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AAA-The Auto Club Group · 1 day ago

Subrogation Claim Representative I

Florida, United States

Full-time

Hybrid

New Grad, Entry Level

$24/hr - $28/hr

0+ years exp

AAA The Auto Club Group is a leading provider of membership, travel, insurance, and financial services. They are seeking a Subrogation Claim Representative I to handle low complexity claims under close supervision, focusing on the lifecycle of claims and ensuring all possible policyholder benefits are identified.

Insurance

Responsibilities

Handle low complexity claims under close supervision and with a lower-level of claim-handling authority

Claim handling responsibilities may cover most of the lifecycle of the claim or focus on an expanded role with specific phases such as subrogation

Review assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim, and initiating documentation in the claim handling system

Complete a general 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

Make referrals to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit)

Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system

Complete simple recovery tasks on claims, such as auto collision, home or PIP/med pay assignments associated with the collection process

Identify liable parties and determine insurance status; refer files to collection agencies including preparing associated proofs; answer inquiry calls and gather additional proofs or complete investigations when necessary; obtain information from claim-related systems; work with collection vendors to approve requests to file suit; complete the receipt and file closure process ensuring that funds are returned and accounted for appropriately; reimburse deductibles and prepare mini tort proofs when applicable

Resolve release issues, service orders approvals (key issues, decal removal etc.)

Follow up on paperwork and releases

Address flood vehicle fees

Potential involvement on total losses with title issues

Occasionally investigate salvage holds, aged inventory and special transfer processes

Qualification

Florida adjuster's licenseSubrogation claimsNegotiating claim settlementsSecuringEvaluating evidencePreparing estimatesCustomer service skillsResearchAnalysisEffective communicationProblem-solvingTime management

Required

Eligible candidates must have an active Florida adjuster's license to be considered

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 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

Basic knowledge of Essential Insurance Act (Michigan)

Basic knowledge of Fair Trade Practices Act as it relates to claims

Basic knowledge of subrogation procedures and processes

Basic knowledge of intercompany arbitration

Ability to follow and apply ACG Claim policies, procedures and guidelines

Ability to work within assigned ACG Claim systems including basic PC software

Ability to perform basic claim file review and investigations

Ability to demonstrate effective communication skills (verbal and written)

Ability to demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns

Ability to analyze and solve problems while demonstrating sound decision making skills

Ability to prioritize claim related functions

Ability to process time sensitive data and information from multiple sources

Ability to manage time, organize and plan work load and responsibilities

Ability to research analyze and interpret subrogation laws in various states

Ability to travel outside of assigned territory which may involve overnight stay

Ability to relocate, work evenings or weekends