Claims Casualty Adjuster

MS ACSC Management Services Inc; Diamond Bar (CA); Hybrid; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health coverage

401K with company match

Pension

Tuition assistance

Floating holidays and PTO

Parental leave

Wellness programs

Employee discounts

Job summary

Auto Club Enterprises is seeking a Claims Casualty Adjuster in California to handle low to moderate-complexity property and liability claims under supervision, resolving exposures within assigned authority and adhering to industry best practices.

The role requires 4–6 years of claims experience, knowledge of claims software (CACS, GUIDEWIRE) and strong communication skills for insureds and claimants. Occasional travel may be required in support of investigations.

Qualifications

• 4–6 years claims handling experience.
• 4–6 years Property or Casualty claims administration experience.
• License may be required for claims administration in specific states.

Responsibilities

• Communicate with insureds and claimants; explain benefits, coverages, fault and process.
• Investigate liability and damages; gather statements from insureds, claimants and witnesses.
• Negotiate settlements within authority; document and update claim files.
• Update databases and use claims systems (CACS, GUIDEWIRE, HUON, HOC).
• Coordinate with internal/external departments to resolve exposures.

Skills

Claims handling

Negotiation

Communication

Regulatory compliance

Office software

Education

Bachelor's degree or equivalent

Associate in Claims (AIC)

Tools

CACS

HUON

HOC

Guidewire

Job description

Claims Casualty Adjuster Job Summary

The Claims Casualty Adjuster handles low to moderate-complexity claims involving material damage, property, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation and negotiation of low to moderate-complexity claims in compliance with established company technical and customer service Best Practices. Under moderate supervision, works within specific limits of authority to resolve claims with well-defined procedures.

Job Duties

Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address common coverage issues. Conduct phone and/or field investigations to determine liability and damages. May attend and participate in legal proceedings. Identify and obtain statements from insureds, claimants and witnesses. Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data. Negotiate within settlement authority with insureds and claimants to resolve their first and third party claims. Handle administrative functions, update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc. Verify and interpret/resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required. Independently resolve claim exposures within level of authority. Respond quickly to customer needs and problems.

Qualifications

Bachelors Equivalent combination of education and experience Preferred 4-6 years Prior claims handling experience. Required 4-6 years Property or Casualty claims administration experience. Preferred Working knowledge of claims best practices and procedures. Moderate understanding of building and vehicle repair practices. General knowledge of insurance, fault assessment, negligence and subrogation principles. Working knowledge of Microsoft Office suite, general computer software and claims software. Advanced organization and planning recognition skills required. Advanced oral and written communication skills required. Advanced interpersonal skills required. Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required Associate in Claims - Insurance Institute of America Preferred An insurance/claims adjuster license may be required for claims administration in specific states.

Travel Requirements

Occasional travel to off-site business meetings or conferences.

Remarkable benefits

• Health coverage for medical, dental, vision
• 401(K) saving plans with company match AND Pension
• Tuition assistance
• Floating holidays and PTO for community volunteer programs
• Paid parental leave
• Wellness programs
• Employee discounts (membership, insurance, travel, entertainment, services and more!)

Auto Club Enterprises is the largest club within the national AAA federation. We have nearly 17,000 employees in 24 states helping more than 18 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity – we win. All of Us! With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. “Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.”

AAA is an Equal Opportunity Employer

Our organization participates in E-Verify The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance (FCIHO), the Unincorporated Los Angeles County (ULAC) regulation, and the California Fair Chance Act (CFCA). For more than a century, AAA has been synonymous with trust, dependability, quality, and innovation. It's our mission to provide our growing membership with the legendary service we are famous for, and we welcome committed professionals ready to challenge themselves lutely