Claims Adjuster -GL

Claims Adjuster -GL

BCforward is currently seeking a highly motivated Claims Adjuster -GL for an opportunity in Remote!

Position Title: [Claims Adjuster -GL]

Location: [Remote]

Anticipated Start Date: [06/02/2025]

Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.

Expected Duration: [3 Months Contract]

Job Type: [FULL TIME (>%3D30 HRS WEEKLY)/PART TIME (<30 HRS WEEKLY)], [CONTRACT], [REMOTE]

Pay Range: [$25] - [$30]

Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).

Requirements:

• handling auto casualty claims with bodily injury focus, including fatalities and other demonstrable injuries.
• Must have an active NY Property & Casualty (P&C) license.
• Must be licensed in the contiguous 48 states (multi-state licensing strongly preferred).

Job Description:

PRIMARY PURPOSE:

The Senior Auto Claims Specialist is responsible for handling complex auto and commercial transportation claims with a focus on bodily injury, uninsured/underinsured motorist coverage (BI/UM/UIM), and litigation management. This role requires demonstrated experience in liability assessment, coverage analysis, and injury claim evaluation, including catastrophic claims such as fatalities, fractures, and traumatic brain injuries. The ideal candidate will thrive in a fast-paced environment, exhibit strong negotiation and communication skills, and possess extensive multi-state licensing.

KEY RESPONSIBILITIES:

• Investigate, evaluate, negotiate, and resolve complex personal and commercial auto casualty claims, including BI/UM/UIM.
• Handle litigation matters related to BI/UM/UIM claims, working with defense counsel and stakeholders to manage legal strategy.
• Analyze coverage and liability for auto claims, including complex liability and no-fault (Personal Injury Protection) scenarios.
• Manage claims up to a $1 million threshold, reporting large losses to excess carriers when required.
• Oversee Auto Physical Damage claims as needed; coordinate with vendors and independent adjusters for claim investigations.
• Identify and pursue subrogation and risk transfer opportunities.
• Communicate clearly and effectively with insureds, claimants, clients, attorneys, brokers, and agents.
• Prepare and present case details to both internal teams and external partners or clients.
• Maintain compliance with regulatory deadlines and documentation requirements.
• Ensure timely and accurate claim file documentation, coding, and processing.

QUALIFICATIONS:

Education & Licensing:

• Bachelor's degree preferred.
• Must have an active NY Property & Casualty (P&C) license.
• Must be licensed in the contiguous 48 states (multi-state licensing strongly preferred).
• Professional certifications (e.g., AIC, CPCU) a plus.

Experience:

• Minimum of 5 years of claims management experience required.
• Proven experience in handling auto casualty claims with bodily injury focus, including fatalities and other demonstrable injuries.
• Litigation handling experience specific to BI/UM/UIM claims (at least 3 candidates will require this).
• Experience with TPA (Third-Party Administrator) operations is a plus.
• Familiarity with Auto Physical Damage claims preferred.
• Proven experience managing claims with high dollar exposure (up to $1 million).

SKILLS & COMPETENCIES:

• Expert knowledge of personal and commercial auto insurance policies and coverages.
• Strong knowledge of medical terminology, Medicare compliance, and injury evaluation.
• Excellent negotiation, analytical, and problem-solving skills.
• Strong verbal and written communication skills, including experience presenting claim cases.
• Ability to work independently and in a team environment in a high-volume, deadline-driven setting.
• Proficient in Microsoft Office Suite and claims management systems.

Benefits:

BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

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About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.

Interested candidates please send resume in Word format Please reference job code 238738 when responding to this ad.

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