AAA Auto Club Enterprises ยท 2 months ago
Claims Service Representative 2 - Subrogation
AAA Auto Club Enterprises is the largest federation of AAA clubs in the nation, employing 14,000 individuals across 21 states. They are seeking a Claims Service Representative 2 to handle moderate to higher complexity inbound subrogation claims, ensuring compliance with regulatory requirements and efficient resolution of claims.
Insurance
Responsibilities
Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverage, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements
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
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
Handle administrative functions, update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, etc
Verify and interpret/resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required
Provide independent analysis and differentiation between allegations and facts
Determine policy obligations by assessing the liability and damage components of the loss. Independently resolve claim exposures within level of authority
Respond quickly to customer needs and problems
Recognize and appropriately address common coverage issues
Recognize and appropriately address common subrogation issues
Qualification
Required
Bachelors or Equivalent combination of education and experience
Moderate computer and line of business technical software skills required
Advanced organization and planning recognition skills required
Advanced oral and written communication skills required
Advanced interpersonal skills required
Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State
Preferred
General knowledge of negligence and subrogation principles desired
Moderate understanding of vehicle nomenclature and repair practices or; Moderate understanding of building nomenclature and repair practices
Benefits
Health coverage for medical, dental, vision
401(K) saving plan with company match AND Pension
Tuition assistance
PTO for community volunteer programs
Wellness program
Employee discounts (membership, insurance, travel, entertainment, services and more!)
Company
AAA Auto Club Enterprises
AAA is a federation of fully taxpaying, not-for-profit motor clubs in the U.S.