Claims Casualty Adjuster

Job Summary
The Claims Casualty Adjuster handles low to moderate-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 and negotiation of low to moderate-complexity claims in compliance with established company technical and customer service Best Practices. Under moderate supervision, works within specific limits of authority to resolve claims with well-defined procedures.

Job Duties

• 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 common coverage issues.

• 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.

• 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 their first and third party claims.

• Handle administrative functions, update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc.

• Verify and interpret/resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required.

• Independently resolve claim exposures within level of authority.

• Respond quickly to customer needs and problems.

Qualifications

• Bachelors Equivalent combination of education and experience Preferred

• 4-6 years Prior claims handling experience. Required

• 4-6 years Property or Casualty claims administration experience. Preferred

• Working knowledge of claims best practices and procedures.

• Moderate understanding of building and vehicle repair practices.

Auto Club Enterprises is the largest club within the national federation. We have nearly 17,000 employees in 24 states helping more than 18 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 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.