Auto Claims Adjuster Job at Vault Risk Management Services, Tampa, FL

  • Vault Risk Management Services
  • Tampa, FL

Job Description

Company Overview:

Vault is a leading provider of personal insurance solutions for successful individuals and families. We are committed to delivering a highly responsive thoughtful and personalized experience to our policyholders brokers and business partners. Vault is seeking an experienced and customer-focused Auto Claims Adjuster to join our Claims team. This position is responsible for investigating evaluating negotiating and resolving automobile physical damage liability and bodily injury claims.

The position will primarily handle automobile physical damage and liability exposures along with fast-track and moderate-complexity bodily injury claims. The inventory may include attorney-represented matters and claims involving significant injury exposure. The successful candidate will recognize claims requiring additional oversight and escalate them in accordance with company guidelines.

The ideal candidate will have direct automobile claims experience strong coverage and liability analysis skills sound reserve and settlement judgment and the ability to deliver exceptional service in a high-volume claims environment.

Why Choose Vault:

  • 46% of our workforce was referred by someone at Vault
  • 37% growth rate in staff since December 2021
  • Our Financial Strength is rated an A- by AM Best
  • Rated 4.5 stars based on our customer experience reviews
  • Our leaders are respected innovators with decades of insurance expertise
  • Vaults proprietary technology allows for enhanced capabilities speed and efficiency
  • Leading high-net-worth insurance provider with a foundation in customized solutions
  • Comprehensive benefits tailored to your lifestyle

Job Responsibilities

Auto Claims Management
Manage automobile physical damage liability and bodily injury claims from first notice of loss through final resolution. Establish an appropriate claim strategy maintain accurate reserves complete timely follow-up and resolve claims fairly and efficiently.

Handle primarily automobile physical damage and liability claims together with fast-track and moderate-complexity bodily injury claims. The inventory may include attorney-represented claims and matters involving significant injury exposure.

Coverage Analysis
Review policy terms conditions endorsements limits deductibles exclusions and applicable state requirements to determine coverage.

Identify potential coverage issues promptly and communicate coverage decisions clearly and professionally to insureds claimants brokers and other appropriate parties.

Escalate complex or disputed coverage matters in accordance with company guidelines.

Liability Investigation
Conduct timely and thorough investigations to determine automobile liability and damages. Investigative responsibilities may include:

  • Obtaining recorded statements from insureds drivers claimants passengers and witnesses
  • Reviewing police reports photographs videos scene evidence and vehicle information
  • Evaluating negligence comparative negligence causation and damages
  • Confirming vehicle ownership driver status and involved parties
  • Identifying potential fraud indicators coverage concerns and significant exposure
  • Documenting liability decisions and the supporting rationale in the claim file

Automobile Physical Damage
Evaluate automobile physical damage claims involving cars trucks motorcycles and other covered vehicles.

Work with independent appraisers repair facilities estimating vendors salvage providers and other approved business partners to determine the nature and extent of vehicle damage.

Responsibilities may include:

  • Reviewing and reconciling repair estimates
  • Evaluating labor rates parts selection repair methodology and supplements
  • Monitoring repair progress and addressing repair-related concerns
  • Evaluating total-loss valuation reports and settlement calculations
  • Negotiating repair costs and total-loss settlements
  • Coordinating salvage and applicable title documentation
  • Recognizing potential diminished-value and loss-of-use exposures

The adjuster may prepare estimates directly when required but will primarily be responsible for evaluating and managing estimates completed through approved appraisal and repair partners.

Bodily Injury Evaluation
Investigate and evaluate fast-track and moderate-complexity bodily injury claims.

Responsibilities may include:

  • Reviewing medical records bills treatment information and settlement demands
  • Evaluating injury causation treatment damages and potential exposure
  • Establishing and maintaining appropriate bodily injury reserves
  • Identifying liens subrogation interests and other settlement considerations
  • Negotiating directly with claimants and attorneys
  • Preparing clear claim evaluations and settlement recommendations
  • Recognizing claims involving significant injury excess exposure litigation or other complexity and escalating them appropriately

Negotiation and Resolution
Negotiate fair and appropriate settlements with insureds claimants attorneys repair facilities appraisers and other involved parties.

Balance timely claim resolution contractual obligations regulatory requirements customer service and responsible claim-cost management.

Properly document all evaluations offers settlement discussions and final resolutions.

Reserve and Exposure Management
Establish timely and supportable reserves based on the available facts and expected claim exposure.

Review reserves throughout the life of the claim and make timely adjustments when new information affects the expected outcome.

Identify and promptly escalate claims involving:

  • Significant bodily injury
  • Potential excess exposure
  • Complex or disputed liability
  • Coverage concerns
  • Litigation
  • Time-sensitive settlement demands
  • Suspected fraud or material misrepresentation
  • Unusual vehicle damage or valuation issues
  • Adverse developments requiring leadership attention

Customer and Broker Experience
Provide a highly responsive and professional claims experience to insureds claimants brokers agents attorneys and business partners.

Explain the claim investigation repair evaluation and settlement processes clearly. Set appropriate expectations and provide proactive updates throughout the life of the claim.

Approach difficult conversations with empathy professionalism sound judgment and appropriate urgency.

Claim File Management
Maintain complete accurate and timely claim documentation in accordance with company standards and regulatory requirements.

Manage a high-volume pending while maintaining appropriate diaries follow-up controls reserves and claim-handling standards.

Collaboration
Partner with Claims leadership Underwriting Risk Management Services Customer Relations Legal Subrogation and external vendors to address claim-specific issues emerging trends coverage concerns and customer experience opportunities.

Communicate adverse developments significant exposures claim trends and potential process improvements to leadership.

Required Qualifications

  • Five or more years of automobile claims experience including experience with automobile physical damage liability investigation or bodily injury claims
  • Demonstrated ability to manage automobile claims from first notice of loss through final resolution
  • Experience investigating automobile accidents and evaluating negligence comparative negligence causation and damages
  • Experience obtaining recorded statements and reviewing police reports photographs repair estimates medical documentation and other claim evidence
  • Working knowledge of personal automobile coverage liability evaluation reserves and settlement practices
  • Experience reviewing vehicle repair estimates and negotiating with repair facilities appraisers claimants or other involved parties
  • Experience evaluating total losses including vehicle valuation reports and settlement calculations
  • Experience handling bodily injury claims including the evaluation of medical documentation causation damages and settlement demands
  • Ability to recognize high-exposure complex or litigated matters and escalate them appropriately
  • Strong organizational skills and the ability to manage a high-volume claim pending
  • Strong written and verbal communication skills
  • Sound judgment and the ability to make timely well-supported claim decisions
  • Proficiency with Microsoft Office claim-management systems and automobile estimating or valuation platforms
  • Active adjuster license appropriate for the employees resident or designated home state or the ability to obtain and maintain required licenses
  • Ability to obtain and maintain reciprocal or additional state adjuster licenses based on assigned claim-handling responsibilities
  • Bachelors degree or equivalent relevant claims experience

Preferred Qualifications

  • Experience handling both automobile physical damage and bodily injury claims
  • Experience handling attorney-represented bodily injury claims
  • Experience with time-sensitive settlement demands
  • Experience handling claims for high-net-worth or specialty personal automobile customers
  • Experience with luxury exotic collector modified or high-value vehicles
  • Experience evaluating complex repairs total losses diminished-value allegations and loss-of-use claims
  • Familiarity with multistate automobile claim-handling requirements
  • Experience identifying potential fraud subrogation salvage or excess-exposure issues
  • Experience collaborating with brokers agents legal counsel repair facilities independent appraisers and external claim vendors

Work Environment and Schedule
This is a hybrid position requiring three days per week in one of Vaults designated office locations.

The successful candidate must be able to manage a fast-paced claim inventory and adjust priorities based on new losses customer needs time-sensitive demands litigation activity and changes in claim volume.

Some schedule flexibility may be required in response to significant claim events or weather-related automobile claim volume.

Benefits

  • Flexible Spending Accounts and Health Savings Accounts with company contributions
  • Company-paid comprehensive life and disability insurance plans
  • 24/7 telehealth access virtual wellness screenings and Employee Assistance Programs
  • Company 401(k) retirement plan with eligibility beginning on the first day of employment
  • 6% company match with immediate 100% vesting
  • 23 paid time-off days accrued annually
  • 11 paid holidays

Equal Employment Opportunity
Vault is committed to providing equal employment opportunities to all employees and applicants. Vault prohibits discrimination and harassment based on any characteristic protected by applicable federal state or local law.

Vault Insurance is hiring an experienced Auto Claims Adjuster to handle automobile physical damage liability and bodily injury claims involving its high-net-worth personal auto portfolio. This position is best suited for an adjuster with strong automobile technical experience disciplined file management sound settlement judgment and a commitment to delivering a responsive and personalized customer experience.

Job Tags

Full time, Work at office, Immediate start, Flexible hours, 3 days per week

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