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Apd Desk Claim Rep Ii

Company

AAA The Auto Club Group
Address , Remote
Employment type FULL_TIME
Salary $54,644 - $73,000 a year
Expires 2023-10-14
Posted at 8 months ago
Job Description
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
:

APD Desk Claim Representative II – The Auto Club Group
What you will do: (Primary Duties & Responsibilities)
The Auto Club Group is seeking prospective APD Desk 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:
  • Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.
  • Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler.
  • Utilize strong negotiating skills.
  • 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 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.
  • 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).
  • Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
  • Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss.
Work Environment
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.
Employees assigned to Auto Physical Damage (“APD”) claim unit will handle moderately complex claims involving settling Total Losses, inspecting vehicles and preparing estimates of damage. If in the DRS Examiner role, manage Direct Repair Shops for compliance with our program. 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.
How you will benefit:
Claim Investigators will earn a competitive salary of $54,643.68 - $73,000 annually with annual bonus potential based on performance.
Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include:
  • Tuition Reimbursement
  • Vision
  • Paid Holidays
  • PTO
  • 401k Match
  • Medical
  • Dental
We’re looking for candidates who: (Preferred/Required Qualifications)
Education:
  • Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
  • CPCU coursework or designation
  • Associate degree in Business Administration, Insurance or a related field or the equivalent in related work 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.
  • Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
  • Must have a valid State Driver's License
Experience:
One year of experience with:
  • Resolving coverage questions
  • Negotiating claim settlements
  • Taking statements
  • Establishing clear evaluation and resolution plans for claims
  • Verse in handling out of state claims
  • Securing and evaluating evidence
  • Subrogation claims
  • Preparing manual and electronic estimates
Knowledge and Skills:
Knowledge of:
  • Subrogation procedures and processes
  • Fair Trade Practices Act as it relates to claims
  • Intercompany arbitration
  • Essential Insurance Act (Michigan)
Knowledge of:
  • No-Fault Law
  • Negligence Law
  • Collision repair techniques
Ability to:
  • Work within assigned ACG Claim systems including basic PC software
  • Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns
  • Follow and apply ACG Claim policies, procedures and guidelines
  • Process time sensitive data and information from multiple sources
  • Strong negotiating skills
  • Prioritize claim related functions
  • Handle claims to the line Claim Handling Standards
  • Perform basic claim file review and investigations
  • Analyze and solve problems while demonstrating sound decision making skills
  • Work evenings or weekends
  • Research analyze and interpret subrogation laws in various states
  • Demonstrate effective communication skills (verbal and written)
  • Manage time, organize and plan work load and responsibilities
Who We Are
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. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.
By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life’s journey through insurance, travel, financial services, and roadside assistance.
And when you join our team, one of the first things you’ll notice is that same, whole-hearted, enthusiastic advocacy for each other.
We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.
To learn more about AAA The Auto Club Group visit
www.aaa.com
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 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.
The Auto Club Group, and all 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.
Regular and reliable attendance is essential for the function of this job.