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Auto Club Group

AAA member association for roadside, insurance and travel

Property Field Claim Specialist

Claims AdjudicationConfirmed live in the last 24 hours
Full-timeHybrid

About the Job

Requirements

  • Complete the ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience.
  • Where a state adjuster’s license is required, be eligible to acquire it within 90 days of hire and maintain it as required by the relevant state.
  • 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 claim evaluation and resolution plans.
  • Have advanced knowledge of the Michigan Essential Insurance Act, Fair Trade Practices Act as it relates to claims, subrogation procedures and processes, intercompany arbitration, handling simple litigation, and building construction and repair techniques.
  • Handle claims in accordance with Claim Handling Standards and follow and apply ACG Claim policies, procedures, and guidelines.
  • Work within assigned ACG Claim systems, including basic personal-computer software.
  • Perform basic claim-file reviews and investigations.
  • Demonstrate effective verbal and written communication skills.
  • Build and maintain relationships with insureds and claimants, understand their problems, and respond to questions and concerns.
  • Analyze and solve problems while demonstrating sound decision-making.
  • Prioritize claim-related functions.
  • Process time-sensitive data and information from multiple sources.
  • Manage time and organize and plan workload and responsibilities.
  • Safely operate a motor vehicle to visit repair facilities and homes for inspections.
  • Research, analyze, and interpret subrogation laws in various states.
  • Travel outside the assigned territory, which may involve overnight stays.
  • Be willing to relocate and work evenings or weekends.

Responsibilities

  • 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 complex coverage analyses and ensure all possible policyholder benefits are identified.
  • Create additional sub-claims when needed.
  • Investigate claim facts in detail to determine whether claims should be paid, applicable limits or exclusions, and possible recovery potential.
  • Review damages and determine the applicability of state law and other factors related to the claim.
  • Evaluate the financial value of the loss and approve payments for appropriate parties.
  • Refer claims to other company units when necessary, including Underwriting, Recovery Units, or the Claims Special Investigation Unit.
  • Document or code claim files and complete claim closure and related activities in the assigned claims-management system.
  • Use negotiating skills to resolve claims.
  • Handle homeowner/CAT claims valued over $25,000 for the inside desk role and over $100,000 for the field role.
  • Investigate claims requiring in-depth coverage analysis.
  • Prepare damage estimates using claims software for field claims and review estimates for accuracy.
  • Monitor contractor repair status as needed.
  • Assist the Claim Manager with file reviews and training as needed.
  • Conduct on-site property inspections, assess damages, determine coverage, prepare estimates, and guide policyholders through the claims process.
  • Support catastrophe response efforts by assisting customers and communities affected by large-scale weather events and natural disasters.

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.
  • Xactware training.
  • Two to four 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

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