Adjuster PIP - Consultant Casualty Claims
The Adjuster PIP - Consultant Casualty Claims manages moderately complex no-fault casualty claims involving injury and disability, overseeing the entire claims process from intake to resolution. This role requires thorough investigation, liability assessment, negotiation, and collaboration with internal and external stakeholders, while maintaining compliance and mentoring junior staff. The position operates on a hybrid schedule and demands strong analytical, communication, and insurance industry skills, along with appropriate state adjuster licensing.
About Careertakes
👉 Important disclosure: Careertakes is a third-party recruiting platform supporting this hiring process. If selected, you will be employed directly by our client, Legal.
Applicants for this role may also receive access to additional matched opportunities through the Careertakes platform.
Position Overview
Confidential Client is hiring an Adjuster PIP – Consultant, Casualty Claims to manage no-fault and moderately complex casualty claims from intake through resolution. This full-time, exempt role follows a hybrid schedule (approximately two days per week in-office) based in Southfield, MI. The Consultant handles investigation, evaluation, payment authorization, negotiation, and documentation of claims while collaborating with legal, underwriting, and other internal partners.
What You’ll Do
- Manage a caseload of moderately complex casualty and no-fault claims from intake through closure.
- Investigate incidents, evaluate liability and damages, and apply state-specific laws and comparative negligence rules.
- Verify coverage and evaluate medical bills and no-fault benefits for payment.
- Set reserves, authorize payments within authority limits, and demonstrate sound financial judgment.
- Communicate with claimants, legal representatives, providers, and third parties to negotiate resolutions.
- Identify and refer suspicious activity to the Special Investigations Unit.
- Support subrogation and risk transfer opportunities to protect insureds and the business.
- Maintain clear, detailed, and compliant claim documentation.
- Participate in cross-functional problem solving with underwriting, legal, and other teams.
- Mentor entry-level claim handlers and share best practices.
- Attend training to maintain required adjuster licenses and stay current on industry standards.
What We’re Looking For
- Associate degree required; bachelor’s degree preferred, or equivalent combination of education and experience.
- Typically 1–4 years of relevant claims handling experience with independent decision-making on indemnity and medical components.
- Active or ability to obtain and maintain appropriate state adjuster license(s).
- Proficient with common office software (MS Office suite) and comfortable using claims systems and digital tools.
- Strong investigative, analytical, and negotiation skills for moderately complex claim resolution.
- Excellent written and verbal communication; ability to handle sensitive conversations professionally and with empathy.
- Demonstrated customer-centric approach and ability to adapt communication style to varied audiences.
Core Capabilities
- Analytical Reasoning — identify issues, gather data, and produce effective solutions.
- Customer Centricity — prioritize the needs of internal and external customers with professionalism.
- Digital Fluency — use digital tools to improve accuracy and efficiency in claim handling.
- Persuasion & Influence — negotiate and gain agreement using interpersonal skills and sound reasoning.
- Professional Insurance Acumen — apply insurance knowledge to resolve claims and adapt to industry trends.
- Planning & Execution — prioritize tasks and manage time to meet deadlines and service expectations.
Compensation & Schedule
- Employment type: Full-time, exempt.
- Estimated pay (from source): $57,977 per year (estimated).
- Work model: Hybrid — approximately two days per week in the Southfield, MI office.
- Note: Final compensation and benefits will be determined by Confidential Client and will comply with applicable Michigan employment laws.
Equal Opportunity & Hiring Transparency
Careertakes and our client are Equal Opportunity Employers committed to building a diverse and inclusive workforce. We prohibit discrimination or harassment of any kind.
To support a fair and efficient hiring process, AI tools may be used to assist with application review or resume screening. These tools do not replace human decision-making. Final hiring decisions are made by people.
If you have questions about how your data is used, please contact us directly.
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