Remote Casualty Claims Specialist

CSAA

Colorado

Remote

USD 62,000 - 77,000

Full time

3 days ago

Be an early applicant

Application generator

Don’t send a generic resume — generate a resume and cover letter tailored to this exact role.

Get past ATS filters

Job summary

CSAA Insurance Group (CSAA IG) seeks a Casualty Evaluator to join a remote, nationwide team, with exceptions for Hawaii and Alaska. The role focuses on owning adjuster duties for injury exposure, handling 1st/3rd party claims up to $50,000, across multiple states, including represented and unrepresented claimants.

You will investigate, negotiate, and settle claims, support small claims, and may handle medical payment/PIP.

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)
Manage communications in writing, by telephone and by electronic means (e.g., e-mail)
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.