • Interpret policy language and state statutes as it pertains to the claims file.
  • Investigate claims thoroughly to confirm if coverage applies according to policy languages.
  • Analyzed and resolved complex coverage issues in accordance with policy language.
  • Review and interpreting the policy language.
  • Interpret, Evaluate Policy Language and Coverage Interpreted and applied insurance policies and procedures including Federal and State insurance regulations.

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43. Relevant Parties
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Here's how Relevant Parties is used in Bodily Injury Adjuster jobs:
  • Interviewed members, claimants, witnesses, and other relevant parties to determine facts of accident.

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44. Medical Specialists
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Here's how Medical Specialists is used in Bodily Injury Adjuster jobs:
  • Interviewed claimants, medical specialists and employers to determine pertinent claim information.
  • Contacted and interviewed claimants, doctors, medical specialists, and employers to get additional information.
  • Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information.
  • Interview customers, witnesses, medical specialists, agents, or medical professionals to compile information.
  • Defined questions and issues for presentation to the claimant's physician or other medical specialists.
  • Interviewed medical specialists, agents, witnesses, and claimants to compile information.

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45. CPT
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Here's how CPT is used in Bodily Injury Adjuster jobs:
  • Reviewed medical records and bills for claimants using CPT and ICD-9 diagnostic codes.
  • Identify potential CPT code level inaccuracies such as up coding and bundling.
  • Use of surveillance, proper CPT codes, and vehicle damages.
  • Reviewed billing with ICD9 and cpt codes for accuracy related to injuries.

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1 CPT Jobs

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46. Plaintiff
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Here's how Plaintiff is used in Bodily Injury Adjuster jobs:
  • Interpret and research legal and medical terminology and apply it in negotiating fair and reasonable settlements with claimant/plaintiff counsel.
  • Negotiated settlement of complex bodily injury and property damage claims with plaintiff attorneys and unrepresented claimants.
  • Negotiated timely and appropriate settlements with claimants and plaintiffs' counsels to avoid litigation and/or bad faith lawsuits.
  • Handled litigated file to conclusion of the file, settled claims alongside defense attorneys with plaintiff attorneys.
  • Evaluated, negotiated, and settled bodily injury cases with plaintiff counsel, attended mandatory settlement conferences.
  • Investigate and evaluate bodily injury claims, and negotiate settlement with the plaintiff's attorney.
  • Evaluated claims and negotiated injury settlements, with third parties and with plaintiff attorneys.
  • Negotiated settlement of injury claims with plaintiff counsel and direct deal claimants.
  • Assessed moderate injury and property damage claims through plaintiff attorneys.
  • Worked with plaintiff attorneys to resolve their cases.
  • Developed working rapport with claimants and plaintiff attorneys.
  • Analyze medical records for settlement with 3rd party claimants and plaintiff attorneys Adjuster license for 9 states including resident Minnesota.
  • Extended offers to Plaintiffs Attorney, and un-represented clients.
  • Investigated and resolved bodily injury claims Oversaw litigated claim files to resolution Negotiated bodily injury settlements with insured and plaintiff lawyers
  • Negotiate and settle lawsuits with plaintiff attorneys Attend and participate in mediations and other judicial hearings and proceedings

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3 Plaintiff Jobs

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47. State Laws
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Here's how State Laws is used in Bodily Injury Adjuster jobs:
  • Investigated motor vehicle accidents and determined liability based on North Carolina and South Carolina State Laws.
  • Settled, deny and negotiate all claims on a contributory or comparative negligence basis according to state laws.
  • Recognized for best settlement ratio and lowest average settlements for bodily injury claims within applicable state laws.
  • Analyzed claims, set investigations screens, and establish statute of limitation according to individual state laws.
  • Negotiated settlements on all damaged properties within both state laws and the insurance contract.
  • Perform recorded interviews with all parties in accordance to state laws.

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4 State Laws Jobs

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48. State Regulations
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Here's how State Regulations is used in Bodily Injury Adjuster jobs:
  • Received ongoing training in mechanism of injury, state regulations, and litigated claim handling.
  • Maintain accurate claim and investigate reports, adhere to company policies and state regulations and statues
  • Created and document claims file to comply with company guidelines and state regulations.

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42 State Regulations Jobs

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49. Company Practices
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Here's how Company Practices is used in Bodily Injury Adjuster jobs:
  • Mentored and coached incoming and existing associates whom were interviewing/recently promoted, on best Company practices.
  • Opened, closed and adjusted reserves in accordance with company practices.

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50. Accurate Records
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Here's how Accurate Records is used in Bodily Injury Adjuster jobs:
  • Maintained accurate records and handled administrative tasks regarding processing and payment of claims.
  • Maintained accurate records and performed administrative duties associated with processing of claims.
  • Maintain accurate records associated with processing and payment of claims.

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10 Accurate Records Jobs

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Bodily Injury Adjuster Jobs

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20 Most Common Skills For A Bodily Injury Adjuster

Liability Decisions

22.1%

Bodily Injury Claims

17.4%

Auto Claims

11.5%

Total Loss Claims

8.1%

Customer Service

6.2%

Insurance Companies

4.5%

Medical Bills

3.4%

Special Investigation Unit

3.3%

Police Reports

3.2%

Policy Coverage

2.8%

Medical Records

2.5%

Coverage Issues

2.3%

Personal Injury Cases

2.1%

Providers

2.0%

PIP

1.7%

Process Claims

1.5%

Medical Treatment Records

1.5%

Fraud Claims

1.3%

Soft Tissue Management

1.3%

Liability Investigations

1.2%
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Typical Skill-Sets Required For A Bodily Injury Adjuster

Rank Skill
1 Liability Decisions 18.2%
2 Bodily Injury Claims 14.3%
3 Auto Claims 9.5%
4 Total Loss Claims 6.6%
5 Customer Service 5.1%
6 Insurance Companies 3.7%
7 Medical Bills 2.8%
8 Special Investigation Unit 2.7%
9 Police Reports 2.7%
10 Policy Coverage 2.3%
11 Medical Records 2.0%
12 Coverage Issues 1.9%
13 Personal Injury Cases 1.8%
14 Providers 1.7%
15 PIP 1.4%
16 Process Claims 1.3%
17 Medical Treatment Records 1.2%
18 Fraud Claims 1.1%
19 Soft Tissue Management 1.1%
20 Liability Investigations 1.0%
21 Fraudulent Claims 0.9%
22 Body Shops 0.9%
23 Injury Adjuster 0.9%
24 Counsel 0.9%
25 Authority Level 0.9%
26 New Claims 0.8%
27 High Volume 0.7%
28 State Farm 0.7%
29 Suspicious Claims 0.7%
30 Internal Investigations 0.7%
31 Claim Settlement 0.6%
32 Policy Limits 0.6%
33 Legal Liability 0.6%
34 Medical Payments 0.6%
35 Property Damage 0.5%
36 Policy Holders 0.5%
37 Subrogation Potential 0.5%
38 Insurance Policies 0.5%
39 ISO 0.5%
40 Appropriate Parties 0.5%
41 Allstate 0.4%
42 Policy Language 0.4%
43 Relevant Parties 0.4%
44 Medical Specialists 0.4%
45 CPT 0.4%
46 Plaintiff 0.4%
47 State Laws 0.4%
48 State Regulations 0.4%
49 Company Practices 0.4%
50 Accurate Records 0.4%
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977 Bodily Injury Adjuster Jobs

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