This position handles moderate to higher complexity claims matters involving material damage, property and / or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include investigation, evaluation, and negotiation of moderate to higher complexity claims. Employs discretion and independent judgment to ensure compliance with state and federal law, and with established company, technical, and customer service best practices.
Conduct phone and/or field investigations to determine liability and damages. May attend and participate in legal proceedings. Identify and obtain statements from insureds, claimants and witnesses.
Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements.
Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data.
Negotiate within settlement authority with insureds and claimants to resolve first and third-party claims.
Update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, etc.
Control expenses for areas of responsibility.
Verify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required.
Identify cross-sell opportunities based on members’ product needs and service requests. Enhance member relationship by diversifying use of products and services. Provides sales leads to insurance, travel and other departments as appropriate.
The position requires a higher degree of discretion and independent judgment in analysis and problem solving to effectively manage losses. Determine policy obligations by assessing the liability and damage components of the loss. Investigate and differentiate between allegations and facts in each loss. Respond quickly and effectively to customer needs and problems.
Recognize and appropriately address complex coverage issues.
Recognize and appropriately address complex subrogation issues.
Objectively discern and address issues that may be questioned in audit.
• Independently resolve claims within authority level.
Qualifications
Bachelor’s or equivalent combination of education and experience.
7-9 years of claims handling experience.
Advanced understanding of vehicle repair procedures and issues or building repair procedures and issues or third-party liability issues.
Moderate computer and line of business technical software skills required.
Moderate knowledge of fault assessment and subrogation principles required.
Moderate leadership competencies are necessary.
Advanced organization and planning recognition skills required.
Advanced oral and written communication skills required.
Advanced interpersonal skills required.
Valid Driver's License, acceptable Department of Motor Vehicles record, and minimum liability insurance issued by state is required.
The starting pay range for this position is $35.01 - $46.66 per hour. Additionally, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.
Auto Club Enterprises is the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity – we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.”
AAA is an Equal Opportunity Employer