Senior Casualty Litigation Claim Specialist
AAA-The Auto Club Group, Jackson, MI, United States
It’s a great time to join AAA The Auto Club Group! It is a full time, exempt position with salary. This position may work remotely from a home office with occasional travel.
Senior Claim Specialist Casualty – The Auto Club Group Report to: Claim Manager II
What you will do
Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.
Complete coverage analysis on the most complex claims.
Handle large loss injury 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 determine if the claim should be paid, 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.
Key Responsibilities Senior Claim Specialists are assigned Liability/BI/MedPay/Non-MI PIP/HO Liability/UM/UIM claims involving litigation/arbitration. The Senior Claim Specialists handle the most complex claims involving liability disputes, bodily injuries, and coverage questions.
How you will benefit Senior Claim Specialist will earn a competitive salary of
$80,000 to $95,000
annually with annual bonus potential based on performance.
Benefits
401k Match
Medical
Dental
Vision
PTO
Paid Holidays
Tuition Reimbursement
Required Qualifications Education
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, or Associate in Management, or equivalent
CPCU coursework or designation
Complete the ACG Training Program or demonstrate equivalent knowledge or experience
In states where an Adjuster’s license is required, must be eligible to acquire a State Adjuster’s license within 90 days of hire and maintain it as specified for the appropriate states.
Must have a valid State Driver’s License
Experience
Five years of experience in 1st and 3rd party auto injury, homeowner liability, personal injury, and umbrella policies
Managing claims where litigation or arbitration has been filed
Working with defense counsel
Multi‑state claim/venue knowledge
Resolving complex coverage questions
Large loss claims
Negotiation of complex claim settlements
Securing and evaluating evidence and claim supports
Comfort with multiple systems and software programs
Subrogation claims and investigation
Taking statements
Establishing clear evaluation and resolution plans for claims
Knowledge and Skills
Advanced technical knowledge of the Essential Insurance Act (Michigan) and Fair Trade Practices Act as it relates to claims
Subrogation procedures and processes
Microsoft products
Intercompany arbitration
Litigation
Large Loss
Coverage
Medical terminology
Additional Technical Knowledge
Negligence Law
No‑Fault Law
Medical terminology and human anatomy
Insurance Policy Review and Understanding
Coverage Review and letter writing
Abilities
Handle claims according to the established Claim Handling Standards
Follow and apply ACG Claim policies, procedures, and guidelines
Work within the 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
Travel outside of the assigned territory, which may involve overnight stay
Relocate, work evenings or weekends
Preferred Qualifications Education
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, or Associate in Management, or equivalent
CPCU coursework or designation
Work Environment This position may work remotely from a home office location for day‑to‑day operations unless occasional travel for meetings, collaborative activities, or team‑building activities is specified by leadership. This may change based on amendments 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, wholehearted, 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.
Equal Opportunity Employment 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. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. 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.
Compensation Philosophy 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.
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Senior Claim Specialist Casualty – The Auto Club Group Report to: Claim Manager II
What you will do
Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.
Complete coverage analysis on the most complex claims.
Handle large loss injury 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 determine if the claim should be paid, 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.
Key Responsibilities Senior Claim Specialists are assigned Liability/BI/MedPay/Non-MI PIP/HO Liability/UM/UIM claims involving litigation/arbitration. The Senior Claim Specialists handle the most complex claims involving liability disputes, bodily injuries, and coverage questions.
How you will benefit Senior Claim Specialist will earn a competitive salary of
$80,000 to $95,000
annually with annual bonus potential based on performance.
Benefits
401k Match
Medical
Dental
Vision
PTO
Paid Holidays
Tuition Reimbursement
Required Qualifications Education
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, or Associate in Management, or equivalent
CPCU coursework or designation
Complete the ACG Training Program or demonstrate equivalent knowledge or experience
In states where an Adjuster’s license is required, must be eligible to acquire a State Adjuster’s license within 90 days of hire and maintain it as specified for the appropriate states.
Must have a valid State Driver’s License
Experience
Five years of experience in 1st and 3rd party auto injury, homeowner liability, personal injury, and umbrella policies
Managing claims where litigation or arbitration has been filed
Working with defense counsel
Multi‑state claim/venue knowledge
Resolving complex coverage questions
Large loss claims
Negotiation of complex claim settlements
Securing and evaluating evidence and claim supports
Comfort with multiple systems and software programs
Subrogation claims and investigation
Taking statements
Establishing clear evaluation and resolution plans for claims
Knowledge and Skills
Advanced technical knowledge of the Essential Insurance Act (Michigan) and Fair Trade Practices Act as it relates to claims
Subrogation procedures and processes
Microsoft products
Intercompany arbitration
Litigation
Large Loss
Coverage
Medical terminology
Additional Technical Knowledge
Negligence Law
No‑Fault Law
Medical terminology and human anatomy
Insurance Policy Review and Understanding
Coverage Review and letter writing
Abilities
Handle claims according to the established Claim Handling Standards
Follow and apply ACG Claim policies, procedures, and guidelines
Work within the 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
Travel outside of the assigned territory, which may involve overnight stay
Relocate, work evenings or weekends
Preferred Qualifications Education
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, or Associate in Management, or equivalent
CPCU coursework or designation
Work Environment This position may work remotely from a home office location for day‑to‑day operations unless occasional travel for meetings, collaborative activities, or team‑building activities is specified by leadership. This may change based on amendments 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, wholehearted, 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.
Equal Opportunity Employment 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. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. 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.
Compensation Philosophy 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.
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