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.

• Attend and engage in legal proceedings as required.

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

• Clarify benefits, coverages, fault, and claims procedures in accordance with regulatory and statutory mandates.

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

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

• Maintain database production reports and document claims files using company systems such as CACS, HUON, HOC, and Guidewire.

• Manage expenses associated with areas of responsibility.

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

• Collaborate with internal and external departments as necessary.

• Respond promptly to customer inquiries and concerns.

• Resolve claims independently within the established authority level.

⛳️ Requirements

• An equivalent combination of education and experience; a bachelor’s degree is preferred.

• Preferred prior experience in claims handling of 7–9 years.

• Required experience of 4–6 years in property, auto, casualty, or relevant claims administration.

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

• Required advanced understanding of insurance, fault assessment, negligence, and subrogation principles.

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

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

• Required advanced skills in organization and planning recognition.

• Required advanced oral and written communication abilities.

• Required advanced interpersonal skills.

• Required advanced leadership capabilities among peers.

• Proficient understanding of medical terminology and causality.

• A valid driver’s license, acceptable Department of Motor Vehicles record, and state-issued minimum liability insurance 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.

🏝️ Benefits

• Health coverage for medical, dental, and vision needs.

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

• Pension plan.

• Tuition assistance for further education.

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

• Paid parental leave for new parents.

• Wellness programs to promote health and well-being.

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

• Incentive programs based on organizational, team, and individual performance achievements.