Casualty Evaluator
Job Description:
- Serve as owning adjuster when injury exposure is identified
- Handle represented and unrepresented first- and third-party casualty cases
- Handle mostly simple to moderate auto liability injury cases
- Handle first-party Medical Payment and PIP claims
- Handle low-complexity homeowner liability property damage claims
- Support catastrophe-related activities, including simple homeowner losses
- Handle Small Claims matters through conclusion
- Investigate, manage, negotiate, settle, and resolve injury claims valued below $50,000
- Manage claim productivity by seeking assignments through designated queues
- Self-manage triage in the claims system
- Make coverage determinations and advise customers on coverage issues
- Conduct complex investigations, including interviewing witnesses and analyzing medical records and other evidence
- Determine whether independent medical examinations are warranted
- Occasionally represent insureds or the company at settlement conferences, arbitrations, and trials
- Provide testimony in depositions when required
- Evaluate subrogation potential and initiate subrogation notices
- Make settlement decisions within authority and develop negotiating strategies
- Present cases to committees when seeking authority above individual settlement limits, then independently negotiate and settle claims
- Work in a virtual environment with the option to work in an office setting
Requirements:
- High school diploma or a combination of education and 2+ directly relevant work experience
- 2 years of related professional experience
- 2 years of claims experience
- OK license required
- Strong analytical, problem-solving and organizational skills
- Ability to work independently
- Strong decision-making ability
- Strong customer service orientation
- Basic math and computer skills
- Ability to type 30 wpm
- Proficient oral and written communication skills and good command of the English language
- Ability to function in a team environment
- Ability to successfully complete training courses pertinent to job duties
- Developing understanding of statutory and regulatory requirements
- Ability to travel on rare occasions
- Ability to work extended hours and/or weekends
- 1+ years casualty experience preferred
- BA/BS in business, insurance or related area, or equivalent combination of education and experience preferred
- Authorization to work indefinitely in the US without requiring current or future immigration support
Benefits:
- Annual bonus eligibility for most roles
- 401(k) with a company match
- Career growth and development opportunities
- Leaders and mentors supporting development opportunities and long-term success
- Remote-first flexible workplace
- Flexibility to work from various locations including CSAA offices
- Employee resource groups and volunteering opportunities
- Reasonable accommodations for qualified applicants and employees with disabilities or other limitations
- Company-wide annual discretionary bonus through the Annual Incentive Plan (AIP), up to 7% of eligible pay