A

Auto Club Group

AAA member association for roadside, insurance and travel

Property Field Claim Specialist

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeDetroit, MI, USA$70k - $85k /yrHybrid

About the Job

Requirements

  • Complete the ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience.
  • In states where an adjuster's license is required, be eligible to acquire a State Adjuster's license within 90 days of hire and maintain it as required for the applicable states.
  • Have a valid state driver's license.
  • Have three years of experience or equivalent training in negotiating claim settlements, securing and evaluating evidence, preparing manual and electronic estimates, subrogation claims, resolving coverage questions, taking statements, and establishing clear evaluation and resolution plans for claims.
  • Have advanced knowledge of the Essential Insurance Act (Michigan), Fair Trade Practices Act as it relates to claims, subrogation procedures and processes, intercompany arbitration, handling simple litigation, and building construction and repair techniques.
  • Be able to handle claims to claim-handling standards and follow and apply ACG Claim policies, procedures, and guidelines.
  • Be able to work within assigned ACG Claim systems, including basic personal computer software.
  • Be able to perform basic claim file reviews and investigations.
  • Demonstrate effective verbal and written communication skills.
  • Demonstrate customer service skills by building and maintaining relationships with insureds and claimants, understanding their problems, and responding to questions and concerns.
  • Be able to analyze and solve problems, demonstrate sound decision-making, prioritize claim-related functions, process time-sensitive information from multiple sources, and manage, organize, and plan workload and responsibilities.
  • Be able to safely operate a motor vehicle to visit repair facilities, homes for inspections, patients, and other locations.
  • Be able to research, analyze, and interpret subrogation laws in various states.
  • Be able to travel outside the assigned territory, which may involve overnight stays, and relocate or work evenings or weekends.

Responsibilities

  • Review assigned claims and 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 complex coverage analyses and identify all possible policyholder benefits.
  • Create additional sub-claims when needed.
  • Investigate claim facts in further detail to determine whether the claim should be paid, applicable limits or exclusions, and possible recovery potential.
  • Thoroughly review damages and determine the applicability of state law and other factors related to the claim.
  • Evaluate the financial value of losses and approve payments for the appropriate parties.
  • Refer claims to other company units when necessary, such as Underwriting, Recovery Units, or the Claims Special Investigation Unit.
  • Thoroughly document and/or code claim files and complete claim closure and related activities in the assigned claims management system.
  • Negotiate claim resolutions.
  • Handle Homeowner/CAT claims valued over $25,000 for inside desk claims and over $100,000 for field claims.
  • Investigate claims requiring in-depth coverage analysis.
  • For field claims, prepare damage estimates using claims software and review estimates for accuracy.
  • Monitor contractor repair status when needed.
  • Assist the Claim Manager with file reviews and training when needed.

Desired Qualifications

  • An associate degree in Business Administration, Insurance, or a related field, or equivalent related work experience.
  • Completion of the Insurance Institute of America's General Insurance Program, an associate degree in claims, an associate degree in management, or equivalent.
  • CPCU coursework or designation.
  • Xactware training.
  • One to two years of full-cycle homeowners claims handling experience.
  • Experience handling personal property and additional living expense claims.
  • Experience with internal water loss, fire, and smoke claims.
  • Ability to walk on roofs, climb ladders, and lift up to 25 pounds.

About the Company

Auto Club Group

AAA member association for roadside, insurance and travel

Auto Club Group is a nonprofit AAA member association providing roadside assistance, insurance and travel services through regional clubs and related businesses. Members pay annual dues for help with vehicle breakdowns and access to discounts, while the group's insurance companies and agencies sell coverage for cars, homes and other needs. Its travel services help members arrange holidays, cruises and tours, and its financial offerings include banking products provided through partners. The organization also promotes traffic safety and advocates for motorists within the wider AAA federation. With operating roots dating to 1901, Auto Club Group is headquartered in Dearborn, Michigan.

Company size
5,001-10,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Dearborn, MI
Founded
1901

Recently Posted Jobs

Explore more opportunities at Auto Club Group

See more jobs