It's a great time to join AAA The Auto Club Group!
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Job Type:
Full time
Exempt/Non Exempt:
Salary
Job Description:
Claim Specialist - Bodily Injury - The Auto Club Group
What you will do: (Primary Duties & Responsibilities)
ACG is seeking a Claim Specialist work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.
In this position, you will:
Review assigned claims.
Contact the insured and other affected parties,
Set expectations for the remainder of the claim process.
Document claim file memos, upload documents to claim file, complete claim coding.
Complete complex coverage analysis.
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.
Handling policies within the following states: Georgia and Tennessee.
Claim Specialist assigned to the Liability, Bodily Injury unit will handle highly complex claims involving liability disputes, bodily injuries, and valued up to $250,000. Answer coverage and policy questions. Apply the correct liability determination, evaluate the damages, and arrive at a fair settlement. May assist Claim Manager with file reviews and training.
With our powerful brand and the mentoring, we offer, you will find your position as aClaims Specialistcan lead to a rewarding career at our growing organization.
How you will benefit:
Claim Specialist Will earn a competitive salary of $68,000 to $78,000 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:
401k Match
Medical
Dental
Vision
PTO
Paid Holidays
Tuition Reimbursement
We're looking for candidates who:
Education (include minimum education and any licensing/certifications):
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
Education (Preferred):
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
Experience:
Three years of experience or equivalent training in the following:
Negotiation of claim settlements
Securing and evaluating evidence
Resolving coverage questions
Taking statements
Establishing clear evaluation and resolution plans for claims
Knowledge and Skills:
Advanced knowledge of:
Negligence 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 workload and responsibilities.
Research analyze and interpret volumes to documents and summarize them.
Work Environment
***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. *
Who We Are
Become a part of something bigger.
The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the... 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
employment.
