Bodily Injury Claims Adjuster

Department: Claims Administration & Adjusting

Employment Type: Permanent - Full Time

Location: Remote, FL

Reporting To: Javier Melendez

Compensation: $75,000 - $80,000 / year

Description

Key Responsibilities

• 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

Skills, knowledge & expertise

• 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)

Equal Employment Opportunity & Legal Notices

• 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‑exemp