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Job Summary
The Claims Complex Auto Adjuster supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, claims resolution, and negotiation strategies of high-complexity claims in compliance with established company technical and customer service best practices. Under minimal supervision, the adjuster works within specific limits and authority to resolve claims.
Job Duties
- Communicate and interact with a variety of individuals including insureds and claimants. Verify and explain benefits, coverages, fault, and claims process either verbally or in writing which complies with regulatory and statutory requirements. Recognize and appropriately address complex coverage issues.
- Identify and obtain statements from insureds, claimants, and witnesses. Conduct phone investigations to determine liability and damages. Provide independent analysis and differentiate between allegations and facts.
- Evaluate and negotiate within settlement authority with insureds and claimants to resolve first and third-party complex claims in multiple markets. Demonstrate proficiency with estimates, property, bodily injury, material damage, liability, total loss evaluations, diminished value, analysis of claims, claims technology, and tool usage.
- Coordinate with internal and external departments as required.
- Respond quickly to customer needs and inquiries.
- Overtime and holiday hours may be required
Qualifications
- Bachelors Equivalent combination of education and experience Preferred
- 4-6 years Claims handling experience. Required
- Advanced knowledge of claims administration best practices and procedures.
- Advanced understanding of vehicle repair processes and procedures
- Advanced in fault assessment, negligence and subrogation principles required.
- Proficient of Microsoft Office suite, general computer software and claims software.
- Organization and planning recognition proficiency required.
- Advanced oral and written communication skills.
- Advanced interpersonal skills required.
- Advanced in typing/keyboarding/mousing
- Property and Casualty Insurance License, valid in selling state - Issued by State Preferred
- May be required to obtain an Adjuster license as applicable in accordance with state law. within 60 Days Preferred
Scope
- Work is accomplished with limited direction. Determines and develops approach to solutions. Work is evaluated upon completion to ensure objectives have been met.
- Provides resolution to a diverse range of recognizable complex problems. Analysis is required to identify root cause. Uses judgment within defined boundaries to develop alternate solutions, both long and short term. Problem/Task resolution timeframe: Inclusive of shorter timeframes, but typically the majority of tasks take three to six months to resolve.
- Plans and arranges own work, refers only unusual cases to supervisors or others.
- 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
