Michigan Homeowners Claim Representative II - Fremont, MI

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Job Type : Full time

Exempt / Non Exempt : Salary

Job Description :

Michigan Homeowners Claim Representative II - Fremont, MI

What you will do

The Auto Club Group is seeking prospective Homeowner Claim Representative II who can work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units, resolve coverage questions, take statements, and establish clear evaluation and resolution plans for claims.

Claim handling responsibilities will include the following : reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim, and initiating documentation in the claim handling system. Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss. Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler. Complete an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential. 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 (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit). 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.

Employees assigned to the Homeowner / CAT claim unit will handle claims generally valued between $5,000 and $25,000 (for the inside desk role) and up to $100,000 (for field role). Investigate claims requiring coverage analysis. When handling claims in the field, prepare damage estimates using claims software. Review estimates for accuracy. May monitor contractor repair status and update.

We're looking for candidates who

Required Qualifications (these are the minimum requirements to qualify)

Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience

In states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states.

A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members.

Experience

One year of experience or equivalent training in the following :

Negotiating claim settlements

Securing and evaluating evidence

Preparing manual and electronic estimates

Subrogation claims

Resolving coverage questions

Taking statements

Establishing clear evaluation and resolution plans for claims

Knowledge and Skills

Advance knowledge of :

Essential Insurance Act (Michigan)

Fair Trade Practices Act as it relates to claims

Subrogation procedures and processes

Intercompany arbitration

Knowledge of

Knowledge of building construction and repair techniques

Ability to

Handle claims to the line Claim Handling Standards

Follow and apply ACG Claim policies, procedures and guidelines

Work within assigned ACG Claim systems including basic PC software

Perform basic claim file review and investigations

Demonstrate effective communication skills (verbal and written)

Demonstrate customer service skills by building and maintaining relationships with insureds / claimants while exhibiting understanding of their problems and responding to questions and concerns

Analyze and solve problems while demonstrating sound decision-making skills

Prioritize claim related functions

Process time sensitive data and information from multiple sources

Manage time, organize and plan workload and responsibilities

Research, analyze, and interpret subrogation laws in various states

Strong negotiating skills

Ability to work outside normal business hours as needed

Preferred Qualifications

Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience

Xactimate software experience / training or experience in an equivalent software

Claims adjuster experience specifically in home / property claims preferred

Experience working within a customer service setting

Call center experience or experience handling high volume calls preferred, but not required

Excellent communication skills both oral and written

Experience working within an insurance or claims-based role for one year or more

Full claims cycle experience preferred

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. This is subject to change based on amendments and / or modifications to the ACG Flex Work policy. Candidates should reside in the state of Michigan for consideration.

With our powerful brand and the mentoring, we offer, you will find your position as a Claims Representative II can lead to a rewarding career at our growing organization.

How you will benefit

Claim Representative II will earn a competitive salary of $58,000 to $75,000 annually with annual bonus potential based on performance.

Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include :

401K Match

Medical

Dental

Vision

PTO

Paid Holidays

Tuition Reimbursement

Important Note : THE ABOVE STATEMENTS DESCRIBE THE PRINCIPAL AND ESSENTIAL FUNCTIONS, BUT NOT ALL FUNCTIONS THAT MAY BE INHERENT IN THE JOB. THIS JOB REQUIRES THE ABILITY TO PERFORM DUTIES CONTAINED IN THE JOB DESCRIPTION FOR THIS POSITION, INCLUDING, BUT NOT LIMITED TO, THE ABOVE REQUIREMENTS. REASONABLE ACCOMMODATIONS WILL BE MADE FOR OTHERWISE QUALIFIED APPLICANTS, AS NEEDED, TO ENABLE THEM TO FULFILL THESE REQUIREMENTS.

The Auto Club Group, and all its affiliated companies, 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.

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