Senior Casualty Claim Specialist - Tampa, FL

AAA-The Auto Club Group•Tampa, FL

2d•$75,000 - $85,000•Hybrid

About The Position

As a driven experienced Florida Litigation Bodily Injury Adjuster skilled in evaluating high-exposure claims, partnering with legal counsel, and resolving complex cases through strategic negotiation and sound decision-making. A strong knowledge of Florida bodily injury claims, litigation processes, coverage analysis, and negotiation techniques is essential to minimize financial exposure and support organizational objectives.

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
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.
Five years of experience or equivalent training in the following: negotiation of 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
Advance knowledge of: Fair Trade Practices Act as it relates to claims, Subrogation procedures and processes, Intercompany arbitration, Handling litigation
Advance knowledge of: Negligence Law, No-Fault Law, medical terminology and human anatomy
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
demonstrate effective communication skills (verbal and written)
demonstrate customer service skills by building and maintaining relationships with insured/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
research analyze and interpret subrogation laws in various states
travel outside of assigned territory which may involve overnight stay
relocate, work evenings or weekends
Must reside within 50 miles from Tampa, Florida

Nice To Haves

Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience
Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent
CPCU coursework or designation
Five years of Litigation file handling experience

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.

Benefits

PTO, paid sick leave
Medical plans with multiple coverage options, including HSA eligibility.
Prescription drug coverage.
Dental and vision benefits.
Employee Assistance Program (confidential support services).
Company-paid basic life insurance.
Optional supplemental life insurance and dependent coverage.
Short-term and long-term disability coverage.
Critical illness, accident, and pet insurance options.
401(k) plan
Health Savings Account (HSA) and Flexible Spending Accounts (FSA) options.
Paid Time Off (PTO)
10 company-paid holidays annually, in addition to 1 mental health day, 2 floating holidays, and 1 volunteer day.
Paid leave programs, including parental, bereavement, jury duty, and military leave.
Tuition assistance (up to $5,250 annually; 80% covered by ACG).
Professional certification support with 100% reimbursement for eligible programs.
Opportunities for career development and advancement.
Complimentary AAA membership with roadside assistance and travel discounts.
Adoption assistance program.