Remote Casualty Claims Evaluator (Adjuster)

CSAA Insurance Group; Oklahoma; Remote; USD 62.000 - 77.000; Vollzeit

Benefits dieser Stelle

Flexible Workplace

Annual Bonus Eligibility

401(k) with company match

Zusammenfassung

CSAA Insurance Group is seeking a Casualty Evaluator to handle low-exposure auto and home liability claims in a remote, flexible environment across multiple states. You will manage first- and third-party cases up to $50,000, with occasional travel and weekend hours as needed.

The role emphasizes independent analysis, timely decisions, and strong customer service, supported by ongoing training on AAA claims policies and regulatory requirements.

Qualifikationen

• 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.

Aufgaben

• 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.

Kenntnisse

Analytical skills

Independent work

Decision making

Customer service

English communication

Ausbildung

High school diploma

BA/BS in business or related area

Jobbeschreibung

CSAA Insurance Group is seeking a Casualty Evaluator to handle low-exposure auto and home liability claims in a remote, flexible environment across multiple states. You will manage first- and third-party cases up to $50,000, with occasional travel and weekend hours as needed.

The role emphasizes independent analysis, timely decisions, and strong customer service, supported by ongoing training on AAA claims policies and regulatory requirements.