Casualty Claim Specialist - Florida

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

Full time

*** This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come into an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or teambuilding events***

Florida Casualty Claim Specialist
- The Auto Club Group

Reports to:

Claim Manager II

The Auto Club Group is seeking prospective Casualty Claim Specialists who can work under less supervision with a high-level authority to handle highly complex technical issues and the most complex claims.

In this position, you will have the opportunity to:

• Reviewing assigned claims
• Contacting the insured and other affected parties,
• Setting expectations for the remainder of the claim process, and thoroughly documenting activities in the claim file.
• Complete complex coverage analysis,
• Ensure all possible policyholder benefits are identified,
• Complete an investigation of the facts regarding the claim,
• Determine if the claim should be paid and confirm recovery potential.
• Conducting thorough reviews of damages and determining the applicability of state law and other factors related to the claim.
• Identify when to refer claims to other company units (e.g., Underwriting, Subrogation or Special Investigation Unit).
• Possess strong critical thinking and negotiating 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.

With our powerful brand and the mentoring, we offer, you will find your position as a Claim Specialist can lead to a rewarding career at our growing organization.

Claim Specialist will earn a competitive salary of $68,000 - $78,000 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

We're looking for candidates who:

• 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

• In states where an Adjuster's license is required, the candidate must have a Florida State Adjuster License.
• Degree in Business Administration, Insurance or a related field or the equivalent in related work experience
• Must have a valid State Driver's License

Three years of experience or equivalent training in the following:

• 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 evaluation and resolution plans for claims

Knowledge of:

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

• Handle claims to ACG Claim Handling Standards including following and applying ACG Claim policies, procedures, and guidelines
• Work within assigned ACG Claim systems including basic PC software
• Perform 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 workload and responsibilities
• Must Reside within 50 miles from Tampa, Florida

• This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come into an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or teambuilding events.

Become a part of something bigger.

The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S.…