Senior Claims Resolution Specialist-Bodily Injury
- Investigated and evaluated bodily injury claims, to determine liability and extent of damages.
- Analyzed medical records, bills, reports and other documents to determine the validity of claims.
- Negotiated settlements with claimants or their representatives in an effort to resolve claims expeditiously.
- Conducted interviews with claimants, witnesses, attorneys and other parties involved in cases as needed.
- Provided guidance to junior adjusters on complex bodily injury claim issues.
- Reviewed legal documents such as police reports and court filings related to pending claims.
- Assisted in the development of new policies and procedures for adjusting bodily injury claims.
- Monitored litigation activity related to bodily injury cases and reported findings to management team.
- Prepared detailed reports outlining investigation results for senior management review.
- Attended mediations or arbitrations when necessary in order to negotiate settlement agreements.
- Researched case law applicable to pending matters involving personal injury claims.
- Maintained a high level of knowledge regarding state-specific laws governing bodily injury claims.
- Interpreted insurance contracts in order to ascertain coverage issues related to pending cases.
- Provided expert testimony at trials or depositions when required by law.
- Consulted with outside counsel regarding potential legal strategies associated with personal injury cases.
