Insurance Claims Examiner Associate (T3)

<p><strong>With a constantly growing membership, we are always welcoming dedicated professionals looking to challenge themselves and build a career within our dynamic organization. You will find that being part of a very successful team is extremely rewarding.</strong></p>

Costa Mesa, CA

AAA Templates

<h4><strong>AAA is a member service organization affiliated with the national AAA federation.&nbsp; With offices across the U.S., we're united by a common mission and common values of excellent member service.&nbsp; With more than 14,000 employees in 21 states, we provide legendary service to 16 million loyal members.&nbsp; </strong><br /><br /><strong>With a constantly growing membership, we are always welcoming dedicated professionals looking to challenge themselves and build a career within our dynamic organization.&nbsp; You will find that being a part of a very successful team is extremely rewarding.<br /></strong><strong><br />For more information visit our website: <a href="https://careers.calif.aaa.com" target="_blank" rel="noopener noreferrer">AAA.com/Careers</a></strong></h4>

keywords: about the position,benefits,claims,analysis,experience,education,training

Full-time

Overview: <p><u>About Us: </u></p> <p><strong>Teamwork. Integrity. Dedication.</strong>&nbsp;Together, we make a difference.</p> <p>If you are a career-minded, service-driven professional looking to join a fast paced organization then you have come to the right place.<strong>&nbsp;</strong>AAA is a member service organization affiliated with the national AAA network. With offices across the U.S., we&rsquo;re united by common mission and common values of excellent member service. With more than 14,000 employees in 21 states, we provide legendary service to 16 million loyal members. With a constantly growing membership, we are always welcoming dedicated professionals looking to challenge themselves and build a career within our dynamic organization. You will find that being part of a very successful team is extremely rewarding.</p> <p><u>Our Mission:</u></p> <p><strong><em>Creating members for life by exceeding our members&rsquo; expectations through valuable products and legendary service.</em></strong></p>
Responsibilities: <p>This position is responsible for the review of high exposure claim files to ensure reserves are properly set and maintained, demands are handled appropriately and regulatory standards are adhered to for compliance. <br />Subject matter expert in all disciplines. Provides guidance to ACE markets for the handling, strategy and conclusion of complex claims files. Supports the Claims business units by providing a comprehensive level of technical support and assistance. Demonstrates discretion when assessing complex and unique claims. Position works directly with Claims management to communicate trends and patterns on high severity and complex claims. Provides guidance to management for the handling, strategy and resolution of claims, including providing authority for settlement. This position ensures claims representatives and personnel are effectively delivering legendary service through annual audits. Demonstrates and model&rsquo;s the Club&rsquo;s mission and values for claims representatives and personnel. This position will be a member of the Examination Team.</p>
Requirements: <p><u>Experience and Qualifications</u></p> <ul> <li>Four year college degree or equivalent combination of education and experience required. Evidence of continuing education (i.e. industry designations) preferred.</li> <li>Ability to service claims of low, moderate and higher complexity as normally acquired through 3-10 years&rsquo; experience. Multi line business experience desirable.</li> <li>Advanced understanding of 1st party UM, 3rd party and BI/OBI casualty claims</li> <li>Moderate computer and line of business technical software skills required.</li> <li>Moderate knowledge of fault assessment and subrogation principles required.</li> <li>Moderate leadership competencies necessary.</li> <li>Advanced organization and planning recognition skills required.</li> <li>Advanced oral and written communication skills required.</li> <li>Advanced interpersonal skills required.</li> <li>Valid driver license with level of financial responsibility required by the Club and an acceptable motor vehicle record required for the field positions.</li> <li>Successful completion of Auto Club pre-employment assessments, background and drug screenings.</li> </ul> <p><u>Training</u></p> <p>Our comprehensive and employee centric training facility located in Costa Mesa provides training programs to help employees acquire various skills necessary to do their jobs and to support career development.</p> <p>BENEFITS</p> <p>Health and Wellness</p> <ul> <li>Health Coverage for Medical, Dental, Vision</li> <li>Paid time off including Vacation, Illness and Holidays</li> <li>Life Insurance</li> <li>Disability Coverage</li> <li>Pension</li> <li>401k Savings Plan</li> </ul> <p>Discounts and Opportunities</p> <ul> <li>Employee Discounts</li> <li>Opportunities across the U.S.</li> </ul>