AAA Auto Club Enterprises · 10 hours ago
Claims Auto Adjuster - Quality Assurance
AAA Auto Club Enterprises is the largest federation of AAA clubs in the nation, and they are seeking a Claims Auto Adjuster - Quality Assurance to audit claims matters involving material damage or liability lines of insurance. The role focuses on auditing auto claim files, ensuring compliance with regulations, and providing actionable recommendations for claim handling.
Insurance
Responsibilities
Conduct audits of auto files to identify trends, patterns, or anomalies in the claims handling process
Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data
Produce clear, concise audit write-ups that summarize findings and actionable recommendations for claim handling
Verify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required
Identify cross-sell opportunities based on members’ product needs and service requests. Enhance member relationship by diversifying use of products and services. Provides sales leads to insurance, travel and other departments as appropriate
The position requires a higher degree of discretion and independent judgment in analysis and problem solving to effectively manage losses. Determine policy obligations by assessing the liability and damage components of the loss. Investigate and differentiate between allegations and facts in each loss. Respond quickly and effectively to customer needs and problems
Recognize and appropriately address complex coverage issues
Recognize and appropriately address complex subrogation issues
Objectively discern and address issues that may be questioned in audit
Qualification
Required
Bachelor's or equivalent combination of education and experience
7-9 years of claims handling experience
Advanced understanding of vehicle repair procedures and issues or building repair procedures and issues or third-party liability issues
Moderate computer and line of business technical software skills required
Moderate knowledge of fault assessment and subrogation principles required
Moderate leadership competencies are necessary
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 is required
Benefits
Health coverage for medical, dental, vision
401(K) saving plans with company match AND Pension
Tuition assistance
Floating holidays and PTO for community volunteer programs
Paid parental leave
Wellness programs
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.