Claims Senior Casualty Adjuster

AAA • Diamond Bar, CA

6d • $39 - $51

About The Position

The Claims Senior Casualty Adjuster handles moderate- to high-complexity claims involving material damage, property, and/or liability insurance written by the Interinsurance Exchange, in compliance with regulatory and statutory requirements. The role’s primary functions include liability investigation, coverage evaluation, developing negotiation strategies, and resolving claims. Under general supervision and within specific authority limits, the adjuster uses discretion and independent judgment to comply with state and federal law and established company, technical, and customer-service best practices.

The position may involve phone and field investigations, legal proceedings, communication with insureds and claimants, and coordination with internal and external departments. Occasional travel to business meetings or conferences is required. The starting pay range is $38.64–$51.46. Full-time employees are eligible to participate in an incentive program based on organization, 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 state-issued 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.
• Attend and participate in legal proceedings as needed.
• Communicate with insureds, claimants, and others; explain benefits, coverages, fault, and the claims process verbally or in writing while meeting regulatory and statutory requirements.
• Recognize and address moderately complex coverage issues.
• Evaluate and determine claim values based on property, bodily injury, and liability data.
• Negotiate with insureds and claimants within settlement authority to resolve first- and third-party claims.
• Update production reports and document and update claim files using company systems.
• Control expenses within areas of responsibility.
• Verify, interpret, and resolve coverage by gathering information to confirm policy applicability; coordinate with internal and external departments as required.
• Respond promptly 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 and paid time off for community volunteer programs.
• Paid parental leave.
• Wellness programs.
• Employee discounts on membership, insurance, travel, entertainment, services, and more.
• Incentive program for eligible full-time employees, based on organization, team, and personal performance.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed