This position handles moderate to complex claims matters involving homeowner property insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include investigation, damages evaluation, negotiation strategies, and claims resolution of moderate to complex claims. The position employs discretion and independent judgment to ensure compliance with state and federal law and established company Best Practices.
Job DutiesIdentify and obtain statements from insureds, vendors and witnesses. Conduct phone and/or field investigations to determine coverage and damages and differentiate between allegations and facts in each loss.
Communicate and interact with a variety of individuals. Explain benefits, coverages, and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address moderate complexity coverage issues.
Evaluate and determine claim values upon receipt and assessment of property damage data.
Negotiate within settlement authority with insureds to resolve first claims.
Update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc.
Control expenses for areas of responsibility.
Verify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Objectively discern and address issues that may be questioned in audit. Coordinate with internal and external departments as required.
May attend and participate in legal proceedings.
Respond quickly and effectively to customer needs and problems.
Qualifications
Bachelors Equivalent combination of education and experience
4-6 years Prior claims handling experience. Required
4-6 years Property claims administration experience. Preferred
1-3 years Experience in the construction industry. Preferred
Working knowledge of claims administration best practices and procedures.
Moderate knowledge of insurance, fault assessment, negligence and subrogation principles required.
Comprehensive understanding of vehicle and building repair procedures and third-party liability issues.
Working knowledge of Microsoft Office suite, general computer software and claims software.
Moderate leadership skills necessary.
Advanced organization and planning recognition skills required.
Advanced oral and written communication skills required.
Advanced interpersonal skills required.
Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required
An insurance/claims adjuster license may be required for claims administration in specific states.
Travel Requirements
Claims field duties may involve company car usage and local travel to inspect accident scenes or first-party homeowner losses. (40% proficiency)
The starting pay range for this position is:
$38.64 - $51.46Additionally, for full time positions, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.
.
Remarkable benefits:
• Health coverage for medical, dental, vision
• 401(K) saving plans with company match AND Pension
• Tuition assistance
• Floating holidays and PTO for community volunteer programs
• Paid parental leave
• Wellness programs
• Employee discounts (membership, insurance,
travel, entertainment, services and more!)
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
The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance (FCIHO), the Unincorporated Los Angeles County (ULAC) regulation, and the California Fair Chance Act (CFCA).
...TAX PREPARER Poughkeepsie, NY Our client, a dynamic, professional accounting firm in the Tri-State area, is seeking 2 Tax Preparers... ...working environment . Positions may be full-time or seasonal . Competitive compensation based on experience Qualifications...
...for future employment beyond the completion of your initial assignment. Requirements: Mexican citizenship (required for the TN Visa)100% Flexibility with assignment location NCLEX or be willing to take NCLEX English proficiency Ability to pass...
...and cultural competence with the Deaf and hard-of-hearing community. Certification or licensure relevant to special education teaching and ASL interpreting. Position Details: Location: Vanderwagen, NM (telehealth service delivery). Employment Type: Contract...
.... With our Language Travel Schools, we offer young learners the opportunity to spend 2 - 4 weeks in North America, improving their English language skills in a robust program while participating in a full-activity program of sports, discos, parties, excursions, and lots...
...must have a Doctorate of Physical Therapy at the start of the residency program Entry level position, no experience required. Prefer acute care internship experience. Current Physical Therapist License or Physical Therapist License Applicant in the State of California...