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 leading insurer affiliated with AAA, stands as one of the premier personal lines property and casualty insurance providers in the United States. Our workforce embodies our core values and is dedicated to our mission of assisting members in preventing, preparing for, and recovering from life's uncertainties. We take pride in fostering a collaborative culture that emphasizes innovation and adaptability.

Your Role:

As a Casualty Specialist, you will be designated as the primary adjuster when injury exposure is detected. You will manage both represented and unrepresented first and third-party claims suitable for resolution, with an independent settlement authority of up to $25,000. Your responsibilities will span multiple states, including those where licensing is required. You will also handle low complexity property damage claims related to homeowner liability.

Key Responsibilities:

  • Act as the primary adjuster for identified injury exposures.
  • Manage straightforward to moderately complex first and third-party auto liability claims involving injuries, working with both unrepresented and attorney-represented claimants.
  • Handle first-party Medical Payment and Personal Injury Protection (PIP) claims as necessary.
  • Assist in activities related to catastrophes, including managing simple homeowner losses.
  • Oversee the investigation, negotiation, settlement, and resolution of injury claims with exposure valued under $25,000.
  • Communicate effectively through written, telephonic, and electronic means.
  • Self-manage claim assignments through designated queues in the claims system.
  • Make coverage determinations and guide customers on appropriate actions regarding coverage issues.
  • Conduct complex investigative work, including interviewing witnesses and analyzing evidence.
  • Occasionally represent the insured or the company at settlement conferences, arbitrations, and trials.
  • Evaluate potential for subrogation and initiate requests for notice of subrogation.
  • Make final settlement decisions within your authority and develop negotiation strategies.
  • Present cases in committee settings when seeking settlements above your authority level.

Required Qualifications:

  • High School diploma or GED, with a minimum of 3 years of experience in a casualty claims role within the property and casualty insurance sector.
  • 2-3 years of relevant claims experience.
  • Strong analytical, problem-solving, and organizational abilities.
  • Ability to work independently and make sound decisions.
  • Customer service-oriented with proficient communication skills.
  • Basic math and computer skills, with a typing speed of at least 30 words per minute.
  • Ability to thrive in a team environment and complete relevant training courses.
  • Understanding of statutory and regulatory requirements is developing.
  • Willingness to travel occasionally and work extended hours or weekends.
  • Completion of courses necessary to obtain an Oklahoma adjuster's license is preferred.

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 claims experience.
  • Bilingual skills are a plus.
  • Excellent communication skills that respect diverse backgrounds.
  • Active participation in shaping company culture through community involvement.
  • Commitment to fulfilling business needs, including collaboration across teams.

CSAA IG Careers:

At CSAA IG, we are committed to protecting our customers, employees, communities, and the environment. We are on a journey towards sustainability and are dedicated to making a positive impact.

Our Values:

  • We believe in building a community of service, rooted in inclusion and belonging.
  • We are committed to being there for our customers and employees.
  • We strive to create a sense of purpose that serves the greater good through innovation.

We offer a comprehensive compensation package, including performance bonuses and a 401(k) plan with company matching. We also provide flexible working arrangements, allowing you to choose your preferred working location.

CSAA Insurance Group is an equal opportunity employer, dedicated to fostering a diverse workforce that reflects the communities we serve.

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