AAA Auto Club Enterprises · 12 hours ago
Claims Senior Casualty Auditor - Quality Assurance
Providence, RI
Full-time
Onsite
Mid, Senior Level
$78K/yr - $104K/yr
7+ years expAAA 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 Senior Casualty Auditor to independently audit casualty claim files, ensuring compliance with regulations and accuracy in loss payments while providing insights for performance reporting.
Insurance
Responsibilities
Conduct audits of Casualty files to identify trends, patterns, or anomalies in the claims handling process
Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address moderate complexity coverage 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 first and third party claims
Verify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required
Independently resolve claims within authority level
Qualification
Required
Bachelors Equivalent combination of education and experience
7-9 years Prior claims handling 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
Advanced oral and written communication skills
Advanced interpersonal skills
Advanced leadership skills among peers
Exhibit proficiency and understanding of medical terminology and causality
Preferred
Associate in Claims - Insurance Institute of America
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.
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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