Fremont Property Desk Claims Specialist

It’s a great time to join AAA The Auto Club Group!
** JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD
**** Job Type:
** Full time
** Exempt/Non Exempt:
** Salary
*
* Job Description:

**** Fremont Property Desk Claims Specialist- AAA The Auto Club Group
***
* Reports to:

** Claim Manager as appropriate
*
* What you will do:

** Work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.

Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system.
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.

Claim Specialists assigned to Homeowner/CAT claim unit handle claims valued over $25,000 (for the inside desk role) and over $100,000 (for field role). Investigate claims requiring in-depth coverage analysis.  When handling claims in the field, must prepare damage estimates using claims software.  Review estimates for accuracy.
May monitor contractor repair status.
May assist Claim Manager with file reviews and training.

Supervisory Responsibilities:

None
** How you will benefit:
*** A competitive annual salary between $74,900.00 - $90,000.00
* ACG offers excellent and comprehensive benefits packages, including:
* Medical, dental and vision benefits
* 401k Match
* Paid parental leave and adoption assistance
* Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays
* Paid volunteer day annually
* Tuition assistance program, professional certification reimbursement program and other professional development opportunities
* AAA Membership
* Discounts, perks, and rewards and much more
** We are looking for candidates who:
**** II.

Required Qualifications (these are the minimum requirements to qualify)
*
* Education:

* 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.

Experience:

* Three years of experience or equivalent training in the following:
* negotiation of 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:

Advanced knowledge of:
* Essential Insurance Act (Michigan)
* Fair Trade Practices Act as it relates to claims
* subrogation procedures and processes
* intercompany arbitration
* handling simple litigation
* advanced knowledge of building construction and 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
* demonstrate effective communication skills (verbal and written)
* demonstrate customer service skills by building and maintaining relationships with…