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Casualty Evaluator

Remote · Sri Lanka Full-time

Job Description:

  • Serve as owning adjuster when injury exposure is identified
  • Handle represented and unrepresented first- and third-party casualty cases
  • Handle mostly simple to moderate auto liability injury cases
  • Handle first-party Medical Payment and PIP claims
  • Handle low-complexity homeowner liability property damage claims
  • Support catastrophe-related activities, including simple homeowner losses
  • Handle Small Claims matters through conclusion
  • Investigate, manage, negotiate, settle, and resolve injury claims valued below $50,000
  • Manage claim productivity by seeking assignments through designated queues
  • Self-manage triage in the claims system
  • Make coverage determinations and advise customers on coverage issues
  • Conduct complex investigations, including interviewing witnesses and analyzing medical records and other evidence
  • Determine whether independent medical examinations are warranted
  • Occasionally represent insureds or the company at settlement conferences, arbitrations, and trials
  • Provide testimony in depositions when required
  • Evaluate subrogation potential and initiate subrogation notices
  • Make settlement decisions within authority and develop negotiating strategies
  • Present cases to committees when seeking authority above individual settlement limits, then independently negotiate and settle claims
  • Work in a virtual environment with the option to work in an office setting

Requirements:

  • High school diploma or a combination of education and 2+ directly relevant work experience
  • 2 years of related professional experience
  • 2 years of claims experience
  • OK license required
  • Strong analytical, problem-solving and organizational skills
  • Ability to work independently
  • Strong decision-making ability
  • Strong customer service orientation
  • Basic math and computer skills
  • Ability to type 30 wpm
  • Proficient oral and written communication skills and good command of the English language
  • Ability to function in a team environment
  • Ability to successfully complete training courses pertinent to job duties
  • Developing understanding of statutory and regulatory requirements
  • Ability to travel on rare occasions
  • Ability to work extended hours and/or weekends
  • 1+ years casualty experience preferred
  • BA/BS in business, insurance or related area, or equivalent combination of education and experience preferred
  • Authorization to work indefinitely in the US without requiring current or future immigration support

Benefits:

  • Annual bonus eligibility for most roles
  • 401(k) with a company match
  • Career growth and development opportunities
  • Leaders and mentors supporting development opportunities and long-term success
  • Remote-first flexible workplace
  • Flexibility to work from various locations including CSAA offices
  • Employee resource groups and volunteering opportunities
  • Reasonable accommodations for qualified applicants and employees with disabilities or other limitations
  • Company-wide annual discretionary bonus through the Annual Incentive Plan (AIP), up to 7% of eligible pay

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