Commercial Casualty Litigation Adjuster (Remote)

CSAA Insurance Group, a AAA Insurer

9d•Remote

About The Position

We're Mobilitas, a commercial insurance company created by CSAA Insurance. Our mission is to reinvent commercial insurance in the mobility space by providing technologically advanced solutions for today’s way of doing business. At Mobilitas, we believe in what's possible, we use our inventive skills to create new opportunities - we're not chasing the status quo, we're chasing a shared vision. We’re looking for motivated, innovative individuals who think big, move fast and are dedicated to creating a company from the ground up, without the constraints of a traditional insurance company. We’re excited to push the boundaries of commercial insurance and are looking for enthusiastic team members to help us reimagine insurance. We are actively hiring for a Commercial Casualty Litigation Adjuster! Your Role: As a Commercial Casualty Litigation Adjuster, you will be assigned as owning adjuster when injury exposures are identified. Claims will include catastrophic injuries, fatalities, and litigation. In this role, you will be responsible for management of the claim through conclusion, including trial, of litigated claims. May own claims within other specialized lines of business or during catastrophes. You will provide input and direction to defense counsel and be responsible for ultimate resolution through providing settlement authority and participating in negotiations with limited oversight. You will also be responsible for effective management of defense costs and indemnity. May handle first party non-liability-based injury claim (Medical Payment, PIP, Inland Marine, auto physical damage). Your Work: Assigned as owning adjuster when injury exposure is identified. Handles complex 1st and 3rd party auto liability cases involving injury, including complexity litigated cases with defense attorney involvement. May handle 1st party medical payment and PIP claims. Responsible for managing, investigating, and negotiating claims, including collaborating with defense counsel to identify strategy for negotiations. Provides input as the face of the organization via phone or in attendance on video or in-person at mediations and settlement conferences for litigation claims. Interacts directly with defense counsel providing direction, authority for resolution (i.e., settle or go to trial) and ensures appropriate outcome in balancing defense costs and indemnity on litigation claims. 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.). Direct defense counsel in non-litigated or litigated claims. May require appearing at and representing the insureds at arbitrations and trials. May require testimony in a deposition setting. Evaluate defense counsel fees and cost for reasonableness and resolve. 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. Will develop and present executive summaries on individual claims to external clients and internal executives in a virtual setting to gain alignment with client on next steps, and settlements. Handles most commercial product types including but not limited to auto, fleet, last mile delivery, and trucking. Will handle claims in most geographic venues. Handles claims involving any vehicle types that may include, but is not limited to auto, motorcycles, scooters, recreational vehicles, trucks, and remote-controlled delivery vehicles. Understands and handles claims in line with any applicable insurance program agreements, claim service level agreements. Plays a direct role in the development of other adjusters through mentorship, training, and coaching.

Requirements

6+ years of claims experience.
3+ years of experience in a Casualty claims role within P&C insurance industry with a minimum of 1 year in a Sr. Casualty role or equivalent Complex Casualty / Litigation experience.
BA/BS in business, insurance or related area, or equivalent combination of education and experience.
Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of filling position as a condition of employment.

Nice To Haves

6+ years of Casualty claims adjusters experience.
3+ years of experience in a Commercial claims role
Bilingual a plus.
Proficiency or ability to obtain proficiency in the handling of minor, moderate and complex litigated claims.
Strong analytical, problem-solving, and organizational skills.
Proficient in ability to work independently.
Strong decision-making ability.
Extensive understanding of statutory and regulatory requirements, and ability to develop proficiency in standards of civil procedure.
Ability to travel and to work extended hours and/or weekends.
Proficient oral and written communication skills and ability to organize and present complex facts to executive management.
Strong math skills, basic computer skills and ability to type at least 30 words per minute.

Responsibilities

Assigned as owning adjuster when injury exposure is identified.
Handles complex 1st and 3rd party auto liability cases involving injury, including complexity litigated cases with defense attorney involvement.
May handle 1st party medical payment and PIP claims.
Responsible for managing, investigating, and negotiating claims, including collaborating with defense counsel to identify strategy for negotiations.
Provides input as the face of the organization via phone or in attendance on video or in-person at mediations and settlement conferences for litigation claims.
Interacts directly with defense counsel providing direction, authority for resolution (i.e., settle or go to trial) and ensures appropriate outcome in balancing defense costs and indemnity on litigation claims.
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.).
Direct defense counsel in non-litigated or litigated claims.
May require appearing at and representing the insureds at arbitrations and trials.
May require testimony in a deposition setting.
Evaluate defense counsel fees and cost for reasonableness and resolve.
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.
Will develop and present executive summaries on individual claims to external clients and internal executives in a virtual setting to gain alignment with client on next steps, and settlements.
Handles most commercial product types including but not limited to auto, fleet, last mile delivery, and trucking.
Will handle claims in most geographic venues.
Handles claims involving any vehicle types that may include, but is not limited to auto, motorcycles, scooters, recreational vehicles, trucks, and remote-controlled delivery vehicles.
Understands and handles claims in line with any applicable insurance program agreements, claim service level agreements.
Plays a direct role in the development of other adjusters through mentorship, training, and coaching.