Subrogation Claim Representative II

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.

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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,claims,analysis,knowledge & skills,license,education

Full Time

Competitive Compensation and Benefits Package

Overview: <p class="p1"><strong>About ACG</strong><br /> The Auto Club Group (ACG) provides membership, travel, insurance, and financial services offerings to approximately 13 million members and customers across 14 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.<br /> <br /> <strong>Compensation</strong><br /> 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>
Responsibilities: <strong>Job Description</strong> <p>&nbsp;</p> <p><strong>Subrogation Claim Representative II &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>Subrogation Claim Representative II</strong>&nbsp;who can&nbsp;work under normal supervision with an intermediate-level approval authority to handle moderately complex auto Subrogation claims within Claim Handling Standards inside units, resolve coverage questions, establish clear liability evaluations and negotiate settlement resolution plans for auto liability claims. This position is based in Tampa, Florida with the potential to work from home in the future.&nbsp; However, the candidate must be local to the Tampa Bay area.&nbsp;</p> <p>In this position, you will have the opportunity to:</p> <ul> <li>Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim, and initiate documentation in the claim handling system.&nbsp;&nbsp;</li> <li>Complete coverage and liability analysis including a review of policy coverages and provisions, and the applicability to the reported loss.</li> <li>Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler.&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.</li> <li>Conduct 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>Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.&nbsp;</li> <li>Utilize strong negotiating skills for subrogation of financials</li> <li>&nbsp;Recovery unit will complete recovery tasks on moderately complex claims for all lines of business.&nbsp; The tasks may not cover the entire lifecycle of a claim but will be an expansion of those aspects related to the financial recovery of funds previously paid on a claim from liable parties or other insurance carriers</li> <li>Evaluate and present proofs to support both liability and damage decisions;</li> <li>Apply knowledge of venues, negligence laws and case law associated with recovery for the state of Florida to determine handling strategies;</li> <li>Participate in the arbitration process as an applicant, respondent-counter applicant and as an arbitrator rendering decisions on cases presented to Arbitration Forums.</li> <li>Negotiate, settle and recover receipts; ensuring that funds recovered are accounted for appropriately and settlements are maximized.</li> </ul> <p>With our powerful brand and the mentoring we offer, you will find your position as a&nbsp;<strong>Subrogation</strong>&nbsp;<strong>Claim Representative II&nbsp;</strong>can lead to a rewarding career at our growing organization.</p> <p><strong>How you will benefit:</strong></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>Bachelor degree in Business Administration, Insurance or a related field (preferred) 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 (preferred)</li> <li>CPCU coursework or designation (preferred)</li> <li>Completed a 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 (active FL 620 required)</li> <li>Must have a valid State Driver's License&nbsp;</li> </ul> <p><u>&nbsp;Experience:</u></p> <ul> <li>Three years of experience with:</li> <li>Negotiating claim settlements</li> <li>Securing and evaluating evidence</li> <li>Preparing manual and electronic estimates</li> <li>Subrogation claims</li> <li>Resolving coverage questions</li> <li>Taking statements</li> <li>Establishing clear evaluation and resolution plans for claims</li> </ul> <p><u>Knowledge and Skills:</u></p> <p>Knowledge of:</p> <ul> <li>Essential Insurance Act (Michigan)</li> <li>Fair Trade Practices Act as it relates to claims</li> <li>Subrogation procedures and processes</li> <li>Intercompany arbitration</li> </ul> <p>Ability to:</p> <ul> <li>Handle claims to the line 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>Relocate, work evenings or weekends</li> <li>Strong negotiating skills</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 13 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 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> <p><strong>#LI-AH2</strong></p>