Remote Casualty Claim Specialist

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.

Remote

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,reviewing claims,underwriting,communication,reports,analysis,license,education & experience,salary

Full Time

Competitive Compensation and Benefits Package

Overview: <br /> <p><strong>About ACG:</strong><br /> <br /> AAA - The Auto Club Group (ACG) is the second largest AAA club in North America, serving more than 14 million members across 14 U.S. states, the province of Quebec, Puerto Rico, and the U.S. Virgin Islands.<br /> <br /> For over 100 years, AAA has provided safety, security, and peace of mind. ACG advances AAA&rsquo;s mission by providing a full suite of products and services to millions of AAA Members, from roadside assistance to insurance to travel support. We pride ourselves on always being there when you need us, delivering the highest level of customer service and value to each and every member. We seek to be a trusted ally&mdash;on the road and throughout life&rsquo;s journey. AAA - The Auto Club Group belongs to the national AAA Federation, which is committed to improving the lives of our combined 60 million members across North America.<br /> <br /> <strong>Compensation:</strong><br /> <br /> The Auto Club Group offers competitive compensation and benefits packages including a base salary with performance-based incentives; medical/dental/vision insurance, 401(k), generous time off, a complimentary AAA Membership and much more!</p>
Responsibilities: <strong>Job Description</strong> <p>&nbsp;</p> <p align="center"><strong>Remote Casualty Claim Specialist &ndash; The Auto Club Group</strong></p> <p><strong>What you will do:</strong></p> <p>The Auto Club Group is seeking prospective&nbsp;<strong>Claim Specialists</strong>&nbsp;who can work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.&nbsp;</p> <p>&nbsp;In this position, you will have the opportunity to:</p> <ul> <li>Review assigned claims, contacting 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 complex coverage analysis.</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> </ul> <p>This position will be assigned to the Florida Casualty Claims unit and will handle highly complex claims involving liability disputes and bodily injuries. Answer coverage and policy questions<s>,</s>&nbsp;apply the correct liability determination, evaluate the damages and arrive at a fair settlement.&nbsp; May assist Claim Manager with file reviews and training.</p> <p>With our powerful brand and the mentoring we offer, you will find your position as a&nbsp;<strong>Claims Specialist&nbsp;</strong>can lead to a rewarding career at our growing organization.</p> <p><strong>How you will benefit:</strong></p> <p>Our Auto Club Group Casualty Claim Specialist&nbsp;earns an annual competitive salary of $60,700 &ndash; $81,000 with the potential to earn an annual bonus.</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>Qualifications</strong></p> <p><strong>We&rsquo;re looking for candidates who:</strong></p> <p><u>Education:</u></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's: General Insurance Program, Associate in Claims, Associate in Management or equivalent experience</li> <li>CPCU coursework or designation or equivalent experience</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's License</li> </ul> <p><u>Experience:</u></p> <ul> <li>Three years of experience or equivalent training in the following:</li> <li>Negotiation of injury claim settlements</li> <li>Securing and evaluating evidence</li> <li>Subrogation claims</li> <li>Resolving coverage questions</li> <li>Taking statements</li> <li>Establishing clear evaluation and resolution plans for injury claims</li> </ul> <p><u>Knowledge and Skills:</u></p> <p>Advanced knowledge of:</p> <ul> <li>Fair Trade Practices Act as it relates to claims</li> <li>Subrogation procedures and processes</li> <li>Handling simple litigation</li> </ul> <p>Advanced 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 our Claim Handling Standards</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 basic 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 work load and responsibilities</li> <li>Safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc.</li> <li>Research analyze and interpret subrogation laws in various states</li> <li>Travel outside of assigned territory which may involve overnight stay</li> <li>Work evenings or weekends</li> </ul> <p><strong>What it&rsquo;s like to work for us:</strong></p> <p>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.</p> <p>All in all, we create an inclusive and welcoming environment of diverse backgrounds, experiences and viewpoints, realizing our differences make us stronger.</p> <p><strong>Who we are:</strong></p> <p>The Auto Club Group helps AAA Members enjoy life&rsquo;s journey with peace of mind by providing innovative solutions, advocacy and membership benefits wherever and whenever they need them. We currently conduct business in 14 states in the upper Midwest and the Southeast.</p> <p>The Auto Club Group has established four long-term enterprise goals:</p> <ul> <li>Long-term, sustainable, profitable growth</li> <li>AAA Membership growth and renewal</li> <li>Operational excellence</li> <li>Become the &ldquo;flagship club&rdquo; of the AAA Federation</li> </ul> <p>Important Note:</p> <p>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 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>