Remote Casualty Claims Specialist

CSAA Insurance Group

Eagle (ID)

Remote

USD 62,000 - 69,000

Full time

7 days ago
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Benefits offered by this job

Annual bonus eligibility
Remote-first culture
401(k) with company match

Job summary

CSAA Insurance Group is seeking a Casualty Specialist Evaluator for remote work nationwide (excluding Hawaii and Alaska). You will own injury-exposure claims up to $50,000, handling 1st/3rd party auto liability, and may assist in catastrophes and simple homeowner losses. The role supports multiple states and licensed states as needed.

The position emphasizes independent work, strong analytical skills, and effective communication. Occasional travel and extended hours may be required.

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 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

Claims experience
Analytical skills
Independent work
Decision making
Customer service
Communication
Typing 30 wpm
English proficiency

Education

BA/BS in business or related area

Job description

CSAA Insurance Group is seeking a Casualty Specialist Evaluator for remote work nationwide (excluding Hawaii and Alaska). You will own injury-exposure claims up to $50,000, handling 1st/3rd party auto liability, and may assist in catastrophes and simple homeowner losses. The role supports multiple states and licensed states as needed.

The position emphasizes independent work, strong analytical skills, and effective communication. Occasional travel and extended hours may be required.

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