Three years of experience or equivalent training in the following:
negotiation of claim settlements
securing and evaluating evidence
subrogation claims
resolving coverage questions
taking statements
establishing clear evaluation and resolution plans for claims
Knowledge and Skills:
Advanced knowledge of :
Essential Insurance Act (Michigan)
Fair Trade Practices Act as it relates to claims
subrogation procedures and processes
intercompany arbitration
handling simple litigation
Negligence Law
No-Fault Law
medical terminology and human anatomy
Ability to :
handle claims to the line Claim Handling Standards
follow and apply ACG Claim policies, procedures and guidelines
work within assigned ACG Claim systems including basic PC software
perform basic claim file review and investigations
demonstrate effective communication skills (verbal and written)
demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns
analyze and solve problems while demonstrating sound decision making skills
prioritize claim related functions
process time sensitive data and information from multiple sources
manage time, organize and plan work load and responsibilities
safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc.
research analyze and interpret subrogation laws in various states
travel outside of assigned territory which may involve overnight stay
relocate, work ev
Benefits
Dental insuranceVision insurance401(k)Paid time offRemote work optionsPerformance bonus
Additional Information
It's a great time to join AAA The Auto Club Group!
JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD
Job Type:
Full time
Exempt/Non Exempt:
Salary
Job Description:
***This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. ***
Claim Specialist - Bodily Injury - The Auto Club Group
Reports to: Casualty Claim Manager II
What you will do: (Primary Duties & Responsibilities)
ACG is seeking a prospective Claim Specialist to work under minimal supervision.
In this position, you will:
Handle highly complex new and reassigned auto and homeowner bodily injury liability claims.
Adhere to ACG claim handling procedures, processes and guidelines.
Complete coverage and liability investigations, including obtaining statements from involved parties.
Obtain required documents and reports to complete coverage and liability investigations.
Set expectations, ensuring the claim process is explained and understood.
Complete complex coverage analysis.
Identify additional exposures, create appropriate referrals for additional claims and subclaims.
Conduct thorough reviews of liability, damages, and the applicability of state law.
Evaluate settlement range value, prepare documents related to reserve, settlement and settlement authority.
Negotiate settlements with attorney represented and non-represented parties.
Utilize strong negotiation skills.
Prepare legal releases.
Authorize expense and indemnity payments.
Complete referrals, when required, to underwriting, recovery, SCIU, large loss unit and HRCC.
Document claim file memos, upload documents to claim file, complete claim coding.
Present claim matters during meetings.
Collaborate with legal team.
Provide peer mentoring.
Assist Management with special reports, projects, task.
With our powerful brand and the mentoring, we offer, you will find your position as a Claims Specialist can lead to a rewarding career at our growing organization.
How you will benefit:
Claim Specialist will earn a competitive salary of 75,000 to $85,000 annually with an annual bonus potential based on performance.
Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group.
Benefits include:
401k Match
Medical
Dental
Vision
PTO
Paid Holidays
Tuition Reimbursement
We're looking for candidates who :
Education :
Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
CPCU coursework or designation
Required Qualifications:
Education:
Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states.
A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members.