Claim Specialist - Bodily Injury

It's a great time to join AAA The Auto Club Group!

JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD

Job Type:

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: APD Claim Manager I

What you will do: (Primary Duties & Responsibilities)

ACG is seeking a prospectiveClaim Specialist to work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims

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, CSIU, 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.
• Handling policies within the following States: Illinois, Indiana, Georgia and/or Tennessee

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 $ 75,000 - $95,000 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: (Preferred/Required Qualifications)

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

• Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge
• 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

Experience:

• Three years of experience or equivalent training in the following:
• negotiation of claim settlements
• securing and evaluating evidence
• preparing manual and electronic estimates
• 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 workload 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 evenings or weekends

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 national AAA federation and is the second largest AAA club in North America.

By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance.

And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other.

We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.

To learn more about AAA The Auto Club Group visit www.aaa.com

Important Note:

ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.

The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.

The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.

Regular and reliable attendance is essential for the function of this job.

AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.