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Remote Auto Claim Representative II

AAA The Auto Club Group

This is a Part-time position in Anaheim, CA posted April 12, 2022.

Job Description Remote Auto Claim Representative II – Florida – The Auto Club Group What You Will Do The Auto Club Group is seeking prospective 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.

In This Position, You Will Have The Opportunity To Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim, and initiate 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).

This position is assigned to the Florida Auto Physical Damage (“APD”) claim unit and will handle moderately complex claims involving settling Total Losses, inspecting vehicles and preparing estimates of damage.

If in the DRS Examiner role, manage Direct Repair Shops for compliance with our program.

Additional responsibilities may include the following: determining cause of damage, establishing liability, identifying subrogation potential, monitoring repairs and approving car rental expense.

May handle simple APD Litigation cases.

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 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 Work Environment This a remote position.

Must reside within Florida.

Training will be on site at Tampa AOB office.

This is a home based role with travel to Tampa office as needed after training.

Qualifications We’re looking for candidates who: Education Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience Completion of the Insurance Institute of Americas: General Insurance Program, Associate in Claims, Associate in Management or equivalent CPCU coursework or designation I-Car 2000 training CCC training Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience Must be eligible to acquire a State Adjuster’s license within 90 days of hire and maintain as specified for appropriate states.

Must have a valid State Drivers License Experience One year of experience with: 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 Of Knowledge and Skills: Fair Trade Practices Act as it relates to claims Subrogation procedures and processes Intercompany arbitration Knowledge Of Negligence Law No-Fault Law Collision 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 Analyze and solve problems while demonstrating sound decision making skills Process time sensitive data and information from multiple sources Research analyze and interpret subrogation laws in various states Strong negotiating skills What It’s Like To Work For Us We serve our members by making their satisfaction our highest priority.

We do what’s right by sustaining an open, honest and ethical work environment.

We lead in everything we do by offering best-in-class products, benefits and services.

And we value our employees by seeking the best talent, rewarding high performance and holding ourselves accountable.

All in all, we create an inclusive and welcoming environment of diverse backgrounds, experiences and viewpoints, realizing our differences make us stronger.

Who We Are The Auto Club Group helps AAA Members enjoy life’s journey with peace of mind by providing innovative solutions, advocacy and membership benefits wherever and whenever they need them.

We currently conduct business in 13 states in the upper Midwest and the Southeast.

The Auto Club Group has established four long-term enterprise goals: Long-term, sustainable, profitable growth AAA Membership growth and renewal Operational excellence Become the “flagship club” of the AAA Federation Important Note The above statements describe the principle 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 fulfil these requirements.

The Auto Club Group, and all of 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.