Remote Senior Claim Specialist - MI Assigned Claims

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,claims,duties,license,education,experience,knowledge & skills,ability to do,salary

Full Time

Competitive Compensation and Benefits Package

Overview: <p class="p1"><strong>About ACG:</strong></p> <p class="p1">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.</p> <p class="p2">&nbsp;</p> <p class="p1">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.</p> <p class="p2">&nbsp;</p> <p class="p1"><strong>Compensation:</strong></p> <p class="p1">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>Senior Claim Specialist PIP (Michigan Assigned Claims) &ndash; The Auto Club Group</p> <p>What you will do:</p> <p>The Auto Club Group is seeking prospective&nbsp;<strong>Senior&nbsp;Claim Specialist PIP</strong>&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.</p> <p>&nbsp;&nbsp;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 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> </ul> <p><strong>Senior Claim Specialists</strong>&nbsp;are assigned MI PIP claims involving litigation/arbitration.&nbsp; Handle the most complex claims involving liability disputes, bodily injuries, and coverage questions.&nbsp;</p> <p><strong>Senior Claims Specialists</strong>&nbsp;assigned to the PIP unit are responsible for claims involving the MACP and quadriplegic, traumatic brain, amputations and other catastrophic injuries. The role will require proficiency in dealing with the MACP and attorney represented claims. Work with insureds, physicians&rsquo; offices and medical insurance carriers to obtain necessary information to complete the claims review process and make the appropriate determinations.</p> <p>&nbsp;Successful&nbsp;Senior Claim Specialist PIP&nbsp;will:</p> <ul> <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>Manage time, organize and plan work load and responsibilities</li> </ul> <p>With our powerful brand and the mentoring we offer, you will find your position as a&nbsp;<strong>Senior&nbsp;Claims Specialist PIP</strong>&nbsp;can lead to a rewarding career at our growing organization.</p> <p>How you will benefit:</p> <p><strong>Senior Claim Specialist</strong>&nbsp;will earn a competitive salary of $69,000 &ndash; $84,000 annually with an annual bonus potential based on performance.</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>We&rsquo;re looking for candidates who:</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</li> <li>CPCU coursework or designation</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>&nbsp;<u>Experience:</u></p> <p>Three years of experience in the following:</p> <ul> <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&nbsp;</li> </ul> <p><u>Knowledge and Skills:</u></p> <ul> <li>Litigation</li> <li>Advanced technical knowledge of &nbsp;</li> <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&nbsp;</li> </ul> <p><u>Advanced technical knowledge of:</u></p> <ul> <li>Negligence Law</li> <li>No-Fault Law</li> <li>Medical terminology and human anatomy</li> <li>MACP and attorney represented claims&nbsp;</li> </ul> <p><u>Ability to:</u></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 claim file review and investigations</li> <li>Prioritize claim related functions</li> <li>Process time sensitive data and information from multiple sources</li> <li>Work evenings or weekends</li> </ul> <p>&nbsp;What it&rsquo;s like to work for us:</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>Who we are:</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><em>ACG&rsquo;s Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.</em></p> <p><em>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 fulfill these requirements.</em></p> <p><em><span lang="EN">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.</span></em></p> <div align="left"> <p>#LI-AH2</p> </div>