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Bodily Injury Claims Adjuster (Attorney Represented)

Role overview

Summary

This role focuses on managing attorney-represented bodily injury claims at GAINSCO, ensuring fair and efficient resolutions while protecting customer and company interests. You will leverage advanced claims knowledge to evaluate coverage and negotiate settlements, contributing to the company's commitment to accessible auto insurance.

Qualifications

  • High school diploma or equivalent.
  • Active Texas or Florida Adjuster License.
  • 4+ years of experience as an Auto Insurance Claims Adjuster.
  • 2+ years of experience handling attorney-represented bodily injury claims involving minor to moderately severe injuries.
  • Preferred: Strong bodily injury evaluation, claims investigation, and coverage-analysis skills.

Responsibilities

  • Investigate attorney-represented bodily injury claims by reviewing statements, medical records, bills, police reports, and supporting evidence.
  • Evaluate policy coverage, liability, comparative negligence, injury causation, damages, reserves, and settlement value.
  • Develop claim-resolution strategies and negotiate settlements directly with attorneys, paralegals, and case managers.
  • Manage a high-volume claim inventory while maintaining timely follow-up on demands, correspondence, diary activities, and settlement opportunities.

Key facts

Hard skills

Other skills

  • Negotiation
  • Relationship Management
  • Analytical Skills
  • Decision Making
  • Communication
  • Time Management

About the company

GAINSCO logo

GAINSCO

  • 501–1,000
GAINSCO Auto Insurance® is a property and casualty insurance company concentrating on the non-standard personal auto insurance market, specializing in minimum-limits personal auto insurance. In December 2020, State Farm Mutual Automobile Insurance Company acquired GAINSCO, Inc. and its subsidiaries.

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Job description

About GAINSCO

Founded in 1978, GAINSCO offers property and casualty insurance with an emphasis on non-standard personal auto policies. It serves drivers nationwide by providing minimum-limits personal auto coverage, making insurance more accessible to a broader market. In 2020, GAINSCO, Inc. and its subsidiaries were acquired, making a significant milestone that strengthened GAINSCO’s ability to grow and expand its reach in the personal auto industry market while continuing to build on its decades of specialized expertise.

Join a team that is dedicated to supporting your professional growth and long-term success.

Who We Are

At GAINSCO, we are a team driven by passion, creativity, and a commitment to excellence. We celebrate achievements, encourage innovative thinking, and recognize the unique strengths each person brings. Our people truly set us apart.

GAINSCO is seeking a Liability Adjuster III to investigate, evaluate, negotiate, and resolve attorney-represented bodily injury claims involving minor to moderately severe injuries. In this role, you will independently manage coverage evaluations, liability determinations, medical reviews, settlement demands, and negotiations with attorneys. You will use advanced claims knowledge and sound judgment to resolve claims fairly and efficiently while protecting customer and company interests.

What does a BODILY INJURY CLAIMS ADJUSTER- ATTORNEY REPRESENTED do at GAINSCO?

  • Investigate attorney-represented bodily injury claims by reviewing statements, medical records, bills, police reports, and supporting evidence.
  • Evaluate policy coverage, liability, comparative negligence, injury causation, damages, reserves, and settlement value.
  • Develop claim-resolution strategies and negotiate settlements directly with attorneys, paralegals, and case managers.
  • Manage a high-volume claim inventory while maintaining timely follow-up on demands, correspondence, diary activities, and settlement opportunities.
  • Interpret policy provisions and state statutes when making coverage, liability, and claim-resolution decisions.
  • Maintain accurate, timely, and audit-ready claim documentation in accordance with company standards and regulatory requirements.

What is required?

Education:

  • High school diploma or equivalent required.

Licenses/ Certifications:

  • To perform the essential functions of this job an active Texas or Florida Adjuster License will be required to comply with state and GAINSCO requirements.
    • Upon hire, additional license(s) may be required.  If that is the case, license(s) must be obtained.
    • All licenses must be maintained in accordance with state requirements.
  • Professional Insurance and/or Claims Designations are a plus.

Experience:

  • 4+ years of experience as an Auto Insurance Claims Adjuster.
  • 2+ years of experience handling attorney-represented bodily injury claims involving minor to moderately severe injuries.
  • Experience evaluating bodily injury exposures, medical records and bills, liability disputes, and settlement demands.
  • Experience interpreting policy language, coverage provisions, and applicable state statutes.
  • Experience negotiating directly with attorneys and progressing claims toward resolution.
  • Demonstrated ability to make sound coverage, liability, damages, reserve, and settlement decisions based on claim facts and investigative findings.
  • Multi-state claims-handling experience is preferred.

Other skills and abilities:

  • Strong bodily injury evaluation, claims investigation, and coverage-analysis skills.
  • Effective negotiation, conflict-resolution, and relationship-management abilities.
  • Ability to independently manage a high-volume inventory of attorney-represented claims.
  • Strong analytical and decision-making skills, including the ability to evaluate injury causation and settlement value.
  • Excellent verbal and written communication skills.
  • Ability to communicate professionally with attorneys, claimants, medical providers, insureds, witnesses, and business partners.
  • Strong organization and time-management skills, with the ability to balance competing priorities and maintain timely claim progression.
  • Ability to recognize issues requiring escalation and seek guidance when appropriate.
  • Occasional weekend work may be required.
  • Travel may be required up to 5%.

What else do you need to know?

  • Remote, Hybrid for those that live in Dallas, Fort Worth, TX Metroplex.
  • Competitive Salary based on experience.
  • Excellent benefits package: medical, dental, & vision insurance, life insurance, short-term and long-term disability insurance.
  • Parental Leave Policy
  • 401K + Company Match
  • PTO Plan + Paid Company determined Holidays.

 **Applicants are required to be eligible to lawfully work in the U.S. immediately; employer will not sponsor applicants for U.S. work authorization (e.g. H-1B visa) for this opportunity**

All offers are contingent upon a successful background investigation (including employment, education, criminal and DMV verification- when applicable) and a pre-employment drug test with results satisfactory to GAINSCO.

GAINSCO is an Equal Employment Opportunity Employer

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