Remote Casualty Claims Evaluator

CSAA Insurance Group; Central City (CO); Remote; USD 62,000 - 83,000; Full time

Job summary

CSAA Insurance Group is recruiting for a Casualty Evaluator in a remote-capable role spanning multiple states, including licensed and statutory jurisdictions.

The specialist handles mostly simple to moderate auto liability claims with injury, conducts investigations, negotiates settlements within authority, and may assist in higher-severity events. Strong analytics and customer focus are essential.

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.
• 1+ years casualty experience
• BA/BS in business, insurance or related area, or equivalent combination of education and experience.

Responsibilities

• 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.

Skills

Analytical skills

Independent work

Decision making

Customer service

English communication

Teamwork

Typing 30 wpm

Organizational skills

Problem solving

Education

High school diploma

BA/BS in business, insurance or related area

Tools

Microsoft Office

Claims system

Job description

CSAA Insurance Group is recruiting for a Casualty Evaluator in a remote-capable role spanning multiple states, including licensed and statutory jurisdictions.

The specialist handles mostly simple to moderate auto liability claims with injury, conducts investigations, negotiates settlements within authority, and may assist in higher-severity events. Strong analytics and customer focus are essential.