Claims Senior Casualty Adjuster

AAA • Diamond Bar, CA

5d

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, while complying with regulatory and statutory requirements. The role focuses on liability investigation, coverage evaluation, negotiation strategies, and resolution of claims. Under general supervision and within specific limits of authority, the adjuster uses discretion and independent judgment to comply with applicable laws and company, technical, and customer-service best practices.

Requirements

• Bachelor’s degree or 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 skills.
• Advanced oral and written communication skills.
• Advanced interpersonal skills.
• Advanced leadership skills among peers.
• Proficiency in 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.
• Attend and participate in legal proceedings as needed.
• Identify and obtain statements from insureds, claimants, and witnesses.
• Communicate 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 moderately complex coverage issues.
• Evaluate and determine claim values using 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.
• Control expenses within areas of responsibility.
• Verify and interpret coverage, gathering information needed to determine policy applicability and resolve coverage questions.
• Coordinate with internal and external departments as required.
• Respond promptly to customer needs and problems.
• Resolve claims independently within the assigned authority level.

Benefits

• Medical, dental, and vision coverage.
• 401(k) savings plan with company match.
• Pension.
• Tuition assistance.
• Floating holidays.
• Paid time off 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.

What This Job Offers

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