Claim Manager I - 1st Party Injury Claims (PIP)

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.

Lansing, MI

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/

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Full-time

Competitive Compensation and Benefits Package

Overview: <p>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> <p><strong><u>Work Environment:</u></strong></p> <p>Works in a temperature-controlled office environment. Travel (up to 30% of work time) may be required with exposure to road hazards and temperature extremes.</p> <strong><br /> <u>Compensation</u></strong><br /> 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!
Responsibilities: <p>Responsible for the cost-effective administration and operation of general claim teams. Manage teams with respect to assigned products and services. Evaluate team operations, cost effectiveness, efficiency, quality of service, individual and overall team performance. Identify training needs and establish training priorities for department. Coach and counsel team members engaged in providing claim service delivery in Michigan and/or out-of-state areas. Participate in the development/revision of claims training information/programs. Update training materials and practices and ensures distribution to claims personnel.</p> <p>Manage and administers claim review and auditing functions. Analyze problems relating to products and services and make recommendations for improvement and implements approved method.</p> <p>Monitor customer service levels to ensure delivery of high-quality service. Effectively respond to both internal and external customer inquiries and complaints. Monitor activities of vendors who support claim operations as needed.</p> <p>Assist the management with establishing short, intermediate and long-term goals and objectives. Assist in the development of the budget for the respective team. Review and monitor reports to ensure team operations are within approved budget. Responsible for explaining budget variances.</p> <p>May manage staff involved in out-of-state losses processed within the State of Michigan and/or in out-of-state locations to ensure adherence to individual state, company and departmental requirements. Develop and manage internal controls in order to audit claim functions. Provide coverage, assistance and support as needed.</p>
Requirements: <p><strong><u>Preferred Qualifications:</u></strong></p> <ul> <li>Completion of IIA (Insurance Institute of America) or other insurance coursework.</li> <li>Previous management or supervisory experience.</li> </ul> <p><strong>Experience in:</strong></p> <ul> <li>Extensive experience in handling claims in multiple states.</li> <li>Facilitating teams.</li> <li>Developing, coordinating or delivering training programs.</li> <li>Basic PC skills.</li> </ul> <p><strong><u>Qualifications</u></strong></p> <p><strong>Required Qualifications (these are the minimum requirements to qualify):</strong></p> <ul> <li>College level coursework in Business Administration, Insurance, or a related field or the equivalent in related work experience. Bachelor&rsquo;s degree preferred.</li> <li>Successful completion of ACG endorsed training programs to include: negligence, coding/reserving, general claim handling and negotiation skills.</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> </ul> <p>Experience to include:</p> <ul> <li>Project planning and management.</li> <li>PC software applications (e.g., Windows 95 or 3.11 operating systems, MS Word, Excel, PowerPoint, Access, VISIO).</li> </ul> <p>Knowledge and experience to include:</p> <ul> <li>Medical terminology and human anatomy.</li> <li>Policy coverage terminology.</li> <li>Claims processing policies and procedures.</li> <li>Subrogation procedures.</li> <li>Investigation and negotiation techniques.</li> <li>No fault law, fair trade practice act, essential insurance act.</li> <li>Claims operations and handling procedures.</li> <li>Claims terminology and processing systems.</li> <li>Measurement tools for monitoring goal achievement.</li> <li>Developing, conducting and evaluating claim training programs/materials.</li> <li>Concepts and principles involving various injury claim procedures.</li> <li>Claim settlement procedures.</li> <li>Case reserve management.</li> <li>Insurance policy provision.</li> <li>Indications of potentially fraudulent activities.</li> </ul> <p>Management ability to include:</p> <ul> <li>Strategic planning.</li> <li>Analyzing and problem solving.</li> <li>Organization and planning.</li> <li>Budget preparation.</li> <li>Decision making.</li> <li>Leadership.</li> <li>Team building.</li> </ul> <p>Ability to:</p> <ul> <li>Communicate effectively with others in a work environment.</li> <li>Prepare and present written and oral reports to all levels of management.</li> <li>Coordinate activities of team members.</li> <li>Strong written and oral communication skills.</li> <li>Possession of a valid State driver's license.</li> <li>May work long and irregular hours to include weekends and holidays.</li> </ul>