Casualty Claims Evaluator

2 weeks ago

San Francisco, California, United States CSAA Insurance Group Full time

About CSAA Insurance Group:

CSAA Insurance Group (CSAA IG), a prominent AAA insurer, stands as one of the leading personal lines property and casualty insurance organizations in the United States. Our workforce embodies our core values and strives to fulfill our enduring mission of assisting members in preventing, preparing for, and recovering from life's uncertainties. We take pride in the collaborative culture we cultivate.

Your Role:

As a Casualty Specialist, you will be designated as the owning adjuster when injury exposure is identified. You will manage both represented and unrepresented first and third-party cases, with an independent settlement authority of up to $25,000. Your responsibilities will span multiple states, including those requiring specific licenses (OK license required), and will involve handling low complexity property damage claims related to homeowner liability.

Your Responsibilities:

  • Serve as the Owning Adjuster upon identification of injury exposure.
  • Manage primarily simple to moderate first and third-party auto liability cases involving injury, working with both unrepresented and attorney-represented claimants.
  • Handle first-party Medical Payment and PIP claims as necessary.
  • Assist in activities related to catastrophes, including managing straightforward homeowner losses.
  • Oversee the investigation, negotiation, settlement, and resolution of injury claims with exposure valued below $25,000.
  • Communicate effectively through various channels, including written correspondence, telephone, and electronic means.
  • Self-manage productivity by seeking claim assignments through designated queues in the claims system.
  • Make coverage determinations and guide customers on appropriate actions regarding coverage issues.
  • Conduct investigative work, including interviewing witnesses and analyzing evidence such as medical records.
  • Occasionally represent the insured and/or the company at settlement conferences.
  • May require representation at arbitrations and trials on rare occasions.
  • Evaluate potential for subrogation and initiate the initial notice of subrogation request.
  • Make final settlement decisions within your authority and develop negotiation strategies.
  • Present cases in committee settings when seeking approval for settlements above your authority level.

Required Qualifications:

  • High School diploma/GED or a minimum of 3 years of experience in a casualty claims role within the property and casualty insurance sector.
  • 2-3 years of claims experience.
  • Strong analytical, problem-solving, and organizational skills.
  • Ability to work independently and make sound decisions.
  • Excellent customer service orientation.
  • Basic math and computer skills, with a typing speed of at least 30 words per minute.
  • Proficient in oral and written communication with a strong command of the English language.
  • Ability to function effectively in a team environment.
  • Willingness to complete relevant training courses.
  • Developing understanding of statutory and regulatory requirements.
  • Understanding of AAA claims policies and procedures is preferred.
  • Occasional travel may be required.
  • Ability to work extended hours and/or weekends as needed.
  • Courses to secure an OK adjuster's license may be necessary.

Preferred Qualifications:

  • Bachelor's degree in business, insurance, or a related field, or an equivalent combination of education and experience.
  • 1-3 years of casualty experience.
  • Bilingual skills are a plus.
  • Demonstrates respect for diversity through effective communication with individuals from various backgrounds.
  • Actively contributes to company culture through participation in employee resource groups and volunteering.
  • Embraces cultural norms, such as engaging with new team members and building relationships.
  • Willingness to invest extra time to meet business needs and assist other teams.

CSAA IG Commitment:

At CSAA IG, we are dedicated to safeguarding our customers, employees, communities, and the environment. We are committed to taking bold actions to lead by example and continuously improve for the benefit of our people, business, and planet.

Recognition and Benefits:

We offer a comprehensive compensation package, including performance bonuses, a 401(k) plan with company matching, and additional benefits. Explore more about our offerings and the experience of being part of our dynamic team.

We are committed to fostering an inclusive and diverse workplace, celebrating the unique abilities, backgrounds, and perspectives of our colleagues. CSAA Insurance Group is an equal opportunity employer.

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