MI BI Senior Claims Specialist - Litigation Management

Company: The Auto Club Group
Location: Dearborn
Posted on: November 14, 2024

Job Description:

It's a great time to join AAA The Auto Club Group!JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARDJob Type:Full timeExempt/Non Exempt:SalaryJob Description:Senior Casualty Litigation Specialist - The Auto Club GroupWhat you will do: (Primary Duties & Responsibilities)The Auto Club Group is seeking a prospectiveSeniorClaim Specialisttowork under less supervision with a high-level of authority.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 process, 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.
• 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.Senior Claim Specialists assigned Liability/BI/Med Pay/Non-MI PIP claims involving litigation/arbitration. Handle the most complex claims involving liability disputes, bodily injuries, and coverage questions.With our powerful brand and the mentoring, we offer, you will find your position as aSeniorClaim Specialistcan lead to a rewarding career at our growing organization.How you will benefit:Claim Specialist Will earn a competitive salary of $80,000 to $97,000 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 ReimbursementWe're looking for candidates who: (Preferred/Required Qualifications)Education:
    • Associate degree in business administration, Insurance or a related field or the equivalent in related work experience
    • Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, associate in management or equivalent
    • CPCU coursework or designation
    • 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.
    • Must have a valid State Driver's LicenseExperience:
      • Five years of experience in the following:
      • Negotiation of complex claim settlements
      • Securing and evaluating evidence
      • Preparing manual and electronic estimates
      • Subrogation claims
      • Resolving complex coverage questions
      • Taking statements
      • Establishing clear evaluation and resolution plans for claimsKnowledge and Skills:
        • Advanced technical knowledge
        • Essential Insurance Act (Michigan)
        • Fair Trade Practices Act as it relates to claims.
        • Subrogation procedures and processes
        • Intercompany arbitration
        • Litigation
        • Strong negotiation skills
        • A good teamwork orientationAdvanced technical knowledge of:
          • Negligence Law
          • No-Fault Law
          • Medical terminology and human anatomy
          • Attorney represented claims.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 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 critical thinking and decision-making skills
            • Prioritize claim related functions
            • Process time sensitive data and information from multiple sources
            • Manage time, organize and plan workload and responsibilities
            • Attend virtual meetings and corporate/court onsite meetings
            • Work evenings or weekendsWork EnvironmentThis 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 in to 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.Who We AreBecome a part of something bigger.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.By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance.And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other.We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.To learn more about AAA The Auto Club Group visit Important Note:ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level.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.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.

Keywords: The Auto Club Group, Dearborn , MI BI Senior Claims Specialist - Litigation Management, Legal , Dearborn, Michigan