Casualty Claims Evaluator
2 weeks ago
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 providers in the United States. Our workforce embodies our core values and strives to fulfill our enduring mission: to assist members in preventing, preparing for, and recovering from life's uncertainties. We take pride in the collaborative culture we foster. Emphasizing progress over perfection, we view each day as a chance to innovate and adapt. At CSAA IG, we are committed to hiring exceptional individuals to shape a brighter future.
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 where you are licensed and statutory states. You will also handle 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, addressing 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, investigate, negotiate, settle, and resolve injury claims with exposure valued below $25,000.
- Communicate effectively through written, telephonic, and electronic means.
- Self-manage productivity by seeking claim assignments through designated queues in the claims system.
- Make coverage determinations and guide customers regarding appropriate actions related to coverage issues.
- Conduct investigative work of a complex nature, including interviewing witnesses and analyzing evidence.
- Occasionally represent the insured and/or the company at settlement conferences.
- On rare occasions, represent insureds at arbitrations and trials.
- Provide testimony in deposition settings when required.
- Evaluate subrogation potential and initiate initial notice of subrogation requests.
- 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, and subsequently negotiate and settle claims independently.
Required Qualifications:
- High School diploma or GED, or a minimum of three years of experience in a casualty claims role within the property and casualty insurance sector.
- Two to three years of claims experience.
- Strong analytical, problem-solving, and organizational skills.
- Ability to work independently and make sound decisions.
- Customer service orientation and basic math and computer skills.
- Proficient oral and written communication skills, with a strong command of the English language.
- Ability to function effectively in a team environment.
- Willingness to complete training courses relevant to job duties.
- Developing understanding of statutory and regulatory requirements.
- Understanding of AAA claims policies and procedures is preferred.
- Ability to travel occasionally and work extended hours or weekends as needed.
- Courses to secure an Oklahoma adjuster's license are necessary.
Preferred Qualifications:
- Bachelor's degree in business, insurance, or a related field, or an equivalent combination of education and experience.
- One to three years of casualty experience.
- Bilingual skills are a plus.
- Demonstrated respect for diversity through excellent communication skills with individuals from various backgrounds.
- Active participation in shaping company culture through involvement in employee resource groups and community service.
- Commitment to fulfilling business needs, including investing extra time and assisting other teams.
CSAA IG Careers:
At CSAA IG, we are dedicated to safeguarding our customers, employees, communities, and the environment. We are on a journey towards sustainability, taking bold actions and leading by example. We are committed to fostering a community of service that emphasizes inclusion and belonging.
Compensation and Benefits:
We offer a comprehensive compensation package, including performance bonuses, a 401(k) plan with company matching, and more. For additional information about our benefits and what it’s like to be part of our dynamic team, please refer to our benefits page.
We are committed to supporting inclusion and diversity at CSAA IG, celebrating the unique abilities, sexual orientations, ethnicities, and genders of our colleagues. Everyone is welcomed and supported in their development throughout their journey with us.
CSAA Insurance Group is an equal opportunity employer.
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