Bodily Injury Claim Specialist

Florida Casualty Claim Specialist – The Auto Club Group

Reports to:

Claim Manager II

Primary Duties & Responsibilities

• Review assigned claims.
• Contact insured and other parties.
• Set expectations for claim process and document activities.
• Complete complex coverage analysis.
• Ensure all possible policyholder benefits identified.
• Investigate facts regarding the claim.
• Determine whether claim should be paid and confirm recovery potential.
• Review damages and determine applicability of state law and other factors.
• Refer claims to other units when appropriate.
• Use strong critical thinking and negotiation skills.
• Handle both attorney represented and unrepresented claimants with injury claims that may involve coverage investigation, liability disputes, bodily injuries, and litigation.
• Assist Claim Manager with file reviews and training.

Compensation & Benefits

Salary ranges from $68,000 to $78,000 annually with potential annual bonus.

• 401(k) match
• Medical, dental, and vision coverage
• Paid time off and holidays
• Tuition reimbursement

• Degree in Business Administration, Insurance, or related field, or equivalent work experience.
• Completion of Insurance Institute of America’s General Insurance Program, Associate in Claims, Associate in Management, or equivalent.
• Completed CPCU coursework or designation.

• Florida State Adjuster License if required by state.
• Valid State Driver’s License.
• In‑state degree in Business Administration, Insurance, or related field.

Experience

• Three years of negotiation of claim settlements.
• Evaluation of injury claims.
• Securing and evaluating evidence.
• Subrogation claims.
• Coverage analysis and resolution of coverage questions.
• Taking statements.
• Establishing clear claim evaluation and resolution plans.

• Fair Trade Practices Act related to claims.
• Subrogation including intercompany arbitration.
• Litigation related to claims.
• Negligence Law.
• No-Fault Law.
• Medical terminology and human anatomy.

• Apply ACG claim policies, procedures, and guidelines.
• Work within ACG claim systems and PC software.
• Perform claim file review and investigations.
• Effective verbal and written communication.
• Customer service skills; build and maintain relationships.
• Analyze and solve problems; sound decision making.
• Prioritize claim-related tasks.
• Process time-sensitive data from multiple sources.
• Manage time, organize, and plan workload.
• Reside within 50 miles of Tampa, Florida.

This is a hybrid arrangement; employees will have a mix of office and remote work. Attendance at important departmental meetings and team-building events is required.

The Auto Club Group, and all its affiliated companies, is an equal opportunity 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.

Regular and reliable attendance is essential for this job.

Applicants offered employment must consent to a background and drug screen as required for the position.