Claims Senior Casualty Adjuster

Claims Senior Casualty Adjuster

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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.

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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.

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Qualifications

Bachelors

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

required.

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 required.

Advanced oral and

written communication skills required.

Advanced

interpersonal skills required.

Advanced

leadership skills among peers required.

Exhibit

proficiency and understanding of medical terminology and

causality

Valid Driver's License, acceptable

Department of Motor Vehicles record and minimum liability insurance

• Issued by State Required

Chartered Property

Casualty Underwriter - Insurance Institute of America

Preferred

Associate in Claims - Insurance

Institute of America Preferred

An

insurance / claims adjuster license may be required for claims

administration in specific

states.

Travel

Requirements

Occasional

travel to business meetings or conferences. (5%

proficiency)

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The starting pay

range for this position is $78,200 - $104,100 annually.

Additionally, you will be eligible to participate in our incentive

program based upon the achievement of organization, team and

personal performance.

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Remarkable

benefits :

for medical, dental, vision

saving plan with company match AND Pension

Tuition assistance

community volunteer programs

Wellness program

discounts (membership, insurance, travel, entertainment, services

and more!)

Auto Club Enterprises is the

largest federation of AAA clubs in the nation. We have 14,000

employees in 21 states helping 17 million members. The strength of

our organization is our employees. Bringing together and supporting

different cultures, backgrounds, personalities, and strengths

creates a team capable of delivering legendary, lifetime service to

our members. When we embrace our diversity – we win. All of Us!

With our national brand recognition, long-standing reputation since

1902, and constantly growing membership, we are seeking

career-minded, service-driven professionals to join our team.

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"Through dedicated employees we proudly

deliver legendary service and beneficial products that provide

members peace of mind and value.”

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AAA is an Equal Opportunity

Employer