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Claims Senior Casualty Adjuster
Location
United States
Posted
68 days ago
Salary
$39 - $51 / hour
Seniority
Senior
No structured requirement data.
Job Description
Claims Senior Casualty Adjuster
AAA
Claims Senior Casualty Adjuster 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. 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. 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. The starting pay range for this position is: $38.64 - $51.46Additionally, for full time positions, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance. . Remarkable benefits: • Health coverage for medical, dental, vision • 401(K) saving plans with company match AND Pension • Tuition assistance • Floating holidays and PTO for community volunteer programs • Paid parental leave • Wellness programs • Employee discounts (membership, insurance, travel, entertainment, services and more!) Auto Club Enterprises is the largest club within the national AAA 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. “Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.” AAA is an Equal Opportunity Employer Our organization participates in E-Verify The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance (FCIHO), the Unincorporated Los Angeles County (ULAC) regulation, and the California Fair Chance Act (CFCA).
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Workers Compensation Claims Trainee - New England
GallagherInclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on protected characteristics by applicable federal, state, or local laws.
Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose. Overview About the INVEST Program Are you a recent college graduate looking for a long-term, stable, innovative and exciting career that helps make a meaningful difference and supports people through challenges? The Emerging Talent INVEST Program (ETIP) – Guardian Pathway is a 6-month paid, fully remote, entry-level immersive learning experience, designed for recent college graduates to gain real-world exposure, personalized coaching and mentorship and a clear, long-term career path in one of U.S. best industries. Program Highlights - 6-months, paid, fully remote learning track - Virtual classroom, peer shadowing, simulations, case studies, and hands-on experience - Fully remote (candidates must physically reside in states specified although the role is remote) - Interactive sessions, one-on-one mentorship, collaborative projects, exposure to wide variety of industries, clients, and knowledge material - Fully paid licensing and advance education opportunities - Career progression post-graduation into claims resolution manager roles and beyond Key Details: Starting salary: $60,000 USD (states outside of California) Start date: August 2026 PTO black out: Due to the structured nature of the training program we will likely not be able to support any PTO requests for the first 8 weeks of the program. How you'll make an impact What will you do? Over the course of this 6-month program you will be partnered with a team of peers and experienced Training Specialists that will create a supportive learning environment designed to position you for successful program completion. You will alternate between self-study modules, virtual classroom-style learning, guided training modules, and hands-on application of the knowledge gained. Over the course of the program, you will progressively increase your hands-on experience to immerse yourself into the world of claims management and client service excellence under the mentorship of the program mentors and training leaders. The program is designed to offer consistent and repeated opportunities to develop, grow and practice your knowledge, advance your education via licensing studies, and help you gain confidence in the unique and highly specialized field of commercial claims handling for world’s largest employers and insurance carriers. What can you expect? - Participate in Structured Learning: Actively engage in the first phase of the INVEST Program, which includes instructor-led sessions, online modules, job shadowing, and mentorship focused on foundational insurance knowledge, claims operations, and state-specific workers’ compensation regulations. - Shadow Claims Experts: Observe experienced claims professionals and learn best practices in managing lost time (indemnity) workers’ compensation claims. - Practice in a Simulated Environment ("Sandbox"): Apply newly learned concepts in a controlled, simulated claims environment designed to mimic real-world scenarios. The sandbox allows colleagues to practice making decisions, inputting data, and managing mock claims without risk, helping build confidence before handling actual cases. - Complete Program Milestones: Achieve key learning objectives and performance checkpoints as you build technical knowledge and professional skills essential for a successful claims career. - Collaborate and Network: Engage with peers, mentors, and cross-functional teams to deepen understanding of the claims process and build professional relationships within the organization. - Gradual Claim Ownership: Begin handling new workers’ compensation claims starting in Week 3 of the program. Claim assignments will begin at an incremental, supportive pace, with inventory gradually increasing as confidence and competency develop. - Support Claims Management: Take ownership of an evolving portfolio of indemnity claims under close supervision. Begin applying program training to real-world scenarios, including benefit calculations, wage loss evaluations, and return-to-work considerations. - Claims Analysis and Learning: Continue developing skills in analyzing medical documentation, regulatory guidelines, state-specific regulations, and supplemental case materials to determine claim strategy, financial exposure and potential next steps. - Stakeholder Communication: Engage in professional communication and strategy development with clients; provide support and empathy to the injured employees; secure key details from medical providers and other key stakeholders to support collaborative, outcome-focused, and empathetic claims handling. - Client Service Instructions & Carrier Guidelines: Learn how to interpret and apply client service instructions and carrier guidelines to ensure claims are handled in compliance with expectations. This includes understanding unique requirements for documentation, communication, and jurisdictional standards across our diverse client base. - Reserving Acumen: Build core skills in setting and adjusting reserves by analyzing claim details, medical data, and potential outcomes. You’ll learn how accurate reserving supports financial stewardship and impacts overall claim strategy. About You Education: Bachelor’s degree or 4-year degree from an accredited institution preferred. Candidates possessing a Bachelor’s degree will receive preferential treatment. Others with proven experience will be considered. Attributes: - Active listening skills - Problem-solving mindset - Adaptable to changes in procedures and technology - Computer literacy, including strong familiarity with M365 products (e.g. Outlook, Word, and basic Excel and PPT) - Strong verbal and written communication skills - Strong time management and ability to multi-task - Detail-oriented - Curious, learning-focused mindset #INVEST #GBTopJob #remote #LI-MD3 Compensation and benefits We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve: - Medical/dental/vision plans, which start from day one! - Life and accident insurance - 401(K) and Roth options - Tax-advantaged accounts (HSA, FSA) - Educational expense reimbursement - Paid parental leave Other benefits include: - Digital mental health services (Talkspace) - Flexible work hours (availability varies by office and job function) - Training programs - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing - Charitable matching gift program - And more... **The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process. We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.



