Remote Casualty Claims Specialist

CSAA Insurance Group; Clifton (TX); Remote; USD 62,000 - 77,000; Full time

Job summary

CSAA Insurance Group is hiring a Casualty Evaluator for a remote role that supports homeowners and auto liability claims across multiple states. You will own and settle straightforward to moderate first- and third-party cases, including some medical payments and PIP, with exposure under $50,000.

Candidates should have 2+ years of claims experience, strong analytical and communication skills, and a willingness to work from home with occasional travel.

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

• 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 assist 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 thinking

Independent work

Decision making

Customer service

Math skills

Typing 30 wpm

Oral and written communication

Regulatory awareness

Education

High school diploma or equivalent with 2+ related experience

BA/BS in business or related field (preferred)

Tools

Computer skills

Job description

CSAA Insurance Group is hiring a Casualty Evaluator for a remote role that supports homeowners and auto liability claims across multiple states. You will own and settle straightforward to moderate first- and third-party cases, including some medical payments and PIP, with exposure under $50,000.

Candidates should have 2+ years of claims experience, strong analytical and communication skills, and a willingness to work from home with occasional travel.