Remote Casualty Claims Evaluator

CSAA Insurance Group; Williamstown (NJ); À distance; USD 62 000 - 83 000; Plein temps

Résumé du poste

CSAA Insurance Group, a leading AAA insurer, is hiring for a Casualty Evaluator (Remote) to own and resolve first and third‑party injury claims with exposure up to $50,000 across multiple states. The role emphasizes independent work, strong analytical skills, and customer service orientation within a flexible remote environment.

Ideal candidates bring 2+ years of claims experience, a relevant BA/BS, and the ability to manage investigations, negotiations, and settlements.

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

• 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.
• H andles 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

Claims experience

Analytical skills

Independent work

Customer service

English proficiency

Team collaboration

Formation

BA/BS in business or insurance

Description du poste

CSAA Insurance Group, a leading AAA insurer, is hiring for a Casualty Evaluator (Remote) to own and resolve first and third‑party injury claims with exposure up to $50,000 across multiple states. The role emphasizes independent work, strong analytical skills, and customer service orientation within a flexible remote environment.

Ideal candidates bring 2+ years of claims experience, a relevant BA/BS, and the ability to manage investigations, negotiations, and settlements.