Casualty Specialist II

RESPONSIBILITY - Plans and/or conducts investigations to analyze coverage and determine liability, compensability, and extent of damages. - Completes Bodily Injury Evaluation forms and/or makes recommendations for the disposition of claims in excess of individual settlement authority. - Compiles information for discussion and decision-making by the claims committee where appropriate. - Determines the need for independent adjusters, cause and origin experts, independent medical examiners, economists, accident re-constructionists, and engineers. - Assesses actual damages associated with claims and conducts negotiations to settle claims. - Determines if subrogation is appropriate and takes steps necessary to initiate recovery efforts. - Evaluates policy coverage, and contacts insureds, claimants, attorneys, body shops and medical staff to determine injuries stemming from an accident while determining and establishing reserve requirements. - Evaluates the medical injury exposure within guidelines, obtaining authority when appropriate, and makes proper and timely payments. - Maintains accurate records and handles administrative responsibilities associated with the processing and payment of claims. - Records/updates status notes and documents results of contacts, the duration of contacts and relevant medical information; reports are consistent with internal procedures and best practices. - Maintains computer log indicating results of claim review and intentions for claim handling. - Keeps internal and/or external customers advised of file status and other matters as required. - Responds timely and appropriately to all settlement demands. - Evaluates each claim for potential fraud and works with Special Investigations Unit as required. - Performs other duties as assigned. JOB REQUIREMENTS - High School Diploma or equivalency required. - A 2-year degree or higher in a field related to the position is preferred. - At least one year of automobile liability experience is required. - A minimum of 2 years of previous auto liability claim handling experience or minimum 1 year of bodily injury claims experience is preferred. - Must currently hold or have the ability to secure and maintain adjuster license(s) within 60 days of employment. - Knowledge and understanding of applicable insurance statutes, regulations and case law. - Insurance industry knowledge. - Proficiency in Microsoft Office Suite products such as Word, Excel, PowerPoint, etc. - Strong customer service skills. - Time management, prioritization, and organizational skills. - Ability to make effective decisions on behalf of the organization with regards to casualty claims processing. - Ability to think critically and anticipate, recognize, identify, and develop solutions to problems in a timely manner. - Excellent interpersonal and communication skills, including presentation skills. - Commitment to First Acceptance’s company values. PHYSICAL DEMANDS - The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. - Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - While performing the duties of this job, the employee is regularly required to do manual tasks, which may include the use of hands to finger and handle controls. - Tasks may also require the ability to talk or hear. - The employee will frequently sit, bend, and reach with hands and arms and is occasionally required to stand and walk. - Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus. - The employee may occasionally lift and/or move up to 10 pounds. - Other abilities include possessing the capacity to learn, concentrate, think, and read. - Oftentimes the employee will be communicating and interacting with others while working. - To perform this job