Senior MedPay Adjuster

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🦌 Connecticut, Massachusetts, +1 more states – Remote

🦌 Connecticut – Remote 🍂 Massachusetts – Remote ⚓ Rhode Island – Remote

💵 $35 - $47 / hour

⏰ Full Time

🟠 Senior

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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

• Handle moderate to high complexity Auto claims matters involving material damage, property and/or liability lines of insurance • Communicate with insureds, claimants, witnesses, and other individuals • Explain benefits, coverages, fault, and the claims process verbally or in writing • Recognize and address coverage issues • Conduct phone investigations to determine liability and damages • Identify and obtain statements from insureds, claimants, and witnesses • Gather information to verify and resolve coverage and policy applicability • Evaluate and determine claim values using property, bodily injury, and liability data • Negotiate within settlement authority to resolve first- and third-party claims • Update database production reports and document claim files using company systems including CACS, HUON, HOC, and GUIDEWIRE • Control expenses for areas of responsibility • Coordinate with internal and external departments • Independently resolve claim exposures within level of authority • Respond quickly to customer needs and problems • May attend and participate in legal proceedings • Travel occasionally to off-site business meetings or conferences

🎯 Requirements

• Bachelor's degree • Equivalent combination of education and experience • 7–9 years of prior claims handling experience preferred • 7–9 years of Property, Auto, Casualty, or relevant claims administration experience required • Comprehensive knowledge of claims administration best practices and procedures • Comprehensive knowledge of building and vehicle repair procedures and third-party liability issues • Extensive knowledge of insurance, fault assessment, negligence, and subrogation principles • 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 • Valid driver's license, acceptable Department of Motor Vehicles record, and minimum liability insurance issued by the state • An insurance/claims adjuster license may be required for claims administration in specific states • Occasional travel to off-site business meetings or conferences (5%)

🏖️ Benefits

• Health coverage for medical, dental, vision • 401(K) saving plans with company match • Pension • Tuition assistance • Floating holidays • PTO for community volunteer programs • Paid parental leave • Wellness programs • Employee discounts (membership, insurance, travel, entertainment, services and more!) • Incentive program based upon the achievement of organization, team and personal performance