Sr Casualty Spec-Ctr-Outsde CA at CSAA Insurance Services LLC
Posted in General Business 15 days ago.
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Location: Colorado Springs, Colorado
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Sr Casualty Spec-Ctr-Outsde CA
R2464 Sr Casualty Spec-Ctr-Outsde CA (Open)
Colorado Springs, Colorado
Assigned as Owning/Adjuster when injury exposure is identified. Potentially Handles non-complex to complex non-injury auto claim losses) - handles what comes with file. Handles complex 1st and 3rd party auto, Home Owner and Watercraft cases involving injury. Handles litigated claims of a minor to complex nature. As applicable, may own claims of less complexity when supporting catastrophes and/or injury phone queue. Handles claims in multiple states and out of state claims.
Handles Personal Injury Protection claims. 2nd Priority in First Notice Of Loss queue (estimated at
Essential Functions / Principal Responsibilities
- Works in call center environment.
- Assigned as Owning/Adjuster when injury exposure is identified.
- Handles complex 1st and 3rd party auto, homeowners and watercraft cases involving injury.
- Handles 1st party Medical Payment and Uninsured Motorists claims, including ADB (Auto Death Benefit) claims.
- Handles liability injury claims.
- Handles Personal Injury/Property claims.
- Handles litigated claims.
- Assist in catastrophes and/or injury phone queue.
- Potentially handles Personal Injury Protection and out-of-state claims.
- 2nd priority in First Notice of Loss queue.
- Responsible for handling, managing, investigating, negotiating, settling and/or resolving complex claims with exposure valued in excess of $25,000, with minimal or no supervision.
Making coverage determinations and advising customers as to proper course of action related to coverage issues.
Conducting investigative work of a complex nature (interviewing witnesses; obtaining and analyzing evidence, including medical records; deciding whether an independent medical examination is warranted, etc.).
Making liability determinations.
Directing defense counsel in litigated claims.
Evaluating defense counsel bills for reasonableness and paying defense counsel bills.
Evaluating potential for subrogation and initiating initial notice of subrogation request.
On rare occasions, representing the company and the customers at settlement conferences and mediations.
On rare occasions, appearing at and representing company and customers at trials and arbitrations.
Developing negotiating strategies.
Negotiating with claimant or claimant's attorneys and directing defense counsel in negotiations with claimant or claimant's attorneys.
Making final decisions to settle within settlement authority without supervisory approval.
Presenting cases in Committee setting when seeking above settlement authority level; thereafter, independently negotiating and settling the claim.
Developing knowledge of litigation file handling for minor, moderate and complex litigated claims.
Strong analytical, problem-solving and organizational skills.
Strong ability to work independently.
Strong decision making ability.
Strong customer service orientation.
Basic math and computer skills and 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.
Extensive understanding of statutory and regulatory requirements.
Extensive understanding of CSAA IG claims policies and procedures preferred.
Ability to travel on rare occasions.
Education, Work Experience, Licenses & Certifications Required:
BA/BS in business, insurance or related area, or equivalent combination of education and experience.
6-7 years of claims experience
A minimum of 3-5 years in casualty experience.
Bilingual a plus