Claim Representative - Bodily Injury

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.

Tampa, FL

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.

keywords: work environment,compensation,about acg,claims,support,medical,technical,compliance,investigate,experience,legal,claims,communication,qualifications,training,analysis,license,process management,performance,organization,medical

Individual Contributor

Competitive Compensation and Benefits Package

Overview: <span class="text" title=""><span class="text" title="">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.&nbsp;<br /><br /></span></span> <div><span style="font-size: medium;">Work Environment: Works in a temperature controlled office environment. <br /><br /><span id="requisitionDescriptionInterface.ID1571.row1" class="text" title="">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!</span><br /></span></div> <span id="requisitionDescriptionInterface.ID1513.row1" class="text" title=""><br /></span>
Responsibilities: <p style="margin-bottom: 0px; margin-top: 0px;"><strong><u>Primary Duties and Responsibilities (details of the basic job functions):</u></strong></p> <div><strong>&nbsp;</strong></div> <p style="margin-bottom: 0px; margin-top: 0px;"><span style="font-family: Arial; font-size: medium;">Our Claims Representatives work independently to perform detailed and highly complex claim functions. Investigate, evaluate and settle Auto Bodily Injury claims. Assist in the recovery of corporate claim expenditures from insureds, uninsured motorists, businesses and other insurers, etc.&nbsp; </span><span style="font-family: Arial; font-size: medium;">Explain laws/regulations regarding claim process.&nbsp; Obtains necessary medical, accident, legal and police reports to complete files.&nbsp; Reviews the status of open and closed reserves and makes adjustments consistent with exposures. Authorize checks within authority level.&nbsp; Reviews files for potential subrogation and completes 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; May represent company at trials, depositions and settlement hearings.&nbsp; Assists less experienced claim representatives with claims that are more complicated and complex.&nbsp; Assume responsibility for complex files that were previously assigned to other claim representative(s) and/or technical support staff members.&nbsp; Provides after-hour coverage to process claims on a rotating basis.</span></p>
Requirements: <div id="requisitionDescriptionInterface.ID1470.row1" class="contentlinepanel" title=""> <p style="margin-bottom: 0px; margin-top: 0px;"><strong><u>Preferred Qualifications:</u></strong></p> <ul> <li> <div style="margin-bottom: 0px; margin-top: 0px;">Associate's degree in Business Administration, Insurance or a related field or the equivalent in related work experience.</div> </li> <li><span style="font-size: medium;">Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent. </span></li> <li><span style="font-size: medium;">CPCU coursework or designation. </span></li> <li><span style="font-size: medium;">4 Years of Florida Bodily Injury Claims Handling Experience</span></li> <li><span style="font-size: medium;">Strong negotiation skills.</span></li> <li><span style="font-size: medium;">Ability to work in a fast pace environment. </span></li> <li><span style="font-size: medium;">Experience with handling Florida litigated auto and homeowners claims.</span></li> </ul> <div><span style="font-size: medium;">&nbsp;</span></div> <div><span style="font-size: medium;">Experience to include: </span></div> <ul type="disc"> <li><span style="font-size: medium;">Analyzing and problem solving </span></li> <li><span style="font-size: medium;">Organization and planning </span></li> <li><span style="font-size: medium;">Decision making </span></li> <li><span style="font-size: medium;">Coordination and collection of data to handle subrogation opportunities on multiple claims from one event </span></li> <li><span style="font-size: medium;">Basic PC software skills (Word, Excel etc.)</span></li> </ul> <span class="blockpanel"><span class="">&nbsp;</span></span></div> <div id="requisitionDescriptionInterface.ID1528.row1" class="contentlinepanel" title=""> <div id="requisitionDescriptionInterface.ID1544.row1" class="inlinepanel" style="display: inline;" title=""><span class="subtitle">Qualifications</span></div> <span class="blockpanel"><span class="">&nbsp;</span></span> <p style="margin-bottom: 0px; margin-top: 0px;"><strong><u>Required Qualifications (these are the minimum requirements to qualify):</u></strong></p> <ul> <li><span style="font-size: medium;">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. </span></li> <li><span style="font-size: medium;">Experience as a Claim Representative, a Public or Private Investigator, or equivalent or a minimum of one&nbsp;year prior experience as a Claim Associate within identified area (e.g. casualty, auto physical damage, homeowners). Applicants selected from the Claim Associate candidate pool must successfully complete all training required within nine (9) months of hire. </span></li> <li><span style="font-size: medium;">Experience in the investigation, evaluation and settlement of claims to include: </span></li> <li><span style="font-size: medium;">Third and First Party (BI and UM/UIM) claims of complex nature </span></li> </ul> <div><span style="font-size: medium;">Experience to include: </span></div> <ul type="disc"> <li><span style="font-size: medium;">Complex claim investigations </span></li> <li><span style="font-size: medium;">Negotiation of claim settlements for injury claims involving auto and homeowners </span></li> </ul> <div><span style="font-size: medium;">Investigation experience to include:</span></div> <ul type="disc"> <li><span style="font-size: medium;">Securing and evaluating evidence </span></li> <li><span style="font-size: medium;">Determining the existence of possible criminal actions </span></li> <li><span style="font-size: medium;">Assisting in the preparation of court proceedings and directing litigation on claim files</span></li> </ul> <div><span style="font-size: medium;">Knowledge to include: </span></div> <ul type="disc"> <li><span style="font-size: medium;">Negligence law </span></li> <li><span style="font-size: medium;">No-fault law </span></li> <li><span style="font-size: medium;">Essential insurance act </span></li> <li><span style="font-size: medium;">The fair trade practices act as they relate to claims </span></li> <li><span style="font-size: medium;">Auto construction and repair techniques </span></li> <li><span style="font-size: medium;">Medical terminology and human anatomy </span></li> <li><span style="font-size: medium;">Criminal law </span></li> <li><span style="font-size: medium;">Court procedures </span></li> <li><span style="font-size: medium;">Subrogation procedures and processes </span></li> <li><span style="font-size: medium;">Intercompany arbitration</span></li> </ul> <div><span style="font-size: medium;">Demonstrated skill in: </span></div> <ul type="disc"> <li><span style="font-size: medium;">Organization and planning </span></li> <li><span style="font-size: medium;">Analyzing and problem solving </span></li> <li><span style="font-size: medium;">Written communications to include record keeping and report preparation</span></li> </ul> <div><span style="font-size: medium;">Ability to: </span></div> <ul type="disc"> <li><span style="font-size: medium;">Use automated processing and computer systems, including basic PC software skills </span></li> <li><span style="font-size: medium;">Effectively respond to questions/concerns </span></li> <li><span style="font-size: medium;">Communicate effectively with others in a work environment, with the Public, law enforcement personnel and vendors </span></li> <li><span style="font-size: medium;">Develop and conduct training programs on fraud detection in all lines of coverage </span></li> <li><span style="font-size: medium;">Provide technical expertise to Claims department on suspected insurance fraud </span></li> <li><span style="font-size: medium;">Independently perform detailed and highly complex injury claim negotiations </span></li> <li><span style="font-size: medium;">Process time sensitive data and information from multiple sources </span></li> <li><span style="font-size: medium;">Make decisions based on data </span></li> <li><span style="font-size: medium;">Communicate decisions to a broad audience </span></li> <li><span style="font-size: medium;">Research analyze and interpret subrogation laws in various states </span></li> <li><span style="font-size: medium;">Prioritize work </span></li> <li><span style="font-size: medium;">Work under pressure to meet deadlines </span></li> <li><span style="font-size: medium;">Willingness to travel outside of assigned territory which may involve overnight stay. </span></li> <li><span style="font-size: medium;">Willingness to relocate, work evenings or Saturdays. </span></li> <li><span style="font-size: medium;">Valid State Driver's License.</span></li> </ul> <br /><br /><span id="requisitionDescriptionInterface.ID1571.row1" class="text" title=""><span style="font-size: medium;"><strong>Important Note:</strong>&nbsp;The above statements describe the principal and essential functions, but not all functions that may be inherent in the job.&nbsp; This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements.&nbsp; Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.</span></span><br /><br /></div>