Bodily Injury Claims Adjuster

About Reserv

Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims role sounds exciting, we can’t wait to meet you.

About the role

We are seeking highly organized and customer-focused Resolution Specialists to join our team. The successful candidate will be responsible for communicating with customers on the phone, educating and helping the customer work through their claim to the best possible outcome. This role will also be responsible for handling an inventory of claims, triaging critical claims, and delivering service to all constituents of the claim. The claims you will handle will be transportation-related.  The ideal candidate has a willingness to work through and design process that supports the quickest claim resolution with the best outcome. In addition, they will collaborate closely with our product and engineering teams to give feedback and identify technology and process improvements.  Resolution Specialists are:

Highly motivated and growth-oriented. Excited by the prospect of building a tech-driven claims org.

Passionate specialists who care about the customer and their experience.

Empathetic. Exercises empathy and patience towards everyone interacted with.

Sense of urgency - AT ALL TIMES. That does not mean working at all hours.

Creative. Finding the right exit ramp (pun intended) for the resolution of the claim that is in the client’s best interest.

Conflict-enjoyer. Conflict does not have to be adversarial, but it HAS to be conversational. Working toward a win/win claim resolution.

Curious. Wanting to know the whole story so the right decisions are made early and take action to prompt a quick resolution.

Anti-status quo. Not just  wishing  things were done differently but taking the appropriate  actions  to ensure it.

Communicative. Professional written and oral communication with all parties to a claim.

And did we mention a sense of humor? Claims are hard enough as it is.

What you'll do

Provide prompt, courteous and high-quality customer service to all policyholders and claimants by answering customer calls, filing claims, and resolving customer requests

Manage an inventory of litigated and non-litigated cases

Analyze and review auto insurance claims to identify areas of dispute, investigating and gathering all necessary information and documentation related to the claim, evaluating liability and damages related to the claim, and negotiating and settling claims with opposing parties or their insurance providers

Ensure compliance with specific state regulations, policy provisions, and standard operating procedures

Manage both non-litigation and litigation cases related to auto claims disputes, communicate with involved parties, attending mediations, arbitrations, and court hearings as necessary, and communicating regularly with clients, claims adjusters, attorneys, and other stakeholders

Collaborate with defense counsel, claims counsel, and litigation claims management for strategic planning, including developing and maintaining positive working relationships with approved defense firms and other vendors in the industry

Review legal documents and ensuring compliance with initial suit-handling plan of action

Serve as corporate representative for discovery review and depositions, and appearing as Corporate Representative at depositions and trials when needed

Analyze policy language and reaching appropriate coverage decisions, drafting frequent and complex coverage correspondence, and proactively managing non-litigated and litigated claim files from inception to closure