Claims Casualty Adjuster

AAA Auto Club Enterprises; Lincoln (RI); On-site; USD 4,605,000 - 6,134,000; Full time

Benefits offered by this job

Health coverage

401(K) with company match

Pension

Tuition assistance

Paid parental leave

Wellness programs

Employee discounts

Job summary

AAA Auto Club Enterprises in Lincoln, RI is seeking a Claims Casualty Adjuster to manage low-to-moderate complexity claims involving property damage, liability, and coverage evaluation under supervised authority. You will conduct investigations, determine liability, and negotiate settlements with insureds and claimants.

The role requires 4–6 years of claims handling and administration experience, strong communication skills, and proficiency with claims software such as CACS and GUIDEWIRE.

Qualifications

• Bachelor's degree equivalent combination of education and experience required.
• 4–6 years of prior claims handling experience.
• 4–6 years property or casualty claims administration experience.
• Working knowledge of claims software and Microsoft Office.
• Strong communication and reporting skills.

Responsibilities

• Interact with insureds and claimants to explain benefits and process.
• Conduct phone/field investigations to determine liability and damages.
• Evaluate claim values based on property, bodily injury and liability data.
• Negotiate settlements within authority.
• Maintain claim files and update systems (CACS, GUIDEWIRE, etc.).
• Coordinate coverage verification with internal/external teams.
• Respond promptly to customer needs.

Skills

Communication

Negotiation

Investigations

Regulatory compliance

Microsoft Office

Education

Bachelor's degree or equivalent

Associate in Claims - IIA

Tools

CACS

GUIDEWIRE

HUON

HOC

Job description

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. Preferred

Travel Requirements

• Occasional travel to off-site business meetings or conferences. (5% proficiency)

The starting pay range for this position is $33.43 - $44.53 per hour. Additionally, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.

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