AAA-The Auto Club Group ยท 8 hours ago
APD Claim Representative II - Florida
Florida, United States
Full-time
Hybrid
Entry, Mid Level
$60K/yr - $68K/yr
1+ years expAAA The Auto Club Group is seeking an APD Claim Representative II to handle moderately complex claims within their Florida Auto Physical Damage claim unit. The role involves reviewing claims, conducting investigations, and ensuring policyholder benefits are identified and processed efficiently.
Responsibilities
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 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
Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit)
Qualification
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
I-Car 2000 training
CCC training
Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
Must have a Florida state adjuster license
Must have a valid State Driver's License
One year of experience with negotiating claim settlements
One year of experience with securing and evaluating evidence
One year of experience with preparing manual and electronic estimates
One year of experience with subrogation claims
One year of experience with resolving coverage questions
One year of experience with taking statements
One year of experience with establishing clear evaluation and resolution plans for claims
Knowledge of Fair Trade Practices Act as it relates to claims
Knowledge of subrogation procedures and processes
Knowledge of intercompany arbitration
Knowledge of Negligence Law
Knowledge of No-Fault Law
Knowledge of collision repair techniques
Ability to handle claims to the line Claim Handling Standards
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 analyze and solve problems while demonstrating sound decision-making skills
Ability to process time sensitive data and information from multiple sources
Ability to research analyze and interpret subrogation laws in various states
Strong negotiating skills
State of Florida Resident Only - near the Tampa Bay area
Benefits
401k Match
Medical
Dental
Vision
PTO
Paid Holidays
Tuition Reimbursement
Company
AAA-The Auto Club Group
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.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Joseph Richardson Jr
President and CEO
Peggy Gartin, CFA
SVP | Chief Investment Officer
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