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Job Summary
This position supports the Property Claims operation by handling claims reported on Homeowner policies written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The position requires the handling of claims of low to moderate complexities. The primary functions include interpreting information from First Notice of Loss reports, loss investigation, coverage evaluation, claims resolution and negotiation strategies. Employs discretion and independent judgment to ensure compliance with state and federal laws. Applies technical and customer service best practices in accordance with company guidelines.
Job Duties
- Conduct phone investigations to determine coverage and damages. Identify and obtain statements from insureds, vendors, and witnesses. Responsible for maintaining proper activities and service levels.
- Communicate and interact with a variety of individuals, including members, insureds and claimants. Explain policy coverages, benefits, and claims process either verbally and/or in writing which complies with regulatory and statutory requirements. Recognize and appropriately address common coverage issues.
- Evaluate, assess, make decisions, and negotiate within settlement authority with insureds to resolve first-party claims in multiple markets. Demonstrate proficiency with assessment of personal property, property damage, loss of use, and claims technology and tool usage.
- Coordinate with internal and external departments as required.
- May attend and participate in legal proceedings.
- Respond quickly to insured needs and problems.
Qualifications
- Bachelors Equivalent combination of education and experience
- 1-3 years Prior claims handling experience. Required
- 4-6 years Property claims handling experience Preferred
- Working knowledge of claims administration best practices and procedures.
- General knowledge of fault assessment, negligence and subrogation principles desired.
- Working knowledge of Microsoft Office suite, general computer software and claims software.
- Moderate organization and planning recognition skills required.
- Moderate oral and written communication skills required.
- Moderate interpersonal skills required.
- Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required
- An insurance/claims adjuster license may be required for claims administration in specific states.
Scope
- Work is accomplished with moderate supervision. Follows established and detailed directions. Work is reviewed for accuracy and overall adequacy.
- Provides resolution to problems that are readily identifiable with limited scope and are resolved in accordance with standard practices, procedures, applications or routines. Problem/Task resolution timeframe: The majority of tasks typically take one to two days to resolve.
- Under general supervision, proceeds alone for regular duties, referring questionable cases to supervisor.
- Individual Contributor
- Failure to accomplish results can normally be overcome without significant effect on the organization.
- Contacts are primarily with direct supervisor and others in group or department to give and receive information.
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
