Casualty Evaluator - Remote

CSAA Insurance Group, a AAA Insurer • New York, IN

3d • $62,460 - $83,400 • Remote

About The Position

CSAA Insurance Group is hiring a remote Casualty Evaluator to manage injury claims and related casualty matters. The evaluator is assigned as the owning adjuster when injury exposure is identified and handles represented and unrepresented first- and third-party cases appropriate for resolution within an independent settlement authority of up to $50,000. Claims may involve multiple states, including licensed and statutory states; an Oklahoma license is required. The role may also handle low-complexity homeowner liability property damage claims, small claims matters, catastrophe-related low-complexity claims, and first-party Medical Payment and PIP claims.

The position is remote-first, with the option to work in an office setting and the ability to work from home or other CSAA locations. The evaluator manages claims from investigation through negotiation, settlement, or other resolution; makes coverage determinations; communicates with customers and claimants; and independently settles claims within assigned authority. Cases above that authority are presented to a committee, after which the evaluator independently negotiates and settles the claim. Rare duties may include representing insureds or the company at settlement conferences, arbitrations, or trials, and providing deposition testimony.

The role is open to applicants in the United States except Hawaii and Alaska. The company does not provide visa sponsorship, and applicants must be authorized to work indefinitely in the United States. The national average salary range is $62,460–$69,400; the starting range across hiring states is $62,460–$83,400, with location-based compensation. The Colorado range is $62,460–$76,550. The role is eligible for an annual discretionary bonus of up to 7% of eligible pay.

Requirements

• High school diploma or a combination of education and at least 2 years of directly relevant work experience.
• At least 2 years of related professional experience.
• At least 2 years of claims experience.
• Oklahoma license required for handling claims in applicable states.
• Strong analytical, problem-solving, and organizational skills.
• Ability to work independently and make sound decisions.
• Strong customer service orientation.
• Basic math and computer skills, including typing at least 30 words per minute.
• Proficient oral and written communication skills and good command of English.
• Ability to function in a team environment.
• Ability to successfully complete training courses pertinent to job duties.
• Developing understanding of statutory and regulatory requirements.
• Ability to travel on rare occasions.
• Ability to work extended hours and/or weekends.
• Must be authorized to work indefinitely in the United States; visa sponsorship is not provided.

Nice To Haves

• At least 1 year of casualty experience.
• Bachelor of Arts or Bachelor of Science in business, insurance, or a related area, or an equivalent combination of education and experience.
• Developing understanding of AAA claims policies and procedures.

Responsibilities

• Serve as the owning adjuster when injury exposure is identified.
• Handle mostly simple-to-moderate first- and third-party auto liability injury cases involving represented and unrepresented claimants.
• Handle first-party Medical Payment and PIP claims as needed.
• Handle low-complexity homeowner liability property damage claims, small claims matters, and simple homeowner losses related to catastrophes as needed.
• Manage, investigate, negotiate, settle, and resolve injury claims with exposure valued under $50,000.
• Manage productivity by seeking claim assignments through designated queues in the claim system; self-manage triage.
• Make coverage determinations and advise customers on appropriate actions related to coverage issues.
• Conduct investigations, including interviewing witnesses and obtaining and analyzing evidence such as medical records; determine whether an independent medical examination is warranted.
• On rare occasions, represent insureds and/or the company at settlement conferences, arbitrations, or trials, and provide deposition testimony.
• Evaluate potential subrogation and initiate an initial notice of subrogation request.
• Make final settlement decisions within assigned authority without supervisory approval and develop negotiating strategies.
• Present cases to a committee when seeking authority above the evaluator’s settlement limit, then independently negotiate and settle the claim.
• Assist with catastrophe-related activities when needed.

Benefits

• Total compensation package.
• Annual bonus eligibility; this role offers an opportunity for a company-wide annual discretionary bonus of up to 7% of eligible pay.
• 401(k) with company match.
• Career growth, mentoring, and development opportunities.
• Flexible remote-first workplace, with flexibility to work from home and, where appropriate, CSAA offices or other locations.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED