This position is primarily work from home once the initial In-person training is completed.
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 all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, negotiation strategies and claims resolution of moderate to high complexity claims. Employs discretion and independent judgment to ensure compliance with state and federal law, and with established company, technical, and customer service best practices. Under general supervision, works within specific limits of authority to resolve claims.
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 a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address moderate complexity coverage issues.
Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data.
Negotiate within settlement authority with insureds and claimants to resolve first and third party claims.
Update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc.
Control expenses for areas of responsibility.
Verify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required.
Respond quickly to customer needs and problems.
Independently resolve claims within authority level.
Qualifications
Bachelors Equivalent combination of education and experience Preferred
7-9 years Prior claims handling experience. Preferred
4-6 years Property, Auto, Casualty or relevant claims administration experience. Preferred
Comprehensive knowledge of claims administration best practices and procedures.
Advanced knowledge of insurance, fault assessment, negligence and subrogation principles required.
Comprehensive understanding of building and vehicle repair procedures and third-party liability issues.
Advanced knowledge of Microsoft Office suite, general computer software and claims software.
Advanced organization and planning recognition skills required.
Advanced oral and written communication skills required.
Advanced interpersonal skills required.
Advanced leadership skills among peers required.
Exhibit proficiency and understanding of medical terminology and causality
Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required
Chartered Property Casualty Underwriter - Insurance Institute of America Preferred
Associate in Claims - Insurance Institute of America Preferred
An insurance/claims adjuster license may be required for claims administration in specific states.
Remarkable benefits:
• Health coverage for medical, dental, vision
• 401(K) saving plan with company match AND Pension
• Tuition assistance
• PTO for community volunteer programs
• Wellness program
• Employee discounts (membership, insurance, travel, entertainment, services and more!)
"Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.”
AAA is an Equal Opportunity Employer
By applying, you consent to your information being transmitted by Jooble to the Employer, as data controller, through the Employer’s data processor SonicJobs.
See American Automobile Association, Inc Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at
...We're seeking top talent for one of the most rapidly growing marketing and advertising teams in the nation. Local startups and national... ...we are looking for the next additions to our marketing and sales team that can help take us to the next level. All of our managers...
About: Macys is proudly Americas Department Store. Theres a reason weve been around for 160 years. Customers come to us for fashion, value, and high-quality products. Now is an exciting time to join Macys. The face of retail is changing, and change requires innovation...
...family, etc. You see our construction projects all around town at some of the most prominent commercial buildings, sporting venues, airports, etc. Why join us? You will join a team of exceptional leaders and colleagues. This company is growing and with their growth,...
Consulting Associate, Environmental Compliance (Entry Level) ERM is seeking a motivated Consulting Associate, Environmental Compliance who is interested in participating on a variety of projects covering the full spectrum of ERMs services, to join our consulting firm in...
...business travelers, a long weekend with friends or your next family vacation. We are looking for a Full-Time experienced HVAC / MECHANICAL TECHNICIAN ESSENTIAL DUTIES & RESPONSIBILITIES* Ensure that all refrigerant is recovered and logged according to the EPA...