Auto Club Group Looking for Remote Casualty Claim Specialist at Remote Full Time

Job details

Job type full-time

Full job description

Job description

Remote casualty claim specialist – the auto club group

What you will do:

The auto club group is seeking prospective claim specialists who can work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.

In this position, you will have the opportunity to:

Review assigned claims, contacting the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.
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.

This position will be assigned to the florida casualty claims unit and will handle highly complex claims involving liability disputes and bodily injuriesAnswer coverage and policy questions, apply the correct liability determination, evaluate the damages and arrive at a fair settlementMay assist claim manager with file reviews and training.

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:

Excellent and comprehensive benefits packages are just another reason to work for the auto club groupBenefits include:

401k match
Medical
Dental
Vision
Pto
Paid holidays
Tuition reimbursement

Qualifications

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 experience
Cpcu coursework or designation or equivalent experience
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:

Three years of experience or equivalent training in the following:
Negotiation of injury claim settlements
Securing and evaluating evidence
Subrogation claims
Resolving coverage questions
Taking statements
Establishing clear evaluation and resolution plans for injury claims

Knowledge and skills:

Advanced knowledge of:

Fair trade practices act as it relates to claims
Subrogation procedures and processes
Handling simple litigation

Advanced knowledge of:

Negligence law
No-fault law
Medical terminology and human anatomy

Ability to:

Handle claims to our 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
Work evenings or weekends

What it’s like to work for us:

We serve our members by making their satisfaction our highest priorityWe do what’s right by sustaining an open, honest and ethical work environmentWe lead in everything we do by offering best-in-class products, benefits and servicesAnd we value our employees by seeking the best talent, rewarding high performance and holding ourselves accountable.

All in all, we create an inclusive and welcoming environment of diverse backgrounds, experiences and viewpoints, realizing our differences make us stronger.

Who we are:

The auto club group helps aaa members enjoy life’s journey with peace of mind by providing innovative solutions, advocacy and membership benefits wherever and whenever they need themWe currently conduct business in 14 states in the upper midwest and the southeast.

The auto club group has established four long-term enterprise goals:

Long-term, sustainable, profitable growth
Aaa membership growth and renewal
Operational excellence
Become the “flagship club” of the aaa federation

Important note:

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

The auto club group, and all of its affiliated companies, is an equal opportunity/affirmative action employerAll 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.

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Posted 2 days ago