Claims Casualty Adjuster

null, ACSC Management Services Inc•Santa Clarita, CA
•$33 - $45

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, in compliance with regulatory and statutory requirements. The role includes liability investigation, coverage evaluation, negotiation strategies, and resolution of claims. The adjuster exercises discretion and independent judgment to ensure compliance with state and federal law and company, technical, and customer-service best practices. Under general supervision, the adjuster works within specific authority limits to resolve claims. The role may involve occasional travel to business meetings or conferences. The stated starting pay range is $33.43–$44.53. Full-time positions are eligible to participate in an incentive program based on organizational, team, and personal performance.

Requirements

  • Four to six years of 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.
  • 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 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 (required).
  • An insurance/claims adjuster license may be required for claims administration in specific states.

Nice To Haves

  • Bachelor's degree or equivalent combination of education and experience (preferred).
  • Seven to nine years of prior claims handling experience (preferred).
  • Chartered Property Casualty Underwriter designation from the Insurance Institute of America (preferred).
  • Associate in Claims designation from the Insurance Institute of America (preferred).

Responsibilities

  • Conduct phone and/or field investigations to determine liability and damages; identify and obtain statements from insureds, claimants, and witnesses; and potentially attend and participate in legal proceedings.
  • Communicate with insureds, claimants, and other individuals, explaining benefits, coverage, fault, and the claims process verbally or in writing in compliance with regulatory and statutory requirements.
  • Recognize and appropriately address moderately complex coverage issues.
  • Evaluate and determine claim values based on property, bodily injury, and liability information.
  • Negotiate within settlement authority with insureds and claimants to resolve first- and third-party claims.
  • Update production reports and document and update claim files using company systems, including CACS, HUON, HOC, and GUIDEWIRE.
  • Control expenses within areas of responsibility.
  • Verify and interpret coverage, resolve coverage questions by gathering necessary information to confirm policy applicability, and coordinate with internal and external departments as needed.
  • Respond quickly to customer needs and problems.
  • Independently resolve claims within the assigned authority level.

Benefits

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