Desk Homeowners Claim Representative II

Job Type

Full time

Exempt / Non Exempt

Exempt / Non Exempt

Job Description

It's a great time to join AAA The Auto Club Group! Join the team committed to driving your career forward.

I. Position Description

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
• Initiating documentation in the claim handling system
• Completing coverage analysis, including a review of policy coverages and provisions, and the applicability to the reported loss
• Ensuring all possible policyholder benefits are identified, creating additional sub-claims if needed or referring complex claims to management or the appropriate claim handler
• Completing an investigation of the facts regarding the claim to determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential
• Conducting thorough reviews of damages and determining the applicability of state law and other factors related to the claim
• Evaluating the financial value of the loss
• Approving payments for the appropriate parties accordingly
• Referring claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit)
• Thoroughly documenting and / or coding the claim file and completing all claim closure and related activities in the assigned claims management system
• Utilizing strong negotiating skills

Employees assigned to 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, must prepare damage estimates using claims software. Review estimates for accuracy. May monitor contractor repair status and updates.

Required Qualifications (these are the minimum requirements to qualify)

Education

Experience

Knowledge and Skills

Knowledge of :

Ability to :

III. Preferred Qualifications

Education

Work Environment

This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come into an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or teambuilding events. Preferred applicants should reside within 50 miles of the Tampa, FL area.

Benefits

401k Match

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.

Who We Are

The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.

Equal Opportunity Statement

The Auto Club Group, and all its affiliated companies, is an equal opportunity 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.

Background Check

Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.

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