Title- Auto PD Adjuster – Service Claims
Location- Worcester, MA | Howell, MI | Syracuse, NY | Itasca, IL
Schedule: Hybrid – 2 days onsite (Tuesday & Wednesday) / 3 days remote
Employment Type: Full-Time, Permanent

Position Overview:

The Auto PD Adjuster – Service Claims is responsible for managing a caseload of moderately complex auto service claims from initial intake through resolution. This includes investigating claims, determining coverage and liability, evaluating damages, negotiating settlements, and ensuring claims are handled in accordance with policy terms, company procedures, and applicable state requirements.

The ideal candidate will have 2–3 years of front-line auto claims experience, including third-party claims handling, liability investigations, and phone-based claims experience.

Key Responsibilities:

• Manage an active inventory of approximately 80–120 moderately complex service claims, including an average of 5 new claims per day.
• Handle claims from intake through final resolution while maintaining accurate and timely documentation.
• Conduct thorough claim investigations, determine liability, handle loop calls, and evaluate damages.
• Communicate with insureds, third parties, and internal stakeholders throughout the claims process.
• Partner with Underwriting, Legal, and other business stakeholders to support comprehensive investigations and claim evaluations.
• Identify potential subrogation opportunities and establish files to support recovery efforts.
• Identify potentially suspicious claims and refer appropriate cases to the Special Investigation Unit (SIU).
• Transfer risk to appropriate parties and apply claim management techniques to mitigate losses.
• Set reserves and authorize payments within established authority limits.
• Utilize technology and data tools to improve claims-processing efficiency and accuracy within a paperless environment.
• Resolve claims with a customer-focused and empathetic approach while handling sensitive or difficult conversations professionally.
• Explain complex claims information clearly to customers and other stakeholders.
• Maintain accurate, detailed, and compliant claim documentation.
• Maintain required adjuster licenses and continuing education credits across applicable states.
• Mentor entry-level adjusters and share knowledge, best practices, and claims-handling expertise.
• May represent the company in mediations, arbitrations, and trials.

Required Qualifications:

• Education: Associate degree required; Bachelor's degree preferred, or an equivalent combination of education and experience.
• Experience: Typically 2–3 years of relevant front-line auto claims experience, including:
  • Auto claim handling
  • Third-party claims
  • Liability determination
  • Claim investigation
  • Phone queue/customer call handling
• Strong understanding of claims investigation, liability assessment, damage evaluation, and settlement processes.
• Ability to independently conduct negotiation conversations within established authority limits.
• Strong verbal and written communication skills with the ability to de-escalate challenging customer interactions.
• Strong critical-thinking and decision-making skills.
• Excellent organization and time-management skills.
• Ability to manage multiple claims, priorities, and deadlines in a fast-paced environment.
• Strong collaboration skills and the ability to build constructive relationships with internal teams and stakeholders.
• Proficiency with basic computer navigation, multiple systems/applications, and Microsoft Office.

Preferred Qualifications:

• Experience with Guidewire is a plus.
• Bachelor's degree preferred.
• Experience handling moderately complex auto claims.
• Experience mentoring or supporting less-experienced adjusters.

Technical & Remote Requirements:

• Ability to efficiently navigate and toggle between multiple systems and applications.
• Proficiency with Microsoft Office.
• Must maintain a reliable home internet connection of at least:
  • 50 Mbps download
  • 10 Mbps upload
• Comfortable working in a hybrid office/remote environment.

Work Environment & Physical Requirements:

• Ability to work effectively in a dynamic, fast-paced environment.
• Ability to use a personal computer, telephone systems, and standard office equipment.
• Ability to sit and/or stand for extended periods, approximately 75%–90% of the workday, in an office or remote workspace.

 
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws.This position's pay range is $55000.00/Yearly - $62000.00/Yearly.