Remote Casualty Claims Specialist

CSAA Insurance Group; South Dakota Park (SD); Remote; USD 62,000 - 83,000; Full time

Job summary

CSAA Insurance Group is recruiting a Casualty Evaluator to handle both first and third-party auto liability claims with exposure under $50,000. The role supports a remote work model with an option for a first‑hand office setting and requires strong analytical, communication and negotiation skills.

Responsibilities include investigating, negotiating, and settling claims across multiple states, including licensed and statutory states, and handling medical payments/PIP where applicable.

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).
• 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 skills

Independent work

Customer service

English proficiency

Attention to detail

Communication

Education

High school diploma or equivalent

2+ years related work experience

Job description

CSAA Insurance Group is recruiting a Casualty Evaluator to handle both first and third-party auto liability claims with exposure under $50,000. The role supports a remote work model with an option for a first‑hand office setting and requires strong analytical, communication and negotiation skills.

Responsibilities include investigating, negotiating, and settling claims across multiple states, including licensed and statutory states, and handling medical payments/PIP where applicable.