Claim Representative - CAT

<p>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 &mdash; and make a difference. Get started by choosing the career that&rsquo;s right for you.</p>

Dearborn, 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.

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Competitive Compensation and Benefits Package

Overview: <p><u>Job Description:</u></p> <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>
Responsibilities: <p><u>Primary Duties and Responsibilities (details of the basic job functions):</u></p> <ul> <li>Independently perform detailed and highly complex claim functions.&nbsp;</li> <li>Review files, obtain coverage information and contact insured to discuss claim process, provide emergency funds, etc.&nbsp; Explain laws/regulations regarding home repair.&nbsp;&nbsp;</li> <li>Arrange for vehicle/home inspections, alternate transportation/living expenses, etc.&nbsp;&nbsp; Inspects property and prepares estimate or works with direct repair facilities to obtain necessary information.&nbsp;</li> <li>Analyze damage and determines whether to repair or replace damaged parts. Work with insured to select contractor as needed. Arrange for repair or cleaning of salvageable items. Ensure the sale of salvage to reduce claim costs.&nbsp;</li> <li>Notify insured of total loss and advises regarding procedures.&nbsp; Authorize repairs and update claim diary.&nbsp;</li> <li>Review the status of open and closed reserves and makes adjustments consistent with exposures. Authorize checks within authority level.&nbsp;&nbsp;&nbsp;</li> <li>Review files for potential subrogation and complete subrogation forms.&nbsp; Assist in the recovery of corporate claim expenditures from insureds/applicants, uninsured motorists, businesses, other insurers, etc. in accordance with established procedures.&nbsp;&nbsp;</li> <li>May represent company at trials, depositions and settlement hearings.&nbsp; Assist less experienced claim representatives with claims that are more complicated and complex.&nbsp;</li> <li>Assume responsibility for complex files that were previously assigned to other claim representative(s) and/or technical support staff members.&nbsp;&nbsp;&nbsp;</li> <li>Participate in Branch Settlement Support Council Meetings and visit assigned branches and legal department to assist in structured settlement utilization as necessary.&nbsp;</li> <li>Provides after-hour coverage to process claims on a rotating basis.</li> </ul>
Requirements: <p><u>Preferred Qualifications</u>:</p> <ul> <li>Associate's 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>Xactimate experience</li> <li>Subrogation experience in a property/casualty insurance company.</li> <li>Strong negotiation skills.</li> <li>Experience to include:</li> <li>Analyzing and problem solving</li> <li>Organization and planning</li> <li>Decision making</li> <li>Investigating, evaluating and settling homeowners claims including accurately preparing construction damage estimates</li> <li>Inspecting and evaluating construction repairs for quality and compliance with repair estimates</li> <li>Coordination and collection of data to handle subrogation opportunities on multiple claims from one event</li> <li>Basic PC software skills (Word, Excel etc.)</li> </ul> <u>Qualifications:<br /></u> <ul> <li>Required Qualifications (these are the minimum requirements to qualify):</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>Experience as a Claim Representative, a Public or Private Investigator, or equivalent or a minimum of one year experience as a Claim Associate within identified area (e.g. Casualty, auto physical damage, homeowners).&nbsp; Applicants selected from the Claim Associate candidate pool must successfully complete all training required within nine (9) months of hire.</li> </ul> <span style="text-decoration: underline;">Experience in the investigation, evaluation and settlement of claims to include:</span><br /> <ul> <li>Homeowner medical and BI.</li> <li>Homeowner property claims.</li> <li>Subrogation claims.</li> </ul> <span style="text-decoration: underline;">Experience to include:</span><br /> <ul> <li>Evaluating construction repairs for quality and compliance with repair estimates</li> <li>Third party collections</li> <li>Complex claim investigations</li> <li>Negotiation of claim settlements</li> <li>Investigation experience to include:</li> <li>Securing and evaluating evidence</li> <li>Determining the existence of possible criminal actions</li> <li>Assisting in the preparation of court proceedings</li> </ul> <span style="text-decoration: underline;">Knowledge to include:</span><br /> <ul> <li>Negligence Law</li> <li>The Fair Trade Practices Act as they relate to claims.</li> <li>Building construction and repair techniques.</li> <li>Court procedures.</li> <li>Subrogation procedures and processes.</li> </ul> <span style="text-decoration: underline;">Demonstrated skill in:</span><br /> <ul> <li>Organization and planning</li> <li>Analyzing and problem solving</li> <li>Written communications to include record keeping and report preparation</li> </ul> <span style="text-decoration: underline;">Ability to:</span> <br /> <ul> <li>Use automated processing and computer systems, including basic PC software skills</li> <li>Effectively respond to questions/concerns</li> <li>Communicate effectively with others in a work environment, with the Public, law enforcement personnel and vendors.</li> <li>Develop and conduct training programs on fraud detection in all lines of coverage.</li> <li>Provide technical expertise to Claims department on suspected insurance fraud.</li> <li>Independently perform detailed and highly complex injury claim negotiations.</li> <li>Process time sensitive data and information from multiple sources.</li> <li>Make decisions based on data.</li> <li>Communicate decisions to a broad audience.</li> <li>Research analyze and interpret subrogation laws in various states.</li> <li>Prioritize work.</li> <li>Work under pressure to meet deadlines.</li> <li>Willingness to travel outside of assigned territory which may involve overnight stay.</li> <li>Willingness to relocate, work evenings or Saturdays.</li> <li>Valid State Driver's License.</li> </ul> <p><u>Work Environment:</u></p> <ul> <li>Works in a temperature controlled office environment</li> </ul>