APD Claim Representative II

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Job Type: Full time

Exempt/Non Exempt

Salary

Auto Claim Representative (Florida) - The Auto Club Group

Reports to:
Claim Manager I

The Auto Club Group is seeking a prospective APD Claim Representative II who can work 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 including the handling of Total Losses. 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 a Claims Representative II can lead to a rewarding career at our growing organization.

Our Auto Club Group Claim Specialist earns a competitive salary of $60,000 - $68,000 to 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
• 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
• 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

• 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 of:

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

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

• 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…