Claim Specialist - Bodily Injury

Overview

resolving coverage questions

Essential Insurance Act (Michigan)

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: APD Claim Manager I

What you will do: (Primary Duties & Responsibilities)

ACG is seeking a prospective Claim 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 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 - $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…