Claim representative

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Job Type : Full time

Full time

Exempt / Non Exempt :

Salary

Job Description :

Auto Claim Representative II - Florida - The Auto Club Group

What you will do :

The Auto Club Group is seeking prospectiveClaim Representative IIwho canwork under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units, resolve coverage questions, take statements and establish clear evaluation and resolution plans for claims.

In this position, you will have the opportunity to :

• Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim, and initiate documentation in the claim handling system.
• Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss.
• Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler.
• 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).

This position is assigned to the Florida Auto Physical Damage ("APD") claim unit and will handle moderately complex claims involving settling Total Losses, inspecting vehicles and preparing estimates of damage.

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, identifying subrogation potential, monitoring repairs and approving car rental expense.

May handle simple APD Litigation cases.

With our powerful brand and the mentoring, we offer, you will find your position as aClaims Representative IIcan lead to a rewarding career at our growing organization.

How you will benefit :

Our Auto Club Group Claim Specialistearns a competitive salary of$58,000 - $68,000to start along with the opportunity for an annual company bonus incentive.

• Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include :
• 401k Match
• Medical
• Dental
• Vision
• Paid Holidays
• Tuition Reimbursement

We're looking for candidates who :

Education :

• Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
• CPCU coursework or designation
• I-Car 2000 training
• CCC training
• Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience.
• Must have a Florida state adjuster license
• Must have a valid State Driver's License

Experience :

• One year of experience with :
• Negotiating 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 :

Knowledge of :

• Fair Trade Practices Act as it relates to claims.
• Subrogation procedures and processes
• Intercompany arbitration

Knowledge of :

• Negligence Law
• No-Fault Law
• Collision repair techniques

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.
• Analyze and solve problems while demonstrating sound decision-making skills.
• Process time sensitive data and information from multiple sources
• Research analyze and interpret subrogation laws in various states.
• Strong negotiating skills
• State of Florida Resident Only- near the Tampa Bay area

Work Environment

This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come into an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities.

Most employees will be required to come into the office, at a minimum, for important departmental meetings or teambuilding events.

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 / 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.

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.

Last updated : 2024-07-15

Salary : $58,000 - $68,000