Casualty Claim Specialist - Florida
The Auto Club Group, Tampa, FL, United States
Florida Casualty Claim Specialist The Auto Club Group
Reports to: Claim Manager II What you will do: (Primary Duties & Responsibilities) The Auto Club Group is seeking prospective Casualty Claim Specialists who can work under less supervision with a high-level of authority to handle highly complex technical issues and the most complex claims. In this position, you will have the opportunity to: Reviewing assigned claims Contacting the insured and other affected parties, Setting expectations for the remainder of the claim process, and thoroughly documenting activities in the claim file. Complete complex coverage analysis, Ensure all possible policyholder benefits are identified, Complete an investigation of the facts regarding the claim, Determine if the claim should be paid and confirm recovery potential. Conducting thorough reviews of damages and determining the applicability of state law and other factors related to the claim. Identify when to refer claims to other company units (e.g., Underwriting, Subrogation or Special Investigation Unit). Possess strong critical thinking and negotiating skills. Handle both attorney represented and unrepresented claimants with injury claims that may involve coverage investigation, liability disputes, bodily injuries, and litigation. Assist Claim Manager with file reviews and training. With our powerful brand and the mentoring, we offer, you will find your position as a Claim Specialist can lead to a rewarding career at our growing organization. How you will benefit: Claim Specialist will earn a competitive salary of $68,000 - $78,000 annually with an annual bonus potential based on performance. Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include: 401k Match Medical Dental Vision PTO Paid Holidays Tuition Reimbursement We're looking for candidates who: Preferred Qualifications: Education: 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 Required Qualifications: Education: In states where an Adjuster's license is required, the candidate must have a Florida State Adjuster License. Degree in Business Administration, Insurance or a related field or the equivalent in related work experience Must have a valid State Driver's License Experience: Three years of experience or equivalent training in the following: Negotiation of claim settlements Evaluation of injury claims Securing and evaluating evidence Subrogation claims Coverage analysis and resolution of coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Knowledge and Skills: Knowledge of: Fair Trade Practices Act as it relates to claims Subrogation including intercompany arbitration Litigation as it relates to claims Negligence Law No-Fault Law Medical terminology and human anatomy Ability to: Handle claims to ACG Claim Handling Standards including following and applying 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 Must Reside within 50 miles from Tampa, Florida Work Environment This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come into an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or teambuilding events.
Reports to: Claim Manager II What you will do: (Primary Duties & Responsibilities) The Auto Club Group is seeking prospective Casualty Claim Specialists who can work under less supervision with a high-level of authority to handle highly complex technical issues and the most complex claims. In this position, you will have the opportunity to: Reviewing assigned claims Contacting the insured and other affected parties, Setting expectations for the remainder of the claim process, and thoroughly documenting activities in the claim file. Complete complex coverage analysis, Ensure all possible policyholder benefits are identified, Complete an investigation of the facts regarding the claim, Determine if the claim should be paid and confirm recovery potential. Conducting thorough reviews of damages and determining the applicability of state law and other factors related to the claim. Identify when to refer claims to other company units (e.g., Underwriting, Subrogation or Special Investigation Unit). Possess strong critical thinking and negotiating skills. Handle both attorney represented and unrepresented claimants with injury claims that may involve coverage investigation, liability disputes, bodily injuries, and litigation. Assist Claim Manager with file reviews and training. With our powerful brand and the mentoring, we offer, you will find your position as a Claim Specialist can lead to a rewarding career at our growing organization. How you will benefit: Claim Specialist will earn a competitive salary of $68,000 - $78,000 annually with an annual bonus potential based on performance. Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include: 401k Match Medical Dental Vision PTO Paid Holidays Tuition Reimbursement We're looking for candidates who: Preferred Qualifications: Education: 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 Required Qualifications: Education: In states where an Adjuster's license is required, the candidate must have a Florida State Adjuster License. Degree in Business Administration, Insurance or a related field or the equivalent in related work experience Must have a valid State Driver's License Experience: Three years of experience or equivalent training in the following: Negotiation of claim settlements Evaluation of injury claims Securing and evaluating evidence Subrogation claims Coverage analysis and resolution of coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Knowledge and Skills: Knowledge of: Fair Trade Practices Act as it relates to claims Subrogation including intercompany arbitration Litigation as it relates to claims Negligence Law No-Fault Law Medical terminology and human anatomy Ability to: Handle claims to ACG Claim Handling Standards including following and applying 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 Must Reside within 50 miles from Tampa, Florida Work Environment This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come into an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or teambuilding events.