Claims Casualty Adjuster

AAA • Valencia, CA

3d

About The Position

The Claims Senior Casualty Adjuster handles moderate- to high-complexity claims involving material damage, property, and/or liability lines of insurance written by the Interinsurance Exchange. The position conducts liability investigations, evaluates coverage, develops negotiation strategies, and resolves claims in compliance with regulatory and statutory requirements. Under general supervision and within specific authority limits, the adjuster uses discretion and independent judgment to comply with state and federal law and company, technical, and customer service best practices.

The role may involve phone and field investigations and participation in legal proceedings. The adjuster communicates with insureds, claimants, witnesses, and other parties; evaluates claim values; negotiates settlements within authorized limits; documents claims using company systems; controls expenses; and coordinates with internal and external departments. Occasional travel to business meetings or conferences is required.

The stated starting pay range is $33.43–$44.53. Full-time employees are eligible to participate in an incentive program based on organizational, team, and personal performance. The posting also describes benefits including medical, dental, and vision coverage; a 401(k) plan with company match and a pension; tuition assistance; floating holidays; PTO for community volunteer programs; paid parental leave; wellness programs; and employee discounts.

Requirements

• Bachelor’s degree, or an equivalent combination of education and experience.
• Prior claims handling experience; the posting lists 7–9 years as preferred.
• Property, auto, casualty, or relevant claims administration experience; the posting lists 4–6 years as required.
• Comprehensive knowledge of claims administration best practices and procedures.
• Advanced knowledge of insurance, fault assessment, negligence, and subrogation principles.
• Comprehensive understanding of building and vehicle repair procedures and third-party liability issues.
• Advanced knowledge of Microsoft Office, general computer software, and claims software.
• Advanced organization and planning recognition skills.
• Advanced oral and written communication skills.
• Advanced interpersonal skills.
• Advanced leadership skills among peers.
• Proficiency and understanding of medical terminology and causality.
• Valid driver’s license, acceptable Department of Motor Vehicles record, and minimum liability insurance issued by the state.
• An insurance/claims adjuster license may be required for claims administration in specific states.

Nice To Haves

• Chartered Property Casualty Underwriter (CPCU), Insurance Institute of America.
• Associate in Claims (AIC), Insurance Institute of America.

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.
• Communicate and interact with insureds, claimants, and other individuals.
• Explain benefits, coverage, fault, and the claims process verbally or in writing in compliance with regulatory and statutory requirements.
• Recognize and appropriately address moderate-complexity coverage issues.
• Evaluate and determine claim values based on property, bodily injury, and liability information.
• Negotiate with insureds and claimants within settlement authority to resolve first- and third-party claims.
• Update database production reports and document and update claim files using company systems, including CACS, HUON, HOC, and Guidewire.
• Control expenses for areas of responsibility.
• Verify, interpret, and resolve coverage by gathering information needed to determine policy applicability.
• Coordinate with internal and external departments as required.
• Respond quickly to customer needs and problems.
• Independently resolve claims within the assigned authority level.

Benefits

• Medical, dental, and vision coverage.
• 401(k) savings plan with company match and pension.
• Tuition assistance.
• Floating holidays.
• PTO for community volunteer programs.
• Paid parental leave.
• Wellness programs.
• Employee discounts on membership, insurance, travel, entertainment, services, and more.
• Incentive program for full-time employees based on organizational, team, and personal performance.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior