Casualty Specialist, Evaluator (Remote)

CSAA Insurance Group, a AAA Insurer•Washington, DC

1d•Remote

About The Position

CSAA Insurance Group (CSAA IG), a AAA insurer, is one of the leading personal lines property and casualty insurance groups in the United States. Here, every employee shapes our mission. We build innovative, human-centered solutions that help AAA members prevent, prepare for, and recover from life's uncertainties. You will join a collaborative, inclusive culture where your strengths have room to grow and your ideas can drive real impact. Step into a role where you can contribute to our shared success through meaningful work. We are actively hiring for a Casualty Specialist, Evaluator (Remote) Your Role: Assigned as owning adjuster when injury exposure is identified. Handles both represented and unrepresented first and third-party cases appropriate for resolution with independent settlement limit of up to $25,000. 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). Your Work: 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 assists 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 $25,000. Ability to 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.

Requirements

HS/GED or a minimum of 3 years experience in casualty claims role within P&C insurance industry
2-3 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.

Nice To Haves

BA/BS in business, insurance or related area, or equivalent combination of education and experience.
1-3 years casualty experience
Bilingual a plus!
Shows respect for differences through excellent communication skills with people from an array of backgrounds.
Actively shapes our company culture (e.g., participating in employee resource groups, volunteering, etc.)
Lives into cultural norms (e.g., willing to have cameras when it matters: helping onboard new team members, building relationships, etc.)
Fulfills business needs, which may include investing extra time, helping other teams, etc
Actively shapes our company culture (e.g., participating in employee resource groups, volunteering, etc.)
Lives into cultural norms (e.g., willing to have cameras when it matters: helping onboard new team members, building relationships, etc.)
Travels as needed for role, including divisional / team meetings and other in-person meetings
Fulfills business needs, which may include investing extra time, helping other teams, etc

Responsibilities

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 assists 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 $25,000.
Ability to 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.