Remote Senior Litigation Claim Specialist - Michigan

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.

Lincoln, NE

The Auto Club Group

AAA was founded over 100 years ago for the purpose of lobbying for driver and passenger rights, fair laws and safer vehicles — all to better promote the love of the open road and the adventure of driving. Since then, AAA has grown to over 50 million members strong, while providing valuable membership services such as roadside assistance. Additionally, AAA has broadened its horizons to include all types of travel-related services, as well as offer a variety of insurance and financial products and services. Today’s AAA is a national federation comprised of more than 50 individual clubs throughout the United States and Canada. Whether you’re traveling around the world or to the corner grocery store, planning a honeymoon or weekend road trip, learning to drive or in need of a battery boost, the best way to begin your journey is with AAA. http://michigan.aaa.com/

keywords: about acg,compensation,work environment,analysis,claims,investigate,benefits,education,experience,knowledge,initiative,skills

Full Time

Competitive Compensation and Benefits Package

Overview: <br />The Auto Club Group is seeking prospective&nbsp;Senior Litigation&nbsp;Claim Specialists&nbsp;who can&nbsp;work under less supervision with a high level of authority to handle highly complex technical issues and the most complex claims.<br /><strong><br />About ACG<br /></strong>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. <p><br /><strong>Compensation<br /></strong>The Auto Club Group offers 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!</p> <p><strong>Work Environment<br /></strong>This is a fully remote position.&nbsp;</p>
Responsibilities: <ul> <li>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.&nbsp;&nbsp;</li> <li>Complete coverage analysis on the most complex claims.</li> <li>Ensure all possible policyholder benefits are identified.&nbsp;</li> <li>Create additional sub-claims if needed.&nbsp;</li> <li>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.&nbsp;</li> <li>Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.</li> <li>Evaluate the financial value of the loss.</li> <li>Approve payments for the appropriate parties accordingly.&nbsp;</li> <li>Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units, or Claims Special Investigation Unit).&nbsp;</li> <li>Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.&nbsp;&nbsp;</li> <li>Utilize strong negotiating skills.</li> <li>The Senior Claim Specialist will be assigned to Liability/BI/MedPay/PIP claims involving litigation/arbitration. Handle the most complex claims involving liability disputes, bodily injuries, and coverage questions.</li> <li>With our powerful brand and the mentoring we offer, you will find your position as a&nbsp;Senior Litigation&nbsp;Claims Specialist&nbsp;can lead to a rewarding career at our growing organization.</li> </ul> <br /> <p>&nbsp;How you will benefit:</p> <ul> <li>Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include: <ul> <li>401k Match</li> <li>Medical</li> <li>Dental</li> <li>Vision</li> <li>PTO</li> <li>Paid Holidays</li> <li>Tuition Reimbursement</li> </ul> </li> </ul>
Requirements: <p><strong><u>Education:</u></strong></p> <ul> <li>Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience</li> <li>Completion of the Insurance Institute of America&rsquo;s: General Insurance Program, Associate in Claims, Associate in Management or equivalent</li> <li>CPCU coursework or designation</li> <li>Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience</li> <li>In states where an Adjuster&rsquo;s license is required, the candidate must be eligible to acquire a State Adjuster&rsquo;s license within 90 days of hire and maintain as specified for appropriate states.</li> <li>Must have a valid State Driver&rsquo;s License</li> </ul> <br /> <p><strong><u>Experience:</u></strong></p> <ul> <li>Five years of experience in the following:</li> <li>Georgia Claim Handling Experience</li> <li>Negotiation of complex claim settlements</li> <li>Securing and evaluating evidence</li> <li>Preparing manual and electronic estimates</li> <li>Subrogation claims</li> <li>Resolving complex coverage questions</li> <li>Taking statements</li> <li>Establishing clear evaluation and resolution plans for claims</li> </ul> <p><u><br /><strong>Knowledge and Skills:</strong></u></p> <p>Advanced technical knowledge of:</p> <ul> <li>Fair Trade Practices Act as it relates to claims</li> <li>Subrogation procedures and processes</li> <li>Intercompany arbitration</li> <li>Litigation Handling</li> </ul> <p>Advanced technical knowledge of:</p> <ul> <li>Negligence Law</li> <li>No-Fault Law</li> <li>Medical terminology and human anatomy</li> </ul> <p>Ability to:</p> <ul> <li>Handle claims to the line Claim Handling Standards</li> <li>Analyze and evaluate complex Georgia Litigated and Non-Litigated Claims</li> <li>Write Professional Letters</li> <li>Follow and apply ACG Claim policies, procedures, and guidelines</li> <li>Work within assigned ACG Claim systems including basic PC software</li> <li>Perform claim file review and investigations</li> <li>Demonstrate effective communication skills (verbal and written)</li> <li>Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns</li> <li>Analyze and solve problems while demonstrating sound decision-making skills</li> <li>Prioritize claim related functions</li> <li>Process time-sensitive data and information from multiple sources</li> <li>Manage time, organize and plan workload and responsibilities</li> <li>Safely operate a motor vehicle in order to attend meetings off-site &nbsp;</li> <li>Travel outside of assigned territory which may involve overnight stay</li> <li>Relocate, work evenings or weekends</li> </ul> <br />What it&rsquo;s like to work for us:<br /><br />We serve our members by making their satisfaction our highest priority. We do what&rsquo;s right by sustaining an open, honest and ethical work environment. We lead in everything we do by offering best-in-class products, benefits and services. And we value our employees by seeking the best talent, rewarding high performance, and holding ourselves accountable.<br /> <p><strong><br />Important Note:</strong></p> <p>The above statements describe the principle 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 fulfil these requirements.</p> <p>The Auto Club Group, and all of its affiliated companies, is an equal opportunity/affirmative action employer. &nbsp;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.</p>