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SE Michigan Sr. Homeowner Field Specialist - The Auto Club Group
What you will do: (Primary Duties & Responsibilities)The Auto Club Group is seeking prospective Senior Claims Specialist who will work under less supervision with a high-level of authority to handle highly complex technical issues and the most complex claims.
In this position, you will have the opportunity to:
Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system.
Complete coverage analysis on the most complex claims.
Ensure all possible policyholder benefits are identified.
Create additional sub-claims if needed.
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.
Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
Evaluate the financial value of the loss.
Approve payments for the appropriate parties accordingly.
Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit).
Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.
Utilize strong negotiating skills.
Senior Claim Specialists assigned to the Homeowner/CAT claim unit handle claims valued over $100,000, the insured property is unlivable and total losses. Investigate claims requiring a high level of coverage analysis and the potential assistance of experts, engineers, or specialized vendors. Substantial knowledge of building materials, construction, and restoration practices. Must be capable to independently scope and preparing large restoration estimates using available investigative and estimation tools. The ability to review contractor estimates. Requires expert negotiation skills. Strong communication skills and the ability to handle property claims that involve adverse third parties, litigation, and the use of alternative dispute resolution. Expert at provide oversight of all assigned claims including member communication, resource (including experts) coordination, tracking project schedules throughout the restoration process. May assist Claim Manager with file reviews and training.
Work EnvironmentThis 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.
Work in a temperature-controlled office environment. Depending online travel, may be required to visit courts, attorney offices, patients, hospitals, rehabilitation centers, repair facilities, damaged homes, contractors, etc., per with exposure to road hazards and temperature exposures.
How you will benefit:Claims Specialist will earn a competitive salary of $71,000 to $90,000 annually with annual bonus potential based on performance.
Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include:
Tuition ReimbursementWe're looking for candidates who: (Preferred/Required Qualifications)Required Qualifications (these are the minimum requirements to qualify)
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.
Must have a valid State Driver's License
Experience:Five years of experience in the following:
Negotiation of complex claim settlements
Securing and evaluating evidence
Preparing manual and electronic estimates
Resolving complex coverage questions
Establishing clear evaluation and resolution plans for claims
Knowledge and Skills:Advanced technical knowledge of
Essential Insurance Act (Michigan)
Fair Trade Practices Act as it relates to claims
Subrogation procedures and processes
Advanced technical knowledge of:
Advanced knowledge of building construction and repair techniques
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... For full info follow application link.
As an equal opportunity employer, ACG is committed to providing equal opportunity in all employment practices,
including but not limited to: selection, hiring, assignment, re-assignment, promotion, transfer, compensation,
evaluation, benefits, training and development, discipline and termination. The company prohibits discrimination,
harassment, and retaliation in employment based on race, color, religion, national origin, gender, sexual
preference/orientation, marital status, pregnancy, childbirth or related medical conditions, age, disability or
handicap, citizenship status, service member status, genetic information, or any other category protected by
federal, state, or local law. Violation of this policy may result in disciplinary action including termination of