acg11d ago

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Bodily Injury Claim Specialist - Michigan

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Quick Summary

Key Responsibilities

(Primary Duties & Responsibilities) ACG is seeking a prospective Claim Specialist to work under minimal supervision. In this position,

Requirements Summary

Education: Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience In states where an Adjuster’s license is required,

Technical Tools

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It’s a great time to join AAA The Auto Club Group!

Job Type:

Full time

Salary

Responsibilities

~1 min read

ACG is seeking a prospective Claim Specialist to work under minimal supervision.

In this position, you will:

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Handle highly complex new and reassigned auto and homeowner bodily injury liability claims.
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Adhere to ACG claim handling procedures, processes and guidelines.
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Complete coverage and liability investigations, including obtaining statements from involved parties.
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Obtain required documents and reports to complete coverage and liability investigations.
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Set expectations, ensuring the claim process is explained and understood.
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Complete complex coverage analysis.
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Identify additional exposures, create appropriate referrals for additional claims and subclaims.
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Conduct thorough reviews of liability, damages, and the applicability of state law.
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Evaluate settlement range value, prepare documents related to reserve, settlement and settlement authority.
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Negotiate settlements with attorney represented and non-represented parties.
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Utilize strong negotiation skills.
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Prepare legal releases.
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Authorize expense and indemnity payments.
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Complete referrals, when required, to underwriting, recovery, SCIU, large loss unit and HRCC.
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Document claim file memos, upload documents to claim file, complete claim coding.
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Present claim matters during meetings.
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Collaborate with legal team.
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Provide peer mentoring.
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Assist Management with special reports, projects, task.

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.

What We Offer

~4 min read

Claim Specialist will earn a competitive salary of 75,000 to $85,000 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

✓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 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.

✓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.

✓Three years of experience or equivalent training in the following:

✓negotiation of claim settlements

✓securing and evaluating evidence

✓subrogation claims

✓resolving coverage questions

✓taking statements

✓establishing clear evaluation and resolution plans for claims

✓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

✓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