The Auto Club Group
Desk Homeowners Claim Representative II
The Auto Club Group, Jacksonville, Florida, United States, 32290
Job Type
Full time
Exempt/Non Exempt Exempt/Non Exempt
Job Description It’s a great time to join AAA The Auto Club Group! Join the team committed to driving your career forward.
I. Position Description 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.
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
Initiating documentation in the claim handling system
Completing coverage analysis, including a review of policy coverages and provisions, and the applicability to the reported loss
Ensuring all possible policyholder benefits are identified, creating additional sub-claims if needed or referring complex claims to management or the appropriate claim handler
Completing an investigation of the facts regarding the claim to determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential
Conducting thorough reviews of damages and determining the applicability of state law and other factors related to the claim
Evaluating the financial value of the loss
Approving payments for the appropriate parties accordingly
Referring claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit)
Thoroughly documenting and/or coding the claim file and completing all claim closure and related activities in the assigned claims management system
Utilizing strong negotiating skills
Employees assigned to Homeowner/CAT claim unit will handle claims generally valued between $5,000 and $25,000 (for the inside desk role) and up to $100,000 (for field role). Investigate claims requiring coverage analysis. When handling claims in the field, must prepare damage estimates using claims software. Review estimates for accuracy. May monitor contractor repair status and updates.
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 it 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
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 and Skills Knowledge of:
Essential Insurance Act (Michigan)
Fair Trade Practices Act as it relates to claims
Subrogation procedures and processes
Intercompany arbitration
Knowledge of building construction and repair techniques
Ability to:
Handle claims to 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 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
Safely operate a motor vehicle to visit repair facilities, homes (for inspections), patients, etc.
Research, analyze and interpret subrogation laws in various states
Travel outside of assigned territory which may involve overnight stay
Relocate, work evenings or weekends
Strong negotiating skills
III. Preferred Qualifications Education
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
Xactimate experience
Excellent customer service skills
Excellent communication skills both oral and written
Call center or queue calling experience preferred, but not required
Knowledge of full cycle claim handling
Active Florida Adjuster’s License
Work Environment 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. Preferred applicants should reside within 50 miles of the Tampa, FL area.
Benefits
Our Auto Club Group Desk Homeowners Claim Representative II earns a competitive salary of $58,000 - $72,000 to start along with the opportunity for an annual company bonus incentive.
Excellent and comprehensive benefits packages include:
401k Match
Medical
Dental
Vision
PTO
Paid Holidays
Tuition Reimbursement
Important Note 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.
Who We Are 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.
Equal Opportunity Statement 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.
Background Check Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
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Exempt/Non Exempt Exempt/Non Exempt
Job Description It’s a great time to join AAA The Auto Club Group! Join the team committed to driving your career forward.
I. Position Description 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.
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
Initiating documentation in the claim handling system
Completing coverage analysis, including a review of policy coverages and provisions, and the applicability to the reported loss
Ensuring all possible policyholder benefits are identified, creating additional sub-claims if needed or referring complex claims to management or the appropriate claim handler
Completing an investigation of the facts regarding the claim to determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential
Conducting thorough reviews of damages and determining the applicability of state law and other factors related to the claim
Evaluating the financial value of the loss
Approving payments for the appropriate parties accordingly
Referring claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit)
Thoroughly documenting and/or coding the claim file and completing all claim closure and related activities in the assigned claims management system
Utilizing strong negotiating skills
Employees assigned to Homeowner/CAT claim unit will handle claims generally valued between $5,000 and $25,000 (for the inside desk role) and up to $100,000 (for field role). Investigate claims requiring coverage analysis. When handling claims in the field, must prepare damage estimates using claims software. Review estimates for accuracy. May monitor contractor repair status and updates.
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 it 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
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 and Skills Knowledge of:
Essential Insurance Act (Michigan)
Fair Trade Practices Act as it relates to claims
Subrogation procedures and processes
Intercompany arbitration
Knowledge of building construction and repair techniques
Ability to:
Handle claims to 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 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
Safely operate a motor vehicle to visit repair facilities, homes (for inspections), patients, etc.
Research, analyze and interpret subrogation laws in various states
Travel outside of assigned territory which may involve overnight stay
Relocate, work evenings or weekends
Strong negotiating skills
III. Preferred Qualifications Education
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
Xactimate experience
Excellent customer service skills
Excellent communication skills both oral and written
Call center or queue calling experience preferred, but not required
Knowledge of full cycle claim handling
Active Florida Adjuster’s License
Work Environment 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. Preferred applicants should reside within 50 miles of the Tampa, FL area.
Benefits
Our Auto Club Group Desk Homeowners Claim Representative II earns a competitive salary of $58,000 - $72,000 to start along with the opportunity for an annual company bonus incentive.
Excellent and comprehensive benefits packages include:
401k Match
Medical
Dental
Vision
PTO
Paid Holidays
Tuition Reimbursement
Important Note 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.
Who We Are 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.
Equal Opportunity Statement 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.
Background Check Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
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