Casualty Claim Specialist - Florida

Auto Club Group•Tampa, FL

8h•$68,000 - $78,000•Hybrid

About The Position

It’s a great time to join AAA The Auto Club Group! JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD Job Type: Full time Exempt/Non Exempt: Salary Job Description: 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 Florida Casualty Claim Specialist– The Auto Club Group Reports to: Claim Manager II What you will do: (Primary Duties & Responsibilities) The Auto Club Group is seeking prospective Casualty Claim Specialists who can work under less supervision with a high-level of authority to handle highly complex technical issues and the most complex claims. In this position, you will have the opportunity to: Reviewing assigned claims Contacting the insured and other affected parties, Setting expectations for the remainder of the claim process, and thoroughly documenting activities in the claim file. Complete complex coverage analysis, Ensure all possible policyholder benefits are identified, Complete an investigation of the facts regarding the claim, Determine if the claim should be paid and confirm recovery potential. Conducting thorough reviews of damages and determining the applicability of state law and other factors related to the claim. Identify when to refer claims to other company units (e.g., Underwriting, Subrogation or Special Investigation Unit). Possess strong critical thinking and negotiating skills. Handle both attorney represented and unrepresented claimants with injury claims that may involve coverage investigation, liability disputes, bodily injuries, and litigation. Assist Claim Manager with file reviews and training. With our powerful brand and the mentoring, we offer, you will find your position as a Claim Specialist can lead to a rewarding career at our growing organization. How you will benefit: Claim Specialist will earn a competitive salary of $68,000 - $78,000 annually with an 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 Reimbursement We’re looking for candidates who: 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 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.

Requirements

In states where an Adjuster’s license is required, the candidate must have a Florida State Adjuster License.
Degree in Business Administration, Insurance or a related field or the equivalent in related work experience
Must have a valid State Driver's License
Three years of experience or equivalent training in the following:
Negotiation of claim settlements
Evaluation of injury claims
Securing and evaluating evidence
Subrogation claims
Coverage analysis and resolution of coverage questions
Taking statements
Establishing clear evaluation and resolution plans for claims
Knowledge of: Fair Trade Practices Act as it relates to claims
Subrogation including intercompany arbitration
Litigation as it relates to claims
Negligence Law
No-Fault Law
Medical terminology and human anatomy
Ability to: Handle claims to ACG Claim Handling Standards including following and applying 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 decision making skills
Prioritize claim related functions
Process time sensitive data and information from multiple sources
Manage time, organize, and plan workload and responsibilities
Must Reside within 50 miles from Tampa, Florida

Nice To Haves

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

Responsibilities

Reviewing assigned claims
Contacting the insured and other affected parties
Setting expectations for the remainder of the claim process, and thoroughly documenting activities in the claim file.
Complete complex coverage analysis
Ensure all possible policyholder benefits are identified
Complete an investigation of the facts regarding the claim
Determine if the claim should be paid and confirm recovery potential.
Conducting thorough reviews of damages and determining the applicability of state law and other factors related to the claim.
Identify when to refer claims to other company units (e.g., Underwriting, Subrogation or Special Investigation Unit).
Possess strong critical thinking and negotiating skills.
Handle both attorney represented and unrepresented claimants with injury claims that may involve coverage investigation, liability disputes, bodily injuries, and litigation.
Assist Claim Manager with file reviews and training.