APD Claim Representative II

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🇺🇸 United States – Remote

💵 $59k - $69k / year

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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AAA

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1902

🚘 Automotive

🛡️ Insurance

📦 Logistics

Automotive • Insurance • Logistics

AAA is a federation of affiliated automobile clubs, offering various travel-related services and products primarily for its members. It provides emergency roadside assistance, travel planning tools, and member discounts both domestically and internationally. Each club operates independently within its own geographical area, serving its local members while adhering to AAA's overarching standards. AAA also sells travel products like maps and guides, offering resources to assist with international travel. The organization facilitates a network where membership benefits, such as global discounts and emergency services, are extended to international members traveling in the United States and vice versa.

📋 Description

• Review and manage moderately complex Auto Physical Damage claims from initial assignment through resolution • Contact insureds and other affected parties, set expectations, and communicate throughout the claim process • Analyze policy coverage, limits, exclusions, and policyholder benefits • Investigate claim facts, determine cause of loss and liability, and identify subrogation or recovery opportunities • Inspect vehicles, evaluate damage, and prepare damage estimates • Evaluate financial loss values and negotiate claim settlements • Settle total-loss claims and approve payments to appropriate parties • Monitor vehicle repairs and approve eligible car-rental expenses • Create sub-claims and refer claims to Underwriting, Recovery, or Claims Special Investigation when appropriate • Maintain accurate claim documentation, coding, and closure activities in the claims management system • Handle simple APD litigation cases as assigned • For employees assigned to the DRS Examiner role, manage Direct Repair Shops for compliance with program requirements • Travel as needed for inspections, meetings, collaborative activities, team building, or outside the assigned territory

🎯 Requirements

• High School diploma or equivalent • Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience • In states where an Adjuster’s license is required, eligibility to acquire a State Adjuster’s license within 90 days of hire and maintain it as specified • Valid driver's license required if primary responsibilities involve in-person inspections or frequent in-person meetings • One year of experience or equivalent training in negotiation of claim settlements, securing and evaluating evidence, preparing manual and electronic estimates, subrogation claims or identifying recovery opportunities, resolving coverage questions, taking statements, and establishing claim evaluation and resolution plans • Knowledge of Essential Insurance Act (Michigan) • Knowledge of Fair Trade Practices Act as it relates to claims • Knowledge of subrogation procedures and processes • Knowledge of intercompany arbitration • Knowledge of handling simple litigation • Knowledge of negligence law • Knowledge of no-fault law • Knowledge of collision repair techniques • Ability to handle claims to 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 • Effective verbal and written communication skills • Customer service skills and ability to build and maintain relationships with insureds and claimants • Problem-solving and 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 for visits to repair facilities, homes, patients, and other locations • Ability to research, analyze, and interpret subrogation laws in various states • Ability to travel outside assigned territory, potentially involving overnight stays • Ability to relocate and work evenings or weekends • Preferred: Associate degree in Business Administration, Insurance, or a related field, or equivalent related work experience • Preferred: Completion of Insurance Institute of America's General Insurance Program, Associate in Claims, Associate in Management, or equivalent • Preferred: CPCU coursework or designation • Preferred: I-Car ProLevel training • Preferred: CCC training • Preferred: XACTware training • Must pass required background and drug screening

🏖️ Benefits

• Potential extension beyond the 3–6 month temporary assignment if there is a business need • Remote work from a home office for day-to-day operations • Occasional travel for meetings, collaborative activities, or team building activities • PTO • Paid sick leave • Reasonable accommodations for otherwise qualified applicants • Background and drug screen conducted by the employer

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