AAA-The Auto Club Group · 1 day ago
Claim Specialist - Bodily Injury
Decatur, IL
Full-time
Onsite
Mid Level
$75K/yr - $95K/yr
3+ years expAAA The Auto Club Group is seeking a Claim Specialist to handle complex bodily injury liability claims. The role involves managing investigations, negotiating settlements, and ensuring compliance with claim handling procedures.
Responsibilities
Handle highly complex new and reassigned auto and homeowner bodily injury liability claims
Adhere to ACG claim handling procedures, processes and guidelines
Complete coverage and liability investigations, including obtaining statements from involved parties
Obtain required documents and reports to complete coverage and liability investigations
Set expectations, ensuring the claim process is explained and understood
Complete complex coverage analysis
Identify additional exposures, create appropriate referrals for additional claims and subclaims
Conduct thorough reviews of liability, damages, and the applicability of state law
Evaluate settlement range value, prepare documents related to reserve, settlement and settlement authority
Negotiate settlements with attorney represented and non-represented parties
Utilize strong negotiation skills
Prepare legal releases
Authorize expense and indemnity payments
Complete referrals, when required, to underwriting, recovery, CSIU, large loss unit and HRCC
Document claim file memos, upload documents to claim file, complete claim coding
Present claim matters during meetings
Collaborate with legal team
Provide peer mentoring
Assist Management with special reports, projects, task
Handling policies within the following States: Illinois, Indiana, Georgia and/or Tennessee
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
Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge
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
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: Essential Insurance Act (Michigan), Fair Trade Practices Act as it relates to claims, subrogation procedures and processes, intercompany arbitration, handling simple litigation, Negligence Law, No-Fault Law, medical terminology and human anatomy
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 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 workload and responsibilities
Ability to safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc
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
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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