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The Auto Club Group Claim Specialist in Anytown, Michigan

Claim Specialist - ( 210000XI )

Description

The Auto Club Group (ACG) provides membership, travel, insurance and financial services offerings to approximately 9 million members and customers across 11 states and 2 U.S. territories through the AAA, Meemic and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.

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:

  • Manage Data, Reports and Information for Direct Repair Program

  • Audit Claim Files

  • Assist in staff training and development

  • Manage and handle complex claims

  • Assist DRP and Field Staff management

  • Complete complex coverage analysis

  • 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.

If in the DRS Examiner role, manage Direct Repair Shops for compliance with our program. Additional responsibilities may include the following: determining cause of damage, establishing liability, and identifying subrogation potential. Monitor repairs and approve car rental expenses. Oversee ADP Litigation cases. May 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 Group. Benefits 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

  • CPCU coursework or designation

  • I-Car 2000 training

  • CCC training

  • 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:

Post for All Claim Units:

  • 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:

Post for All Claim Units:

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

Additional Items to Post for Auto Physical Damage (“APD”) Units Only:

Advanced knowledge of:

  • Negligence Law

  • No-Fault Law

  • Collision repair techniques

Additional Items to Post for Liability, Bodily Injury, Med Pay, MRTS and Non-MI Personal Injury Protection (“PIP”) Units Only:

Advanced knowledge of:

  • Negligence Law

  • No-Fault Law

  • Medical terminology and human anatomy

Additional Items to Post MI Personal Injury Protection (“PIP”) Units Only:

Advanced knowledge of:

  • Negligence Law

  • No-Fault Law

  • Medical terminology and human anatomy

  • MCCA and attorney represented claims

Additional Items to Post for Homeowners and Homeowners CAT Units Only:

  • Advanced knowledge of building construction and repair techniques

Ability to:

Post for All Claim Units:

  • 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 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

  • Relocate, work evenings or weekends

What it’s like to work for us:

We serve our members by making their satisfaction our highest priority. We do what’s right by sustaining an open, honest and ethical work environment. We lead in everything we do by offering best-in-class products, benefits and services. And 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 them. We currently conduct business in 13 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 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 fulfil these requirements.

The Auto Club Group, and all of its affiliated companies, is an equal opportunity/affirmative action 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.

Primary Location : United States-MI-Anytown

Other Locations : United States-Nebraska, United States-Tennessee

Work Locations :

MI-IL Emp Working From MI Home

99999

Job : Claims

Organization : Claims

Schedule : Full-time

Shift : Day

Employee Status : Regular

Job Type : Regular

Job Level : Individual Contributor

Travel : No

Job Posting : Apr 30, 2021, 10:29:55 PM

Req ID: 210000XI

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