Senior Casualty Adjuster

This is a fully remote position, open to applicants in California.

📋 Description

• The Claims Senior Casualty Adjuster is responsible for managing claims of moderate to high complexity that involve material damage, property, and/or liability insurance lines.

• Perform investigations through phone calls and/or fieldwork to assess liability and damages.

• May participate in legal proceedings as necessary.

• Gather and secure statements from insured parties, claimants, and witnesses.

• Engage and communicate with a diverse range of individuals, including insureds and claimants.

• Articulate benefits, coverages, fault, and the claims process, either verbally or in writing, in accordance with regulatory and statutory standards.

• Identify and effectively address moderate complexity coverage issues.

• Assess and determine claim values based on the evaluation of property, bodily injury, and liability data received.

• Negotiate settlements within authority limits with both insureds and claimants to resolve first and third party claims.

• Maintain and update database production reports and document claim files using company systems.

• Manage expenses associated with areas of responsibility.

• Verify, interpret, and resolve coverage issues by collecting necessary information to ensure policy applicability.

• Collaborate with both internal and external departments as required.

• Respond promptly to customer inquiries and issues.

• Independently manage and resolve claims within the established authority level.

⛳️ Requirements

• Bachelor's degree or an equivalent combination of education and experience.

• Preferred 7-9 years of experience in claims handling.

• Preferred 4-6 years of experience in Property, Auto, Casualty, or relevant claims administration.

• Required in-depth knowledge of claims administration best practices and procedures.

• Advanced understanding of insurance principles, fault assessment, negligence, and subrogation is required.

• Comprehensive knowledge of vehicle repair procedures and third-party liability issues.

• Proficient in Microsoft Office suite, general computer software, and claims software.

• Advanced skills in organization and planning are required.

• Strong oral and written communication skills are essential.

• Excellent interpersonal skills are required.

• Advanced leadership abilities among peers are essential.

• Demonstrate proficiency and comprehension of medical terminology and causality.

• Valid Driver's License, acceptable Department of Motor Vehicles record, and minimum liability insurance as mandated by the State are required.

• Chartered Property Casualty Underwriter designation from the Insurance Institute of America is preferred.

• Associate in Claims designation from the Insurance Institute of America is preferred.

🏝️ Benefits

• Health insurance coverage that includes medical, dental, and vision.

• 401(K) savings plans with company matching contributions and a pension plan.

• Tuition assistance programs.

• Floating holidays and paid time off for community volunteer initiatives.

• Paid parental leave benefits.

• Wellness programs to support employee health.

• Employee discounts on various services, including membership, insurance, travel, entertainment, and more!