Key Responsibilities

Advanced Claim Handling

• Manage a caseload of complex auto BI claims, including UM/UIM.
• Conduct detailed investigations using statements, scene analysis, police reports, repair estimates, and expert input.
• Evaluate and handle claims, including review of medical records, bills, causation, and treatment reasonableness.
• Assess UM/UIM claims for coverage, injury exposure, and settlement value.
• Establish and maintain appropriate claim reserves based on liability, injury severity, medical treatment, and potential settlement exposure.
• Negotiate settlements directly with claimants, attorneys, medical providers, and other representatives.
• Handle claims involving attorney representation, litigation, arbitration, and mediation.

Technical Expertise & Guidance

• Serve as a subject-matter resource for junior adjusters, providing guidance on coverage interpretation, investigative strategy, and claims best practices.
• Assist in training and mentoring new team members when needed.
• Collaborate with Subrogation, SIU, and Legal on complex issues including fraud indicators, coverage disputes, and recovery opportunities.

Documentation & Regulatory Compliance

• Prepare comprehensive claim documentation, maintaining detailed and well-organized electronic files.
• Ensure compliant issuance of coverage letters, reservations of rights, denials, and settlement communications.
• Maintain deep understanding of state-specific claims regulations and ensure all timelines and standards are met.

Customer & Stakeholder Communication

• Communicate effectively and professionally with insureds, claimants, attorneys, repair shops, and internal partners.
• Provide clear explanations of coverage, liability decisions, and the claims process.
• Handle escalated customer concerns with diplomacy and problem-solving skills.

Qualifications

• 7+ years of auto bodily injury claims experience, including complex liability bodily injury claims.
• Experience with UM/UIM exposures required.
• Strong proficiency in coverage and liability analysis, negotiation, and investigative techniques.
• Excellent communication, conflict resolution, and customer service skills.
• Demonstrated ability to work independently and mentor others.
• College degree required.
• Active adjuster license required.

Competencies

• Advanced problem-solving and analytical skills
• Strong leadership and mentorship abilities
• Exceptional organization and time management
• High degree of professionalism and emotional intelligence
• Ability to manage complex claims with minimal oversight

Compensation

• $40-$60/hour. Please note this is a temporary full time position with the potential of becoming a permanent position.

This is a fully remote position.

Tivra Values

Tivra is a purpose-driven company committed to building inclusive, people-centered solutions that challenge convention. Rooted in equity, transparency, and innovation, we believe diverse voices and bold thinking lead to better outcomes for us and our customers. We’re driven by the conviction that long-term success comes from fairness, accountability, and designing with both people and impact in mind.