Sr. Michigan Large Loss Homeowner Claims Field Specialist
AAA-The Auto Club Group, Lansing, MI, United States
Sr. Michigan Large Loss Homeowner Claims Field Specialist – AAA The Auto Club Group
Reports To:
Claim Manager as appropriate
Job Type:
Full time
Exempt/Non Exempt:
Salary
Job Description:
This role reports to the Meemic Insurance sector of AAA Auto-Club Group. Eligible candidates must reside within the state of Michigan for consideration and have a valid state driver's license.
What you will do
Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system.
Complete coverage analysis on the most complex claims.
Ensure all possible policyholder benefits are identified.
Create additional sub-claims if needed.
Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential.
Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
Evaluate the financial value of the loss.
Approve payments for the appropriate parties accordingly.
Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit).
Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.
Utilize strong negotiating skills.
Senior Claims Specialist
assigned to the Homeowner/CAT claim unit handle claims valued over $100,000, the insured property is unlivable and total losses. Investigate claims requiring a high level of coverage analysis and the potential assistance of experts, engineers, or specialized vendors. Substantial knowledge of building materials, construction, and restoration practices. Must be capable to independently scope and preparing large restoration estimates using available investigative and estimation tools. The ability to review contractor estimates. Requires expert negotiation skills. Strong communication skills and the ability to handle property claims that involve adverse third parties, litigation, and the use of alternative dispute resolution. Expert at provide oversight of all assigned claims including member communication, resource (including experts) coordination, tracking project schedules throughout the restoration process. May assist Claim Manager with file reviews and training.
Supervisory Responsibilities None
How you will benefit
A competitive annual salary between $76,000 - $90,000
ACG offers excellent and comprehensive benefits packages, including:
Medical, dental and vision benefits
401k Match
Paid parental leave and adoption assistance
Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays
Paid volunteer day annually
Tuition assistance program, professional certification reimbursement program and other professional development opportunities
AAA Membership
Discounts, perks, and rewards and much more
We’re looking for candidates who Education
Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
In states where an Adjuster’s license is required, the candidate must be eligible to acquire a State Adjuster’s license within 90 days of hire and maintain as specified for appropriate states.
Must have a valid State Driver's License
Experience Five years of experience in the following:
Negotiation of complex claim settlements
Securing and evaluating evidence
Preparing manual and electronic estimatesSubrogation claims
Resolving complex coverage questions
Taking statements
Establishing clear evaluation and resolution plans for claims
Knowledge and Skills
Essential Insurance Act (Michigan)
Fair Trade Practices Act as it relates to claims
Subrogation procedures and processes
Intercompany arbitration
Litigation
Advanced technical knowledge of
Building construction and repair techniques
Ability to
Lift up to 25 pounds
Climb ladders
Walk on roofs
Handle claims to the line Claim Handling Standards
Follow and apply ACG Claim policies, procedures and guidelines
Work within assigned ACG Claim systems including basic PC software
Perform claim file review and investigations
Demonstrate effective communication skills (verbal and written)
Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns
Analyze and solve problems while demonstrating sound decision-making skills
Prioritize claim related functions
Process time sensitive data and information from multiple sources
Manage time, organize and plan workload and responsibilities
Safely operate a motor vehicle in order to attend meetings off site
Work evenings or weekends
Preferred Qualifications
Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
CPCU coursework or designation
Xactware Training
Work Environment
This position is currently able to work remotely from a home office location for day-to-day operations, with traveling to field locations as necessary to complete job responsibilities, unless occasional team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.
Who We Are
Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life’s journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you’ll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.
Important Note:
ACG’s Compensation philosophy is to provide a market‑competitive structure of fair, equitable and performance‑based pay to attract and retain excellent talent that will enable ACG to meet its short and long‑term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.
The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.
The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.
Regular and reliable attendance is essential for the function of this job.
AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
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Claim Manager as appropriate
Job Type:
Full time
Exempt/Non Exempt:
Salary
Job Description:
This role reports to the Meemic Insurance sector of AAA Auto-Club Group. Eligible candidates must reside within the state of Michigan for consideration and have a valid state driver's license.
What you will do
Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system.
Complete coverage analysis on the most complex claims.
Ensure all possible policyholder benefits are identified.
Create additional sub-claims if needed.
Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential.
Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
Evaluate the financial value of the loss.
Approve payments for the appropriate parties accordingly.
Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit).
Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.
Utilize strong negotiating skills.
Senior Claims Specialist
assigned to the Homeowner/CAT claim unit handle claims valued over $100,000, the insured property is unlivable and total losses. Investigate claims requiring a high level of coverage analysis and the potential assistance of experts, engineers, or specialized vendors. Substantial knowledge of building materials, construction, and restoration practices. Must be capable to independently scope and preparing large restoration estimates using available investigative and estimation tools. The ability to review contractor estimates. Requires expert negotiation skills. Strong communication skills and the ability to handle property claims that involve adverse third parties, litigation, and the use of alternative dispute resolution. Expert at provide oversight of all assigned claims including member communication, resource (including experts) coordination, tracking project schedules throughout the restoration process. May assist Claim Manager with file reviews and training.
Supervisory Responsibilities None
How you will benefit
A competitive annual salary between $76,000 - $90,000
ACG offers excellent and comprehensive benefits packages, including:
Medical, dental and vision benefits
401k Match
Paid parental leave and adoption assistance
Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays
Paid volunteer day annually
Tuition assistance program, professional certification reimbursement program and other professional development opportunities
AAA Membership
Discounts, perks, and rewards and much more
We’re looking for candidates who Education
Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
In states where an Adjuster’s license is required, the candidate must be eligible to acquire a State Adjuster’s license within 90 days of hire and maintain as specified for appropriate states.
Must have a valid State Driver's License
Experience Five years of experience in the following:
Negotiation of complex claim settlements
Securing and evaluating evidence
Preparing manual and electronic estimatesSubrogation claims
Resolving complex coverage questions
Taking statements
Establishing clear evaluation and resolution plans for claims
Knowledge and Skills
Essential Insurance Act (Michigan)
Fair Trade Practices Act as it relates to claims
Subrogation procedures and processes
Intercompany arbitration
Litigation
Advanced technical knowledge of
Building construction and repair techniques
Ability to
Lift up to 25 pounds
Climb ladders
Walk on roofs
Handle claims to the line Claim Handling Standards
Follow and apply ACG Claim policies, procedures and guidelines
Work within assigned ACG Claim systems including basic PC software
Perform claim file review and investigations
Demonstrate effective communication skills (verbal and written)
Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns
Analyze and solve problems while demonstrating sound decision-making skills
Prioritize claim related functions
Process time sensitive data and information from multiple sources
Manage time, organize and plan workload and responsibilities
Safely operate a motor vehicle in order to attend meetings off site
Work evenings or weekends
Preferred Qualifications
Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
CPCU coursework or designation
Xactware Training
Work Environment
This position is currently able to work remotely from a home office location for day-to-day operations, with traveling to field locations as necessary to complete job responsibilities, unless occasional team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.
Who We Are
Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life’s journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you’ll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.
Important Note:
ACG’s Compensation philosophy is to provide a market‑competitive structure of fair, equitable and performance‑based pay to attract and retain excellent talent that will enable ACG to meet its short and long‑term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.
The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.
The Auto Club Group, and all its affiliated companies, is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.
Regular and reliable attendance is essential for the function of this job.
AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.
#J-18808-Ljbffr