Claims Senior Casualty Adjuster

Job Summary 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. Job Duties 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 Bachelor’s 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 (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 suite, general computer software and claims software. Advanced organization and planning recognition skills. Advanced oral and written communication skills. Advanced interpersonal skills. Advanced leadership skills among peers. Proficiency and understanding of medical terminology and causality. Valid driver’s license, acceptable DMV record and minimum liability insurance (Issued by State). Chartered Property Casualty Underwriter – Insurance Institute of America (Preferred) Associate in Claims – Insurance Institute of America (Preferred) Adjuster license may be required in specific states. Travel Requirements Occasional travel to business meetings or conferences. Pay Range and Incentive Program The starting pay range for this position is $38.64 – $51.46. For full‑time positions, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance. Benefits Health coverage for medical, dental, vision 401(k) saving plans with company match and pension Tuition assistance Floating holidays and PTO for community volunteer programs Paid parental leave Wellness programs Employee discounts (membership, insurance, travel, entertainment, services and more) Equal Opportunity Employment AAA is an Equal Opportunity Employer. Our organization participates in E‑Verify. Fair Chance Hiring The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance (FCIHO), the Unincorporated Los Angeles County (ULAC) regulation, and the California Fair Chance Act (CFCA). #J-18808-Ljbffr AAA Auto Club Enterprises