Claim Representative I (Quick Claims) Job at Auto Club Group
Claim Representative I (Quick Claims)
-
(
23000018
)
Description
Claim Representative I– The Auto Club Group
What you will do:
The Auto Club Group is seeking prospective
Claim Representative I who will handle basic, entry-level claims under close supervision and with a lower-level of claim handling authority. The claim handling responsibilities may cover most of the lifecycle of the claim, or focus on an expanded role with specific phases, such as, subrogation. Will earn an hourly rate of $20.22-$22.47 hourly.
***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.***
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 a general 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.
Make referrals 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.
Employees assigned to Auto Physical Damage (“APD”) claims unit will handle simple claims that do not involve injuries or third party liability and utilize the company’s Direct Repair Shop (DRS) and QCS/Desk Review or Accelerate programs. Utilizing these programs require a basic level of claims handling expertise and authority. Additional responsibilities may include the following: determining liability issues, injuries or other factors require reassignment of the claim; contacting the insured to verify and gather accident and damage facts to determine the appropriate method of inspecting the vehicle; reviewing vehicle repair estimates to understand the value of damages applicable to the claim; monitoring and approving car rental expenses; obtaining and reviewing police reports and other vehicle or accident related documents as part of the claim investigation; monitoring vehicle repair status and interacting with DRS shops and Claims DRS Examiners when needed to resolve and communicate claim status and issues.
Employees assigned to Homeowner claims unit will handle simple claims generally valued less than $5,000, not requiring coverage analysis or disputes and utilizing ACG direct repair contractor programs. Utilizing these programs require a basic level of claims handling expertise and authority. Additional responsibilities may include the following: providing emergency funds and arranging for alternate living expenses if necessary; working with the insured to coordinate selection and assignment of an approved contractor; monitoring contractor repair status and communicating and resolving issues with the insured.
Employees assigned to Quick Claim will handle simple auto claims where the 1st party uses the company’s Direct Repair Shop (DRS), ACG staff appraisers or independent adjusters and home claims generally valued less than $5,000. Utilizing these programs require a basic level of claims handling expertise and authority. Handle first party auto physical damage claims in all markets and must possess a strong understanding of state to state tort laws to handle claims in multiple jurisdictions across ACG footprint. Additional responsibilities may include the following: identifying and referring injuries that require reassignment of the claim; contacting the insured to verify and gather accident and damage facts to determine the appropriate method of inspecting the vehicle; reviewing vehicle repair estimates to understand the value of damages applicable to the claim; monitoring and approving car rental expenses; monitoring vehicle repair status and interacting with DRS shops and Claims DRS Examiners when needed to resolve and communicate claim status and issues. Will also be assigned home property damage, home system protection and home service line claims in all markets. Prepare basic estimate of home property damages, statement of loss and settlement letter in home estimatics system. Serve as duty adjusters on a rotational basis to include conducting follow-up claim handling inquiries and activities for any colleague out of office (e.g., customer inquiries, issuing payments and responding to and approving car rental extensions). Identify time-sensitive tasks (e.g., diary management, subrogation, car rental open over 25 days, etc.) that require immediate response and take action for any colleague out of office. Additional responsibilities include assigning and reassigning claims to ensure effective workload distribution.
With our powerful brand and the mentoring we offer, you will find your position as a
Claims Representative I 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 (include minimum education and any licensing/certifications):
Post for All Claim Units:
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:
Six months of experience with:
negotiating claim settlements
securing and evaluating evidence
preparing manual and electronic estimates
subrogation claims
Knowledge and Skills:
Post for All Units:
Basic knowledge of:
Essential Insurance Act (Michigan)
Fair Trade Practices Act as it relates to claims
subrogation procedures and processes
intercompany arbitration
Basic knowledge of:
Negligence Law
No-Fault Law
collision repair and techniques
Basic knowledge of basic construction and repair techniques.
Ability to:
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
research analyze and interpret subrogation laws in various states
travel outside of assigned territory which may involve overnight stay
relocate, work evenings or weekends
III. Preferred Qualifications
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
Xactware Training
IV. Work Environment
Works in a temperature controlled office environment.
Important Note: 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.
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+ million members/14 states and 2 US territories.
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:
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 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-Dearborn
Other Locations
: United States
Work Locations
: MI-Admin Office Building (AOB) 1 Auto Club Drive Dearborn 48126
Job
: Claims
Organization
: Claims
Schedule
: Full-time
Shift
: Day
Employee Status
: Regular
Job Type
: Regular
Job Level
: Individual Contributor
Travel
: No
Job Posting
: Feb 13, 2023, 10:56:46 AM
Please Note :
caminobluff.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, caminobluff.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, Site.com is the ideal place to find your next job.