AAA Auto Club Enterprises ยท 1 day ago
Claims Complex Casualty Adjuster
United States
Full-time
Remote
Senior Level
7+ years expAAA Auto Club Enterprises is the largest federation of AAA clubs in the nation, with a focus on delivering legendary service to its members. They are seeking a Claims Complex Casualty Adjuster to handle complex claims involving material damage, property, and liability insurance, ensuring compliance with regulatory requirements and best practices.
Insurance
Responsibilities
Conduct phone and/or field investigations to determine liability and damages. May attend and participate in legal proceedings. Identify and obtain statements from insureds, claimants and witnesses
Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing which complies with regulatory and statutory requirements. Recognize and appropriately address complex coverage and subrogation issues
Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data
Negotiate within settlement authority with insureds and claimants to resolve their first and third-party claims
Control expenses for areas of responsibility
Handle administrative functions, update database production reports, document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc
Verify and interpret/resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required
Mentor other adjusters, assisting them with increasing understanding of adjudicating complex claims
Respond quickly to customer needs and problems
Independently resolve claim exposures within level of authority
Qualification
Required
7-9 years Property, Auto, Casualty or relevant claims experience
Comprehensive knowledge of claims administration best practices and procedures
Advanced knowledge of insurance, fault assessment, negligence and subrogation principles
Comprehensive understanding of building and vehicle repair procedures and third-party liability issues
Advanced knowledge of Microsoft Office suite, general computer software and claims software
Advanced organization and planning recognition skills required
Advanced oral and written communication skills required
Advanced interpersonal skills required
Advanced leadership skills among peers required
Exhibit proficiency and understanding of medical terminology and causality
Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State
Preferred
Bachelors Equivalent combination of education and experience
10+ years Prior claims experience
Chartered Property Casualty Underwriter - Insurance Institute of America
Associate in Claims - Insurance Institute of America
An insurance/claims adjuster license may be required for claims administration in specific states
Company
AAA Auto Club Enterprises
AAA is a federation of fully taxpaying, not-for-profit motor clubs in the U.S.
10001+ employees
Funding
Current Stage
Late StageLeadership Team
Chris Simpson
Senior Vice President and Chief Information & Technology Officer
Suzanne Wisdom
Senior Vice President & Chief Marketing Officer
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