Network Adjusters is seeking skilled insurance Personal Injury Protection (PIP) / No-fault claims adjusters for an auto liability claims adjuster position. Serving the insurance industry for almost seven decades, Network Adjusters, Inc. is a third-party administrative commercial line handling company that has built a reputation as a leading provider of insurance claims administration and independent adjusting services. We exemplify trust, integrity and reliability, and deliver consistent, high-quality claims management. All adjusters are licensed and bonded and operate under our strict standards for "BEST Claims Practices" that meet or exceed industry standards. Become a part of a dynamic, energetic workforce in which you can make a difference. We are committed to encouraging your professional growth through a variety of training and development opportunities.
CLAIMS ADJUSTER JOB DESCRIPTION :
- Handle primarily Commercial Auto claims with varying degrees of complexity and severity, including but not limited to third party personal injury / no-fault losses
CLAIMS ADJUSTER RESPONSIBILITIES :
Provide superior customer service to meet the needs of the insured, claimant, all internal and external customers, including carrier clientsEvaluate policy coverage, contact insured’s, attorneys, and medical staff to determine injuries stemming from an accident while determining and establishing reserve requirements.Recognize and apply jurisdictional issues that impact the claim (i.e. : negligence laws, financial responsibility limits, immunity, etc.)Plan and conduct investigations (including but not limited to interviewing parties involved, collecting and evaluating documentation and securing evidence and protecting the chain-of-custody) to analyze coverage and compensability.Manage different lines of coverage requiring specialized investigation and utilization of external experts in accordance with local lawsEstablish and maintain appropriate claim and expense reserves in a timely fashionMaintains accurate records and handles the medical management file handling responsibilities associated with the claims. Records and updates status notes, and documents results of contacts, relevant medical reports and duration information per file posting standards.Document claim file activities in accordance with established proceduresWrite denial letters, reservation of rights, tenders and other routine and complex correspondence to insureds and claimantsConfer with higher level technical claim personnel for guidance and direction to ensure files are handled properlyDetermine settlement amounts based on independent judgment, application of applicable limits and deductiblesAssess injuries associated with claims and conduct negotiations to settle claims within authority limitsIdentify subrogation opportunitiesMeet all quality standards and expectations based on Best PracticesMay be involved with litigation as necessaryEffectively manage multiple competing priorities to ensure timely payment, follow-up and claim resolutionCLAIMS ADJUSTER QUALIFICATIONS :
Minimum of 1 year of experience in personal injury or no-fault insurance claims handling. Driven individual who has demonstrated success in a claim adjusting roleAbility to communicate effectively with individuals from all backgrounds and uphold our high standard of customer serviceThorough knowledge of insurance coverage, contracts, claims handling guidelines, legal and medical terminologyAbility to analyze information, such as medical records and legal documentation. Negotiation and settlement skillsHard work, honesty, integrity, and unwavering business ethicsDetail-oriented organizational skills in a multi-tasking environmentObtain Adjusters licenses as required to meet business needComplete continuing education to maintain licensesStrong verbal and written communication skillsGeneral software skills including MS Word, Outlook and ExcelCustomer service and empathy skillsSolid analytical and decision-making skills in order to evaluate claims and make sound decisionsExcellent negotiation skills and ability to effectively handle conflictAttention to detail, ensuring accuracyAbility to maintain confidentialityKnowledge of Security Industry and / or Rideshare Industry is beneficialCLAIMS ADJUSTER BENEFITS :
Training / Development and growth opportunities401(k) with company match / retirement planningPaid time off / company paid holidaysComprehensive health plans including dental and vision coverageFlex spending accountCompany paid life insuranceCompany paid long term disabilitySupplemental life insuranceOpportunity to buy into short term disabilityStrong work / family and employee assistance programsAbout Network Adjusters, Inc.
Founded in 1958, Network Adjusters has built a reputation as a leading provider of insurance claims administration and independent adjusting services. Serving the insurance industry for nearly seven decades, Network Adjusters, Inc. brings together the best elements of third-party claims administration and independent adjusting services. From our primary offices in New York, Denver, and Kentucky to our national network of experts, our superior experience and ongoing training are the keys to successfully managing our clients claims and handling specialized insurance needs. All of our Claim Directors have extensive backgrounds working with major insurance carriers, giving us a thorough understanding of factors critical claims handling. It all adds up to measurable results—the proof is in our extensive track record of settled claims and unmatched recovery abilities.
This role is located in Farmingdale, NY; no remote or hybrid offers available at this time.
The starting salary for this position is $65,000 ; factors such as licensing, certifications, work, and relative experience will be taken into consideration.
Salary : $65,000
