It's a great time to join AAA The Auto Club Group!
JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD
Job Type:
Full time
Exempt/Non Exempt:
Salary
Job Description:
Senior Claim Specialist Casualty- The Auto Club Group
What you will do:
This position is currently able to work remotely from a home office
location for day-to-day operations unless occasional travel for meetings,
collaborative activities, or team building activities is specified by
leadership. This is subject to change based on amendments and/or
modifications to the ACG Flex Work policy.
In this position, you will have the opportunity to:
Review assigned claims, contact the insured and other affected parties,
set expectations for the remainder of the claim process, and initiate
documentation in the claim handling system.
Complete coverage analysis on the most complex claims.
Ensure all possible policyholder benefits are identified.
Create additional sub-claims if needed.
Complete an investigation of the facts regarding the claim to further and in
more detail determine if the claim should be paid, the applicable limits or
exclusions and possible recovery potential.
Conduct thorough reviews of damages and determine the applicability of state
law and other factors related to the claim.
Evaluate the financial value of the loss.
Approve payments for the appropriate parties accordingly.
Refer claims to other company units when necessary (e.g., Underwriting,
Recovery Units or Claims Special Investigation Unit).
Thoroughly document and/or code the claim file and complete all claim
closure and related activities in the assigned claims management system.
Utilize strong negotiating skills.
Senior Claim Specialists are assigned Liability/BI/MedPay/Non-MI PIP
claims involving litigation/arbitration. Handle the most complex claims
involving liability disputes, bodily injuries, and coverage questions.
How you will benefit:
Senior Claim Specialist will earn a competitive salary of $73,000 to
$95,000 annually with annual bonus potential based on performance.
Excellent and comprehensive benefits packages are just another reason to work
for the Auto Club Group. Benefits include:
401k Match
Medical
Dental
Vision
PTO
Paid Holidays
Tuition Reimbursement
We're looking for candidates who:
Required Qualifications (these are the minimum requirements to qualify)
Education:
Complete ACG Claim Representative Training Program or demonstrate equivalent
knowledge or experience
In states where an Adjuster's license is required, the candidate must be
eligible to acquire a State Adjuster's license within 90 days of hire and
maintain as specified for appropriate states.
Must have a valid State Driver's License
Experience:
Five years of experience in the following:
negotiation of complex claim settlements
securing and evaluating evidence
preparing manual and electronic estimates
subrogation claims
resolving complex coverage questions
taking statements
establishing clear evaluation and resolution plans for claims
Knowledge and Skills:
Advanced technical knowledge of
Essential Insurance Act (Michigan)
Fair Trade Practices Act as it relates to claims
Subrogation procedures and processes
Intercompany arbitration
Litigation
Large Loss
Advanced technical knowledge of:
Negligence Law
No-Fault Law
medical terminology and human anatomy
Insurance Policy Review and Understanding
Coverage Review and Writing
advanced technical knowledge of building construction and repair techniques
Ability to:
handle claims to the line Claim Handling Standards
follow and apply ACG Claim... For full info follow application link.
As an equal opportunity employer, ACG is committed to providing equal
opportunity in all employment practices,
including but not limited to: selection, hiring, assignment,
re-assignment, promotion, transfer, compensation,
evaluation, benefits, training and development, discipline and