Remote Casualty Claims Evaluator

CSAA; Delaware; Remote; USD 62,000 - 77,000; Full time

Job summary

CSAA Insurance Group (CSAA IG) is seeking a Casualty Evaluator for a remote role across the United States, with Hawaii and Alaska excluded. You will own adjuster responsibilities for injury exposure, manage 1st/3rd party auto liability and homeowner claims, and support catastrophes as needed.

The role requires 2+ years in claims, strong analytical and communication skills, and the ability to work independently in a virtual environment. Candidates must be willing to travel occasionally.

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.

Responsibilities

• Assigned as owning adjuster when injury exposure is identified.
• Handles both represented and unrepresented first and third-party cases appropriate for resolution with an independent settlement limit of up to $50,000.
• Handles claims in multiple states including licensed states and statutory states (OK license required).
• Handles Homeowner liability low complexity property damage claims.
• Supports the claims organization by handling Small Claims related matters to conclusion.
• When necessary, may own claims of low complexity when supporting catastrophes.
• May handle first party non-liability-based injury claim (Medical Payment and PIP)
• 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 orientation

Communication skills

Team orientation

Travel ability

Typing 30 wpm

Education

High school diploma

Tools

Claim system

Job description

CSAA Insurance Group (CSAA IG) is seeking a Casualty Evaluator for a remote role across the United States, with Hawaii and Alaska excluded. You will own adjuster responsibilities for injury exposure, manage 1st/3rd party auto liability and homeowner claims, and support catastrophes as needed.

The role requires 2+ years in claims, strong analytical and communication skills, and the ability to work independently in a virtual environment. Candidates must be willing to travel occasionally.