This position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include investigating, evaluating, and negotiating low—to moderate-complexity claims in compliance with established company technical and customer service Best Practices. Under general technical direction, the position works within specific limits of authority.
Job Duties
- Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault, and claims process either verbally or in writing in compliance with regulatory and statutory requirements.
- Conduct phone and/or field investigations to determine liability and damages. May attend and participate in legal proceedings. Identify and obtain statements from insureds, claimants, and witnesses.
- Evaluate and determine claim values upon receipt and assessment of property, bodily injury, and liability data.
- Negotiate within settlement authority with insureds and claimants to resolve their first and third-party claims.
- Handle administrative functions, update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, etc.
- Verify and interpret/resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required. Identify cross-sell opportunities based on members’ product needs and service requests. Enhance member relationships by diversifying the use of products and services. Provide sales leads to insurance, travel, and other departments as appropriate.
Qualifications
- Bachelors Equivalent combination of education and experience Required
- 4-6 years Ability to service claims of low to moderate complexity. Required
- Moderate computer and line of business technical software skills are required.
- General knowledge of negligence and subrogation principles is desired.
- Moderate understanding of vehicle nomenclature and repair practices or;
- Moderate understanding of building nomenclature and repair practices.
- Advanced organization and planning recognition skills are required.
- Advanced oral and written communication skills are required.
- Advanced interpersonal skills are required.
- Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required
Scope
- Work is accomplished with moderate supervision. Follows established and detailed directions. Work is reviewed for accuracy and overall adequacy.
- Provides resolution to an assortment of problems that are typically well defined, but some clarification or judgment is required to determine action, as additional information about the problem/task is discovered. Uses judgment within defined practices/procedures to determine appropriate action. Problem/Task resolution timeframe: Inclusive of shorter timeframes, but the majority of tasks take up to several weeks to resolve.
- Under general supervision, proceeds alone for regular duties, referring questionable cases to supervisor.
- Individual Contributor
- Failure to achieve results or erroneous judgments may require the allocation of additional resources to correct and/or achieve goals.
- Contacts are primarily within the department or function with occasional cross-functional interfaces. Some limited external customer contact on routine matters.
Remarkable benefits:
•   Health coverage for medical, dental, vision
•   401(K) saving plan with company match AND Pension
•   Tuition assistance
•   PTO for community volunteer programs
•   Wellness program
•   Employee discounts (membership, insurance, travel, entertainment, services and more!)
"Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.”
AAA is an Equal Opportunity Employer