Senior Casualty Claims Adjuster – Complex Losses

AAA Auto Club Enterprises; Santa Clarita (CA); On-site; USD 46,000 - 61,000; Full time

Benefits offered by this job

Health coverage

401(K) matching and Pension

Tuition assistance

Floating holidays and PTO

Paid parental leave

Wellness programs

Employee discounts

Job summary

AAA Auto Club Enterprises seeks a seasoned Claims Senior Casualty Adjuster to handle moderate to high complexity claims involving liability, property, and auto lines. You will investigate, evaluate coverage, negotiate, and resolve claims within authority, ensuring regulatory compliance.

Proficiency with CACS/HUON/HOC/GUIDEWIRE is essential. Ideal candidates have 7–9 years of claims handling experience, a strong insurance knowledge base, and an ability to communicate clearly with insureds and

Qualifications

• Bachelor's degree or equivalent combination of education and experience preferred.
• 7-9 years prior claims handling experience preferred.
• 4-6 years Property, Auto, Casualty or relevant claims administration experience required.
• Comprehensive knowledge of claims administration best practices and procedures.
• Advanced knowledge of insurance, fault assessment, negligence and subrogation principles required.
• Comprehensive understanding of building and vehicle repair procedures and third-party liability issues.
• Advanced knowledge of Microsoft Office suite, general computer software and claims software.
• Advanced organization and planning recognition skills required.
• Advanced oral and written communication skills required.
• Advanced interpersonal skills required.
• Advanced leadership skills among peers required. Exhibit proficiency and understanding of medical terminology and causality.
• Valid Driver's License, acceptable DMV record and minimum liability insurance required.

Responsibilities

• Conduct phone and/or field investigations to determine liability and damages.
• May attend and participate in legal proceedings.
• Identify and obtain statements from insureds, claimants and witnesses.
• Explain benefits, coverages, fault and claims process in compliance with requirements.
• Evaluate and determine claim values upon receipt and assessment of data.
• Negotiate within settlement authority to resolve first and third party claims.
• Update database production reports and document/update claim files via company systems (CACS, HUON, HOC, GUIDEWIRE).
• Control expenses for areas of responsibility.
• Verify and interpret/resolve coverage by gathering information for policy applicability.
• Respond quickly to customer needs and problems.
• Independently resolve claims within authority level.

Skills

Claims handling

Liability assessment

Negotiation

Regulatory knowledge

MS Office

Education

Bachelor's degree or equivalent

Tools

CACS

GUIDEWIRE

HUON

HOC

Job description

AAA Auto Club Enterprises seeks a seasoned Claims Senior Casualty Adjuster to handle moderate to high complexity claims involving liability, property, and auto lines. You will investigate, evaluate coverage, negotiate, and resolve claims within authority, ensuring regulatory compliance.

Proficiency with CACS/HUON/HOC/GUIDEWIRE is essential. Ideal candidates have 7–9 years of claims handling experience, a strong insurance knowledge base, and an ability to communicate clearly with insureds and