Overview

Prioris Claims Management Solutions, LLC Join a Growing Team of Claims Professionals Prioris Claims Management Solutions is seeking an experienced and motivated Personal Auto Senior Casualty Claims Adjuster to join our growing claims team. This position is responsible for investigating, evaluating, negotiating, and resolving personal auto bodily injury claims of varying levels of complexity.The ideal candidate will have strong technical claims knowledge, excellent investigative and analytical skills, and the ability to assess liability, evaluate damages, and negotiate fair and appropriate settlements. The successful candidate will independently manage claims within assigned settlement authority and provide recommendations for claims requiring additional review and approval.This role requires sound judgment, attention to detail, effective communication, and a commitment to exceptional customer service, regulatory compliance, and timely claims resolution. Please Note: Applicants must have a minimum of five (5) years of personal auto bodily injury claims handling experience and hold a current, active Texas Adjuster License. Applicants residing outside Texas must also maintain any required home-state license.Applicants who do not meet these requirements will not be considered. What You'll Do Manage a caseload of personal auto bodily injury claims of varying levels of complexity, from initial investigation through resolution.Conduct thorough investigations by analyzing accident facts, obtaining statements, reviewing supporting documentation, and determining coverage, liability, and compensability.Evaluate bodily injury damages, including medical documentation and other relevant evidence, to determine appropriate claim exposure and settlement strategies.Analyze policy coverage, applicable laws, regulations, and policy provisions to support sound claim decisions.Negotiate fair and appropriate claim settlements with claimants, attorneys, insureds, and other involved parties, as applicable.Complete Bodily Injury Evaluation forms and prepare settlement recommendations for claims exceeding individual settlement authority.Exercise sound judgment when evaluating claims and escalate complex or high-exposure claims for additional review and approval.Compile claim information and present findings and recommendations for claims committee review when appropriate.Identify potential fraud indicators, coverage concerns, and inconsistencies, escalating issues when necessary.Maintain accurate, complete, and timely claim documentation in accordance with company standards and regulatory requirements.Ensure compliance with applicable Department of Insurance regulations, state requirements, and company claims handling guidelines.Deliver professional, responsive service to customers, claimants, attorneys, and business partners.Manage competing priorities and meet established productivity, quality, and performance objectives in a metrics-driven environment.Participate in team meetings, training programs, and claim reviews to support consistent and effective claim outcomes. Required Qualifications Must Have Minimum of five (5) years of personal auto bodily injury claims handling experience.Current, active Texas Adjuster License and any required home-state license, as applicable.Demonstrated experience conducting bodily injury investigations, evaluating damages, and negotiating settlements.Strong knowledge of liability analysis, medical documentation, bodily injury evaluation, and claim resolution practices.Ability to manage claims within assigned settlement authority and identify when additional review or approval is required.Strong analytical, investigative, negotiation, and decision-making skills.Excellent verbal and written communication skills.Proficiency with Microsoft Outlook, Word, and Excel.Ability to manage multiple claims and competing priorities effectively.Comfort communicating professionally with customers, claimants, and attorneys by telephon