Claims Service Representative 2

Claims Service Representative II - Total Loss

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

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!)

Auto Club Enterprises is the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity – we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.

"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