Claims Casualty Adjuster

ace; United States; On-site; USD 70,000 - 93,000; Full time

Benefits offered by this job

Health coverage

401K + Pension

Tuition assistance

Floating PTO

Paid parental leave

Wellness program

Employee discounts

Job summary

Auto Club Enterprises seeks a Claims Casualty Adjuster to manage low to moderate-complexity claims involving property, liability, and related coverages. You will conduct investigations, evaluate values, and negotiate settlements within authority.

The role requires solid knowledge of insurance principles, strong communication, and proficiency with claims software. Occasional travel and licensing may be required.

Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• 4–6 years prior claims handling experience.
• 4–6 years property or casualty claims administration experience.
• 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.

Responsibilities

• Communicate with insureds and claimants regarding benefits, coverages, fault and process.
• Conduct phone and field investigations to determine liability and damages.
• Evaluate and determine claim values based on data.
• Negotiate within settlement authority to resolve first and third party claims.
• Update claim files and production reports in company systems.
• Verify coverage and gather information to determine policy applicability.
• Resolve claim exposures within authority limits.
• Respond quickly to customer needs and problems.

Skills

Claims handling

Investigation

Communication

Negotiation

Microsoft Office

Claims software

Organization

Oral and written

Interpersonal skills

Driver's license

Education

Bachelor's-equivalent

Associate in Claims

Tools

CACS

HUON

HOC

GUIDEWIRE

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)

Salary

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.

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 the Company

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