Claims Complex Property Adjuster

Claims Complex Property Adjuster

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 handles claims of high complexity. The primary functions include interpreting information from First Notice of Loss reports, loss investigation, coverage and damages evaluation, negotiation strategies and claims resolution. 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

• Identify and obtain statements from insureds, claimants and witnesses. Conduct phone investigations to determine coverage and damages and differentiate between allegations and facts in each loss. Determine policy obligations by assessing the liability and damage components of the loss. Responsible for maintaining proper activities and service levels.
• Communicate and interact with a variety of individuals, including members, insureds, claimants, and vendors, as well as coordinating with internal and external departments. Explain policy coverages, benefits, and claims process verbally and / or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address complex coverage and subrogation issues.
• Evaluate, assess, and negotiate within settlement authority with insureds to resolve first-party claims in multiple markets. Demonstrate proficiency with assessment of personal property, property damage, coverage, loss of use, arbitration responses, damage evaluations, and claims technology and tool usage. Objectively discern and address issues that may be questioned in an audit.
• Mentor and assist with the training of less experienced personnel within the Claims promotional / development guidelines and provide coaching in files.
• May attend and participate in legal proceedings. Direct and interact with in-house and outside counsel on litigated files. Provide sworn expert testimony in Courtroom or Deposition settings.
• Prepare comprehensive formal reporting on high-profile claims to senior management.
• Respond quickly to customer needs and problems.

Qualifications

The starting pay range for this position is $78,200 - $104,100 annually.

Remarkable benefits :

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