Temporary Claim Associate - Personal Injury Protection

A career at The Auto Club Group (ACG) can be satisfying, exciting and rewarding. By aligning your professional development with our business objectives, ACG can help you attain your career goals — and make a difference. Get started by choosing the career that’s right for you.

Auburn Hills, MI

Meemic Insurance Company

Meemic exists solely to serve teachers and other school employees. Founded by teachers for the educational community, we’ve made it our mission to provide our members with outstanding service and high-quality insurance coverage. For personal auto, home, boat* or umbrella coverage, look to Meemic for agents who understand and appreciate all that you do. Best of all, by choosing Meemic, you’re also supporting fellow educators through The Meemic Foundation for the Future of Education, which provides exclusive educational grants for teachers. https://www.meemic.com/

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Individual Contributor

Competitive Compensation and Benefits Package

Overview: <p style="margin-bottom: 0px; margin-top: 0px;">The Auto Club Group (ACG) provides membership, travel, insurance and financial services offerings to approximately 9 million members and customers across 11 states and 2 U.S. territories through the AAA, Meemic and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.&nbsp;<br /><br /></p> <div><strong><u>&nbsp;</u></strong></div> <div><strong><u>Work Environment</u></strong></div> <div><span style="font-size: medium;">Works indoors in a temperature controlled office environment.</span></div> <p style="margin-bottom: 0px; margin-top: 0px;"><br /><br /><span id="requisitionDescriptionInterface.ID1571.row1" class="text" title=""><span style="font-size: medium;">The Auto Club Group offers a competitive compensation and benefits packages including a base salary with performance based incentives; medical/dental/vision insurance, pension, 401(k), generous time off, a complimentary AAA Membership and much more!</span></span></p>
Responsibilities: <p style="margin-bottom: 0px; margin-top: 0px;"><strong><u>Primary Duties and Responsibilities (details of the basic job functions):</u></strong></p> <div><span style="font-size: medium;">Performs a variety of technical claim support functions to include preliminary inspections, expense tracking, pc/lan administration, authorizing additional reserves, etc. Reviews moderately complex claim files. Evaluates, negotiates, responds to inquiries and settles claims within specified limits. Maintains contact with individuals or organizations such as doctors, employers, cost containment vendors, etc. Determines the type and extent of loss and ensures the claim is consistent with all reported facts. Reviews necessary legal and police/fire reports to process claims as necessary. . Documents claim files. Refers files for investigation as warranted. Regularly makes payments, settles or recommends settlement value of claims according to policy coverage. Reviews the status of open and closed reserves and makes adjustments consistent with exposures. Reviews assigned claim files on diary for progress toward completion of settlements. Authorizes checks as required. Explains payments to claimants and responds to claimant' inquiries. Reviews files for salvage potential and handles salvage in accordance to company policy. Closes claim files in a timely manner.</span></div> <div>&nbsp;</div> <p style="margin-bottom: 0px; margin-top: 0px;">Supports professional staff members and management in a variety of activities such as telephone/computer problem resolution, handling subrogation and salvage operations, etc. Completes subrogation forms, collects necessary documentation and forwards files to the recovery unit for collection. Assumes responsibility for files that were previously assigned to other claim staff members as necessary. Assists claims management in the assignment and distribution of new claims. Coordinates or conducts special claim surveys and projects. May monitor the maintenance, repair, remodeling or renovation of assigned facility. Requests and authorizes payment of all incoming bills. Serves as contact person and coordinator for corporate real estate. Assists in orienting and training employees as assigned. Assists administrative support staff in resolving claim coverage problems as necessary. Develops, maintains and/or modifies written manuals and materials for acg insurance products and processes, including branch, centralized and home office claims, underwriting and actuarial. May coordinate the production and distribution of materials to insurance and branch employees. Compiles area production statistical reports as requested. May visit and assess storage requirements for branch locations. Monitors file destruction and shifting of files to accommodate incoming files at office or warehouse location. Packs and transports files to warehouse. Completes branch destruction as needed. May assist in the review of excess tolerance reports and work products to ensure accuracy of checks issued.</p> <p style="margin-bottom: 0px; margin-top: 0px;">Performs general claims processing functions as necessary.</p> <div>&nbsp;</div>
Requirements: <div id="requisitionDescriptionInterface.ID1470.row1" class="contentlinepanel" title=""> <p style="margin-bottom: 0px; margin-top: 0px;"><strong><u>Preferred Qualifications:</u></strong></p> <div><span style="font-size: medium;">Associate&rsquo;s degree in business administration or a related field, or the equivalent in related work experience.</span></div> <div><strong>&nbsp;</strong></div> <div><strong>Experience to include:</strong></div> <div> <ul> <li><span style="font-size: medium;">A claim related field such as insurance, automotive, medical or legal services</span></li> <li><span style="font-size: medium;">Utilizing ACG automated systems</span></li> <li><span style="font-size: medium;">Developing and delivering oral presentations</span></li> <li><span style="font-size: medium;">Preparing reports</span></li> </ul> </div> <div>&nbsp;</div> <div><strong>Knowledge and understanding to include: </strong></div> <p style="margin-bottom: 0px; margin-top: 0px;">&nbsp;</p> <ul> <li><span style="font-size: medium;">Negligence law, Michigan no fault law and the fair trade practice act as they relate to claims</span></li> <li><span style="font-size: medium;">Medical terminology and human anatomy</span></li> <li><span style="font-size: medium;">General claim processing functions</span></li> <li><span style="font-size: medium;">Meemic policies and procedures</span></li> <li><span style="font-size: medium;">Meemic products and services</span></li> </ul> <span class="blockpanel"><span class="">&nbsp;</span></span></div> <div id="requisitionDescriptionInterface.ID1528.row1" class="contentlinepanel" title=""> <div id="requisitionDescriptionInterface.ID1544.row1" class="inlinepanel" style="display: inline;" title=""><span class="subtitle">Qualifications</span></div> <span class="blockpanel"><span class="">&nbsp;</span></span> <p style="margin-bottom: 0px; margin-top: 0px;"><strong><u>Required Qualifications (these are the minimum requirements to qualify):</u></strong></p> <div><span style="font-size: medium;">Candidates must be eligible to acquire and maintain a state adjuster&rsquo;s license for appropriate state(s).</span></div> <p style="margin-bottom: 0px; margin-top: 0px;"><strong>&nbsp;</strong></p> <p style="margin-bottom: 0px; margin-top: 0px;"><strong>Successful completion of at least one of the following, or the ability to complete within 9 months of hire: </strong></p> <p style="margin-bottom: 0px; margin-top: 0px;">&nbsp;</p> <ul> <li><span style="font-size: medium;">AAA general claim policy training</span></li> <li><span style="font-size: medium;">Homeowner training</span></li> <li><span style="font-size: medium;">Policy, negligence, and no-fault training</span></li> <li><span style="font-size: medium;">Injury claim training class for technical support staff or equivalent</span></li> </ul> <div>&nbsp;</div> <div><strong>Experience to include: </strong></div> <div> <ul> <li><span style="font-size: medium;">As a general member service representative or equivalent.</span></li> <li><span style="font-size: medium;">Investigating and resolving claims or insurance problems</span></li> <li><span style="font-size: medium;">Utilizing pcs and software packages (i.e. word, power point, visio, abc flowcharter)</span></li> </ul> </div> <div>&nbsp;</div> <div><strong>Knowledge of: </strong></div> <ul> <li><span style="font-size: medium;">Claim processing policy and procedures</span></li> <li><span style="font-size: medium;">General claim processing functions</span></li> <li><span style="font-size: medium;">Claim processing system</span></li> </ul> <p style="margin-bottom: 0px; margin-top: 0px;">&nbsp;</p> <div>&nbsp;</div> <div><strong>May need knowledge in a specialized area such as: </strong></div> <div> <ul> <li><span style="font-size: medium;">Medical billing practices</span></li> <li><span style="font-size: medium;">Processing subrogation and judgment files</span></li> <li><span style="font-size: medium;">Claims quality service standards</span></li> <li><span style="font-size: medium;">Moderate knowledge of additional living expense adjustment</span></li> <li><span style="font-size: medium;">Moderate knowledge of Michigan no fault law</span></li> <li><span style="font-size: medium;">Claim processing policies and procedures</span></li> <li><span style="font-size: medium;">Moderate knowledge of medical terminology and human anatomy</span></li> <li><span style="font-size: medium;">Essential insurance act</span></li> <li><span style="font-size: medium;">General injury/liability claims</span></li> </ul> </div> <div>&nbsp;</div> <div><strong>Demonstrated skill in: </strong></div> <div> <ul> <li><span style="font-size: medium;">Organization and planning</span></li> <li><span style="font-size: medium;">Analyzing and problem solving</span></li> <li><span style="font-size: medium;">Decision making</span></li> <li><span style="font-size: medium;">Written communication to include record keeping and report preparation</span></li> </ul> </div> <div>&nbsp;</div> <div><strong style="font-size: 12pt;">Ability to include:</strong></div> <p style="margin-bottom: 0px; margin-top: 0px;">&nbsp;</p> <ul> <li><span style="font-size: medium;">Communicate effectively over the telephone</span></li> <li><span style="font-size: medium;">Analyze and resolve problems</span></li> <li><span style="font-size: medium;">Accurately enter information on a terminal keyboard</span></li> <li><span style="font-size: medium;">Make determinations on extent of loss, exposures, proof necessary to support payment of non-complex injury claims</span></li> <li><span style="font-size: medium;">Access a mainframe computer</span></li> <li><span style="font-size: medium;">Effectively respond to questions and concerns</span></li> <li><span style="font-size: medium;">Communicate effectively with customers and/or medical staff</span></li> <li><span style="font-size: medium;">Prepare and present activity and statistical reports</span></li> <li><span style="font-size: medium;">Work under pressure</span></li> <li><span style="font-size: medium;">Use automated processing and computer systems</span></li> <li><span style="font-size: medium;">Record and maintain data accurately and in a timely fashion</span></li> <li><span style="font-size: medium;">Enter basic format specifications for forms, manuals, procedures, etc. Into the computer system</span></li> <li><span style="font-size: medium;">Summarize/format statistical information, memos, tables, etc.</span></li> <li><span style="font-size: medium;">Investigate, evaluate and settle claims within specified limits</span></li> <li><span style="font-size: medium;">Service, investigate, price, evaluate and settle minor injury claims</span></li> <li><span style="font-size: medium;">Work effectively in a team environment</span></li> <li><span style="font-size: medium;">Organize and plan work within established time frames</span></li> <li><span style="font-size: medium;">Excellent verbal communication skills required in understanding members' concerns and to provide high quality customer service.</span></li> <li><span style="font-size: medium;">Willingness to work irregular hours to respond to emergencies and provide service to customers</span></li> <li><span style="font-size: medium;">W</span><span style="font-size: medium;">illingness to relocate.</span></li> <li><span style="font-size: medium;">P</span><span style="font-size: medium;">ossession of a valid state driver's license.</span></li> </ul> <br style="margin-bottom: 0px; margin-top: 0px;" /> <div> <div><span style="font-size: medium;">&nbsp;</span></div> <div><span style="font-size: medium;"><strong>Important Note:</strong>&nbsp;The above statements describe the principal and essential functions, but not all functions that may be inherent in the job.&nbsp; This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements.&nbsp; Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.</span></div> </div> </div>