Senior Casualty Adjuster

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

📋 Description

• Manage claims of moderate to high complexity related to material damage, property, and/or liability insurance lines.

• Perform investigations via phone and/or in the field to assess liability and damages.

• Participate in legal proceedings as necessary.

• Collect and document statements from insured individuals, claimants, and witnesses.

• Clearly communicate benefits, coverages, liability, and claims processes both verbally and in writing.

• Address coverage issues of moderate complexity.

• Assess and establish claim values utilizing data on property, bodily injury, and liability.

• Negotiate within settlement authority to resolve both first-party and third-party claims.

• Maintain database production reports and document claim files using company systems including CACS, HUON, HOC, and Guidewire.

• Manage expenses related to assigned responsibilities.

• Verify, interpret, and resolve coverage by gathering information on policy applicability.

• Collaborate with internal and external departments.

• Respond promptly to customer inquiries and issues.

• Independently resolve claims within the designated authority level.

⛳️ Requirements

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

• A minimum of 7-9 years of prior experience in claims handling is preferred.

• At least 4-6 years of experience in Property, Auto, Casualty, or relevant claims administration is required.

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

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

• A comprehensive understanding of building and vehicle repair procedures and issues related to third-party liability.

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

• Strong organizational and planning skills are required.

• Excellent oral and written communication skills are necessary.

• Advanced interpersonal skills are required.

• Strong leadership abilities among peers are required.

• Proficient understanding of medical terminology and causality.

• A valid Driver's License, an acceptable Department of Motor Vehicles record, and minimum liability insurance mandated by the state are required.

• Chartered Property Casualty Underwriter designation is preferred.

• Associate in Claims designation is preferred.

• An insurance/claims adjuster license may be necessary for claims administration in certain states.

• Occasional travel for business meetings or conferences may be required.

🏝️ Benefits

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

• 401(K) savings plans with company matching contributions.

• Pension plan.

• Tuition assistance programs.

• Floating holidays and PTO for community volunteer activities.

• Paid parental leave benefits.

• Wellness programs available to employees.

• Employee discounts on memberships, insurance, travel, entertainment, services, and more!

• An incentive program based on the achievement of organizational, team, and individual performance.