Saginaw Michigan Field Property Claim Specialist jobs in United States
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AAA-The Auto Club Group · 2 weeks ago

Saginaw Michigan Field Property Claim Specialist

AAA The Auto Club Group is seeking a Field Property Claim Specialist to manage complex claims with minimal supervision. The role involves reviewing claims, conducting investigations, and ensuring policyholder benefits are identified while maintaining strong communication with insured parties.

Responsibilities

Review assigned claims
Contacting the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system
Complete complex coverage analysis
Ensure all possible policyholder benefits are identified
Create additional sub-claims if needed
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
Refer claims 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
Utilize strong negotiating skills

Qualification

XactimateCPCU courseworkNegotiation of claim settlementsInsurance knowledgeSubrogation proceduresCustomer service skillsEffective communicationProblem-solving skillsTime management

Required

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
CPCU coursework or designation
Xactware Training
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
Must have a valid State Driver's License
Lift up to 25 pounds
Climb ladders
Walk on roofs
Three years of experience or equivalent training in the following: Negotiation of 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
Advanced knowledge of: Fair Trade Practices Act as it relates to claims, Subrogation procedures and processes, Intercompany arbitration, Handling simple litigation, Advanced knowledge of building construction and repair techniques
Handle claims to the 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 in order to visit repair facilities, homes (for inspections), patients, etc
Research analyze and interpret subrogation laws in various states
May travel outside of assigned territory which may involve overnight stay

Preferred

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
CPCU coursework or designation
Xactware/Xactimate Training or equivalent

Benefits

Medical, dental and vision benefits
401k Match
Paid parental leave and adoption assistance
Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays
Paid volunteer day annually
Tuition assistance program, professional certification reimbursement program and other professional development opportunities
AAA Membership
Discounts, perks, and rewards and much more

Company

AAA-The Auto Club Group

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AAA - The Auto Club Group (ACG) is the second largest AAA club in North America, serving more than 13+ million members across 14 U.S.

Funding

Current Stage
Late Stage

Leadership Team

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Joseph Richardson Jr
President and CEO
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Peggy Gartin, CFA
SVP | Chief Investment Officer
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Company data provided by crunchbase