Claims Casualty Adjuster

Auto Club Of Southern Calif; Long Beach (CA); Presencial; USD 46.000 - 61.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health coverage (medical, dental, VIS)

401(k) with company match and pension

Tuition assistance

Floating holidays and PTO

Paid parental leave

Wellness programs

Employee discounts

Descripción de la vacante

Auto Club Enterprises in Long Beach, CA seeks a Claims Casualty Adjuster to handle low-to-moderate complexity property, liability, and casualty claims. You will conduct investigations, assess damages, and negotiate settlements under defined authority.

Required are 4–6 years of claims handling experience, knowledge of claims software, and strong communication skills. Familiarity with regulatory requirements and customer service best practices is a plus.

Formación

• Bachelor's or 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.
• Advanced oral and written communication skills required.
• Strong knowledge of MS Office and claims software.

Responsabilidades

• Communicate with insureds and claimants; explain benefits, coverages, fault and claims process.
• Conduct phone/field investigations to determine liability and damages; obtain statements.
• Evaluate and determine claim values from data.
• Negotiate within settlement authority to resolve first/third-party claims.
• Update databases and document claim files (CACS, HUON, HOC, GUIDEWIRE).
• Verify and interpret coverage; coordinate with internal/external departments.
• Independently resolve claim exposures within authority.
• Respond quickly to customer needs and problems.

Conocimientos

Claims handling

Communication skills

Organization & planning

Insurance knowledge

Educación

Bachelor's/Assc. claims education preferred

Associate in Claims - IIA preferred

Herramientas

CACS

HUON

HOC

GUIDEWIRE

Descripción del empleo

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.

Pay

The starting pay range for this position is:
$33.43 - $44.53 Additionally, for full time positions, 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!)

About Auto Club Enterprises

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."

Equal Opportunity

AAA is an Equal Opportunity Employer

Compliance

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).