Remote Casualty Claims Adjuster – Auto & Injury

CSAA; Oregon; À distance; USD 62 000 - 77 000; Plein temps

Résumé du poste

CSAA Insurance Group (CSAA IG) is hiring a Casualty Evaluator to support a remote-first claims operation. You will own injury-exposure cases, handle first and third party auto liability claims, and work across multiple states with an emphasis on timely investigations and settlements under $50,000.

The role offers a flexible, remote work environment with occasional travel and weekend hours as needed; candidates must have strong analytical, communication, and independent-work skills and be

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.

Responsabilités

• 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)
• Assigned as Owning/Adjuster when injury exposure is identified.
• Handles mostly simple to moderate 1st and 3rd party auto liability cases involving injury with unrepresented and attorney-represented claimants.
• May handle 1st party Medical payment and PIP.
• May assists 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.

Connaissances

Analytical skills

Problem-solving

Organizational skills

Independent work

Decision making

Customer service

English communication

Teamwork

Training compliance

Regulatory understanding

Formation

High school diploma or equivalent

BA/BS preferred

Description du poste

CSAA Insurance Group (CSAA IG) is hiring a Casualty Evaluator to support a remote-first claims operation. You will own injury-exposure cases, handle first and third party auto liability claims, and work across multiple states with an emphasis on timely investigations and settlements under $50,000.

The role offers a flexible, remote work environment with occasional travel and weekend hours as needed; candidates must have strong analytical, communication, and independent-work skills and be