人身伤害索赔调整师 II
Bodily Injury Claims Adjuster II
在Horace Mann，我们致力于在意外发生时帮助教育工作者及其家庭恢复。我们正在寻找一位经验丰富的身体伤害理赔员II，负责调查、评估、协商并解决汽车人身伤害索赔，同时提供卓越的客户体验。
在此职位中，您将独立处理多样化的人身伤害索赔，运用您的理赔专业知识评估责任、伤情、医疗费用和损失。您将与客户、律师、医疗机构和商业伙伴合作，确保公平的理赔解决，同时遵守公司的最佳实践和监管要求。
这是一个为有经验的理赔专业人士提供的绝佳机会，可拓展其技术能力，并为日益复杂的诉讼和高风险索赔做好准备。
主要职责
理赔调查与评估
- 核实保险范围，调查责任，并确定指定人身伤害索赔的损失范围。
- 进行全面、详细且准确的调查，以评估理赔事实并确定适当的解决方案。
- 评估事故事实、伤情、病历和医疗账单，以确定因果关系、责任和理赔价值。
- 分析理赔信息，推动理赔及时且适当的解决。
理赔解决与协商
- 根据公司最佳理赔实践和适用的州法规协商和解。
- 独立管理指定的人身伤害理赔，并做出合理的理赔决策。
- 接触涉及诉讼的理赔，根据需要与领导或同事合作。
- 在理赔生命周期内对理赔保持掌控，同时提供无缝的客户体验。
客户体验与沟通
- 向客户、索赔人、律师和其他相关方提供主动、透明和及时的沟通。
- 通过专业性、同理心和高效服务提供卓越的客户体验。
- 有效利用理赔运营系统和沟通工具来支持理赔处理活动。
职业发展与协作
- 与客户和商业伙伴合作时展现领导力和冲突解决能力。
- 与内部部门和外部供应商协作，确保高效的理赔解决。
- 持续提升对身体伤害理赔的专业知识。
查看英文原文
At Horace Mann, we're committed to helping educators and their families recover when the unexpected happens. We are seeking an experienced Bodily Injury Adjuster II to investigate, evaluate, negotiate, and resolve auto bodily injury claims while delivering an exceptional customer experience.
In this role, you'll independently manage a diverse inventory of bodily injury claims, applying your claims expertise to evaluate liability, injuries, medical bills, and damages. You'll collaborate with customers, attorneys, medical providers, and business partners to ensure fair claim resolutions while adhering to company best practices and regulatory requirements.
This is an excellent opportunity for an experienced claims professional looking to expand their technical expertise and prepare for increasingly complex litigation and high-exposure claims.
Key Responsibilities
Claims Investigation & Evaluation
- Verify coverage, investigate liability, and determine the scope of damages for assigned bodily injury claims.
- Conduct thorough, detailed, and accurate investigations to evaluate claim facts and determine appropriate resolutions.
- Evaluate accident facts, injuries, medical records, and medical bills to determine causation, liability, and claim value.
- Analyze claim information and move claims toward timely and appropriate resolution.
Claims Resolution & Negotiation
- Negotiate settlements in accordance with company best claim practices and applicable state regulations.
- Manage an assigned inventory of bodily injury claims while working independently and making sound claims decisions.
- Gain exposure to claims involving litigation, partnering with leaders or peers as appropriate.
- Maintain ownership of the claim throughout the claim lifecycle while providing a seamless customer experience.
Customer Experience & Communication
- Provide proactive, transparent, and timely communication to customers, claimants, attorneys, and other involved parties.
- Deliver an extraordinary customer experience through professionalism, empathy, and responsive service.
- Effectively utilize claims operating systems and communication tools to support claim handling activities.
Professional Development & Collaboration
- Demonstrate leadership and conflict resolution skills when working with customers and business partners.
- Collaborate with internal departments and external vendors to ensure efficient claim resolution.
- Continue building technical knowledge of bodily injury claims, litigation, and regulatory requirements.
Qualifications & Experience
Required
- Experience handling bodily injury claims or related casualty claims.
- Ability to investigate coverage, liability, and damages independently.
- Strong understanding of insurance policies, claims handling practices, and applicable regulations.
- Ability to obtain and maintain all required state adjuster licenses.
- Strong analytical, negotiation, and decision-making skills.
- Excellent verbal and written communication skills.
- Strong organizational and time management abilities.
Preferred
- Prior bodily injury claims experience.
- Experience handling attorney-represented claims.
- Exposure to litigation claims.
- Demonstrated ability to work independently while managing a high-volume claim inventory.
Skills & Competencies
- Strong investigation and analytical skills
- Effective negotiation and conflict resolution
- Sound judgment and decision-making
- Customer-focused with a commitment to service excellence
- Attention to detail and ownership of the claim experience
- Ability to manage multiple priorities in a fast-paced environment
- Strong communication and relationship-building skills
Additional Information
- Obtain and maintain all required state adjuster licenses.
- Periodic travel may be required.
Pay Range:
· $57,500.00 - $79,100.00 annually + bonus
Salary is commensurate to experience, location, etc.
Horace Mann was founded in 1945 by two Springfield, Illinois, teachers who saw a need for quality, affordable auto insurance for teachers. Since then, we’ve broadened our mission to helping all educators protect what they have today and prepare for a successful tomorrow. And with our broadened mission has come corporate growth: We serve more than 4,100 school districts nationwide, we’re publicly traded on the New York Stock Exchange (symbol: HMN) and we have more than $12 billion in assets.
We’re motivated by the fact that educators take care of our children’s future, and we believe they deserve someone to look after theirs. We help educators identify their financial goals and develop plans to achieve them. This includes insurance to protect what they have today and financial products to help them prepare for their future. Our tailored offerings include special rates and benefits for educators.
EOE/Minorities/Females/Veterans/Disabled. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status
For applicants that are California residents, please review our California Consumer Privacy Notice
All applicants should review our Horace Mann Privacy Policy
Originally posted on Himalayas