Claim Representative 1

Job not on LinkedIn

🔥 3 minutes ago

🇺🇸 United States – Remote

💵 $25 - $30 / hour

⏰ 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

• Investigate, evaluate, and resolve low-complexity automobile physical damage claims • Review assigned claims and contact insureds and affected parties • Set expectations for the claim process • Initiate and maintain documentation in the claim handling system • Complete coverage analyses and identify policyholder benefits • Create additional sub-claims when needed • Investigate claim facts to determine payment, limits, exclusions, and recovery potential • Review damages and determine the applicability of state law and other claim factors • Evaluate loss value and approve appropriate payments • Refer claims to Underwriting, Recovery Units, or the Claims Special Investigation Unit when necessary • Code and document claim files and complete claim closure activities • Negotiate claim settlements • Handle moderately complex APD claims, including total-loss settlements, vehicle inspections, and damage estimates • Manage Direct Repair Shops for program compliance when assigned to the DRS Examiner role • Determine cause of damage, establish liability, identify subrogation potential, monitor repairs, and approve car rental expenses • Handle simple APD litigation cases when needed

🎯 Requirements

• High school diploma or equivalent • Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience • Eligible to acquire a State Adjuster's license within 90 days of hire where required and maintain it as specified • Valid driver's license required when primary responsibilities involve in-person inspections or frequent in-person meetings • Six months of experience or equivalent training in negotiation of claim settlements, securing and evaluating evidence, preparing manual and electronic estimates, and identifying subrogation recovery opportunities • Advanced knowledge of the 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 • 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 and basic PC software • Ability to perform basic claim file reviews and investigations • Effective verbal and written communication skills • Customer service skills and ability to 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 from multiple sources • Ability to manage time, organize, and plan workload • 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 the assigned territory, potentially overnight • Ability to relocate and work evenings or weekends

🏖️ Benefits

• Annual company bonus incentive • Medical plans with multiple coverage options, including HSA eligibility • Prescription drug coverage • Dental and vision benefits • Employee Assistance Program • Company-paid basic life insurance • Optional supplemental life insurance and dependent coverage • Short-term and long-term disability coverage • Critical illness, accident, and pet insurance options • 401(k) plan with automatic deferral, company match, and additional company contribution • Health Savings Account (HSA) and Flexible Spending Accounts (FSA) • Paid Time Off (PTO), increasing with tenure • 10 company-paid holidays annually for full-time employees • Mental health day, floating holidays, and volunteer day • Paid parental, bereavement, jury duty, and military leave • Tuition assistance up to $5,250 annually • Professional certification support with 100% reimbursement for eligible programs • Career development and advancement opportunities • Complimentary AAA membership with roadside assistance and travel discounts • Adoption assistance program • Remote work from a home office for day-to-day operations, subject to policy changes

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