Claim Specialist - Bodily Injury

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Job Type:

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 Minnesota, Wisconsin, Nebraska, Iowa, North Dakota and Regional areas.

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.
• Travel outside of assigned territory which may involve overnight stay.

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 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