Senior Litigation Casualty Claim Specialist - Michigan PIP

Join AAA-The Auto Club Group as a Senior Litigation Casualty Claim Specialist - Michigan PIP.

Job Type : Full time, Exempt / Non Exempt : Salary

Job Description

The Auto Club Group is seeking a Senior Claim Specialist to handle highly complex technical issues and the most complex claims.

Responsibilities include :

• Review assigned claims, contact the insured and other affected parties, and initiate documentation in the claim handling system.
• Complete coverage analysis on the most complex claims.
• Ensure all possible policyholder benefits are identified.
• Create additional sub-claims if needed.
• Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
• Evaluate the financial value of the loss.
• Approve payments for the appropriate parties accordingly.
• Refer claims to other company units when necessary.
• Thoroughly document and / or code the claim file and complete all claim closure and related activities in the assigned claims management system.
• Utilize strong negotiating skills.

Senior Claim Specialists assigned to the PIP unit are responsible for claims involving the MCCA or quadriplegic, traumatic brain, amputations, and other catastrophic injuries.

Work Environment

This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership.

Benefits

Senior Claim Specialists will earn a competitive salary of $74,900 to $99,800 annually with annual bonus potential based on performance. Excellent and comprehensive benefits packages include :

Required Qualifications

Education : Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience. Experience : Five years of experience in negotiation of complex claim settlements, securing and evaluating evidence, and resolving complex coverage questions. Knowledge and Skills : Advanced technical knowledge of Essential Insurance Act (Michigan), Fair Trade Practices Act, and subrogation procedures and processes.

Preferred Qualifications

Education : Associate degree in Business Administration, Insurance or a related field. Preferred experience and skills include CPCU coursework or designation and ability to analyze and solve problems while demonstrating sound decision-making skills.

The Auto Club Group is an equal opportunity / affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.

J-18808-Ljbffr