[Hiring] Casualty Evaluator @CSAA Insurance Group, a AAA Insurer

Role Description

We are actively hiring for a Casualty Specialist Evaluator - Remote.

• Assigned as owning adjuster when injury exposure is identified.
• Handles both represented and unrepresented first and third-party cases appropriate for resolution with an independent settlement limit of up to $50,000.
• Handles claims in multiple states including licensed states and statutory states (OK license required).
• Handles Homeowner liability low complexity property damage claims.
• Supports the claims organization by handling Small Claims related matters to conclusion.
• May own claims of low complexity when supporting catastrophes.
• May handle first party non-liability-based injury claim (Medical Payment and PIP).

Your Work

• Working in a virtual environment (with option to work in an office setting).
• Ability to manage communications in writing, by telephone and by electronic means (e.g., e-mail).
• Handles mostly simple to moderate 1st and 3rd party auto liability cases involving injury with unrepresented and attorney-represented claimants.
• May assist in catastrophes related activities including handling simple homeowner losses.
• Responsible for handling, managing, investigating, negotiating, settling and/or resolving injury claims with exposure valued less than $50,000.
• Adjuster to manage productivity by seeking claim assignments through designated queues in the claim system.
• Triage is self-managed and not automated in the claims system.
• Making coverage determinations and advising customers as to proper course of action related to coverage issues.
• Conducting investigative work of a complex nature (interviewing witnesses; obtaining and analyzing evidence, including medical records; deciding whether an independent medical examination is warranted; etc.).
• On rare occasions, may require representing the insured and/or the company at settlement conferences.
• On rare occasions, may require appearing at and representing the insureds at arbitrations and trials.
• On rare occasions, may require testimony in a deposition setting.
• Evaluating potential for subrogation and initiating initial notice of subrogation request.
• Making final decisions to settle within settlement authority, without supervisory approval, and developing negotiating strategies.
• Presenting cases in Committee setting when seeking above settlement authority level; thereafter, independently negotiating and settling the claim.

Qualifications

• High school diploma or a combination of education and 2+ directly relevant work experience.
• 2 years of related professional experience.
• 2 years of claims experience.
• Strong analytical, problem-solving and organizational skills.
• Strong ability to work independently.
• Strong decision making ability.
• Strong customer service orientation.
• Basic math and computer skills and ability to type 30 wpm.
• Proficient oral and written communication skills and good command of the English language.
• Ability to function in a team environment.
• Ability to successfully complete training courses pertinent to job duties.
• Developing understanding of statutory and regulatory requirements.
• Developing understanding of AAA claims policies and procedures preferred.
• Ability to travel on rare occasions.
• Ability to work extended hours and/or weekends.

Preferred

• 1+ years casualty experience.
• BA/BS in business, insurance or related area, or equivalent combination of education and experience.

Benefits

• Total compensation package, annual bonus eligibility for most roles.
• 401(k) with a company match.
• Flexible Workplace: Remote-first culture with options to work from various locations.
• Career Growth: Opportunities for development and long-term success.
• Inclusion and Belonging: Fostering an inclusive and welcoming workplace.
• Sustainability: Commitment to building resilient communities and reducing environmental impact.