Senior Casualty Litigation Claim Specialist
Company: The Auto Club Group
Location: Jacksonville
Posted on: September 17, 2024
Job Description:
It's a great time to join AAA The Auto Club Group!JOIN THE TEAM
COMMITTED TO DRIVING YOUR CAREER FORWARDJob Type:Full
timeExempt/Non Exempt:SalaryJob Description:Senior Claim Specialist
Casualty- The Auto Club GroupWhat 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 ReimbursementWe'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 LicenseExperience:
- 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
claimsKnowledge 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 LossAdvanced 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 techniquesAbility to:
- handle claims to the line Claim Handling Standards
- follow and apply ACG Claim policies, procedures and guidelines
- work within assigned ACG Claim systems including basic PC
software
- perform claim file review and investigations
- demonstrate effective communication skills (verbal and
written)
- demonstrate customer service skills by building and maintaining
relationships with insureds/claimants while exhibiting
understanding of their problems and responding to questions and
concerns
- analyze and solve problems while demonstrating sound
decision-making skills
- prioritize claim related functions
- process time sensitive data and information from multiple
sources
- manage time, organize and plan workload and
responsibilities
- safely operate a motor vehicle in order to attend meetings off
site
- travel outside of assigned territory which may involve
overnight stay
- relocate, work evenings or weekendsPreferred
QualificationsEducation:
- Associate degree in Business Administration, Insurance or a
related field or the equivalent in related work experience
- Completion of the Insurance Institute of America's: General
Insurance Program, Associate in Claims, Associate in Management or
equivalent
- CPCU coursework or designationWork EnvironmentThis 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.Who We AreBecome a part
of something bigger.The Auto Club Group (ACG) provides membership,
travel, insurance, and financial service offerings to approximately
14+ million members and customers across 14 states and 2 U.S.
territories through AAA, Meemic, and Fremont brands. ACG belongs to
the national AAA federation and is the second largest AAA club in
North America.By continuing to invest in more advanced technology,
pursuing innovative products, and hiring a highly skilled
workforce, AAA continues to build upon its heritage of providing
quality service and helping our members enjoy life's journey
through insurance, travel, financial services, and roadside
assistance.And when you join our team, one of the first things
you'll notice is that same, whole-hearted, enthusiastic advocacy
for each other.We have positions available for every walk of life!
AAA prides itself on creating an inclusive and welcoming
environment of diverse backgrounds, experiences, and viewpoints,
realizing our differences make us stronger.To learn more about AAA
The Auto Club Group visit Important Note:ACG's Compensation
philosophy is to provide a market-competitive structure of fair,
equitable and performance-based pay to attract and retain excellent
talent that will enable ACG to meet its short and long-term goals.
ACG utilizes a geographic pay differential as part of the base
salary compensation program. Pay ranges outlined in this posting
are based on the various ranges within the geographic areas which
ACG operates. Salary at time of offer is determined based on these
and other factors as associated with the job and job level.The
above statements describe the principal and essential functions,
but not all functions that may be inherent in the job. This job
requires the ability to perform duties contained in the job
description for this position, including, but not limited to, the
above requirements. Reasonable accommodations will be made for
otherwise qualified applicants, as needed, to enable them to
fulfill these requirements.The Auto Club Group, and all its
affiliated companies, is an equal opportunity/affirmative action
employer. All qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, gender
identity, sexual orientation, national origin, disability or
protected veteran status.Regular and reliable attendance is
essential for the function of this job.AAA The Auto Club Group is
committed to providing a safe workplace. Every applicant offered
employment within The Auto Club Group will be required to consent
to a background and drug screen based on the requirements of the
position.
Keywords: The Auto Club Group, Jacksonville , Senior Casualty Litigation Claim Specialist, Legal , Jacksonville, Florida
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