APD Claim Representative II - Tampa, FL

AAA-The Auto Club Group•FL-ACG Florida AOB, FL

1d•$59,134 - $69,000•Remote

About The Position

The Auto Club Group is seeking an Auto Claim Representative II who works 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 handle claim handling responsibilities which include 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. Employees assigned to Auto Physical Damage (“APD”) claim unit 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 determining cause of damage, establishing liability, identifying subrogation potential, monitoring repairs and approving car rental expense. May handle simple APD Litigation cases.

Requirements

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
One year of experience with: negotiating claim settlements, securing and evaluating evidence, preparing manual and electronic estimates, subrogation claims, including identifying recovery opportunities, resolving coverage questions, taking statements, establishing clear evaluation and resolution plans for claims
Knowledge of Fair Trade Practices Act as it relates to claims, subrogation procedures and processes, intercompany arbitration/dispute resolution, Negligence Laws and Statutes, No-Fault Law and No-Fault Reform, Collision repair techniques
Ability to handle claims to the line
Ability to follow and apply ACG Claim policies, procedures and guidelines
Ability to work within assigned ACG Claim systems including basic PC software
Ability to perform basic claim file review and investigations
Ability to demonstrate effective communication skills (verbal and written)
Ability to demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns
Ability to analyze and solve problems while demonstrating sound decision making skills
Ability to prioritize claim related functions
Ability to process time sensitive data and information from multiple sources
Ability to manage time, organize and plan workload and responsibilities
Ability to safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc.
Ability to research analyze and interpret subrogation laws in various states
Ability to travel outside of assigned territory which may involve overnight stay
Ability to relocate, work evenings or weekends
Ability to demonstrate strong negotiating skills
Must reside within 50 miles from the Tampa location

Nice To Haves

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
I-Car 2000 training
CCC training
Xactware Training

Responsibilities

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.
Handle moderately complex claims involving settling Total Losses, inspecting vehicles and preparing estimates of damage.
Manage Direct Repair Shops for compliance with our program (if in DRS Examiner role).
Determine cause of damage, establish liability, identify subrogation potential, monitor repairs and approve car rental expense.
Handle simple APD Litigation cases.