Temporary Subrogation Claim Support Processor

AAA-The Auto Club Group•MI-Admin Office Building (AOB), SC

8d•$15 - $20•Remote

About The Position

This is a six-month temporary work assignment. Successful candidates may have conversion opportunities into a full-time position depending on performance and position availability. The Temporary Subrogation Claim Support Processor provides daily support to the Claim department by completing well-defined clerical tasks that require a general understanding of the Claims process, business context, and the Claims department organization and workflow. Primary duties include triaging all claims received by the Subrogation unit and routing them to the correct Subrogation team claim handler, including claims in FACTS and legacy policies (WINS, IPM, CPS, SPI). This position also provides support to CR1 staff during periods of high volume.

Requirements

High School Diploma or equivalent or one year of experience in processing, customer service or business administration.
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.
Must attain all required State Adjuster licenses for applicable states within 60 days after completing licensing coursework.
Working with P.C. software applications.
Knowledge of Data processing techniques.
Knowledge of Claim investigation and liability determination across multiple lines of business, including Auto, Property, and Casualty.
Knowledge of State negligence laws and statutes across all states within the current operating footprint.
Knowledge of Subrogation principles and requirements to determine recoverability.
Knowledge of Claims processes, documentation standards, and referral workflows.
Ability to Organize and prioritize multiple tasks.
Ability to Communicate effectively (oral and written).
Ability to Use basic math skills.
Ability to Use automated processing and computer systems.
Ability to Maintain accurate files and records.
Ability to Analyze claim details, including FNOLs, claim notes, and police reports, to determine the liable party.
Ability to Research state‑specific negligence laws to assess subrogation viability.
Ability to Navigate and work efficiently across multiple claims systems and platforms, including FACTS, CPS, IPM, WINS, and SPI.
Strong organizational and time‑management skills to manage high‑volume workloads across multiple companies.
Multitask effectively while maintaining accuracy and consistency in claim triage and referral decisions.
Work efficiently to ensure timely processing and assignment of incoming claims.
Work collaboratively in a team environment, including providing coverage and coordination with peers to ensure uninterrupted claim triage.
Prioritize and manage competing demands to support timely and accurate claim handling.
Maintain focus and accuracy in a fast‑paced, high‑volume environment.
Adapt to process changes and evolving system requirements while maintaining service standards.

Nice To Haves

Prior claims experience is preferred.

Responsibilities

Provide daily support to the Claim department by completing well-defined clerical tasks that require a general understanding of the Claims process, business context and the Claims department organization and workflow.
Research and proper routing of mail, data entry of key information into claim systems for proper routing of documents including summons and complaints.
Oversight for exception process of RPA functions, ordering police reports and paying low dollar, high volume invoices, generally associated with claim expenses, including research to ensure no payment duplication.
Request and track retrieval requests for paper files when needed, daily oversight for manual printing, logging, and mailing remotely printed checks for multiple claim systems.
Receive inbound and make outbound customer phone calls to resolve claims needs.
Triage phone line as well as a customer care line to answer questions from members or body shops related to inspection assignment.
Work requires detailed compliance to specific instructions, with supervisory oversight.
May be assigned tasks normally handled at a higher level as needed.
Assign claims to claim handlers following prescribed business rules.
Update claim systems with information related to assigned recovery tasks.
Triage all claims received by Subrogation unit and route them to the correct Subrogation team claim handler.
Review claims to determine whether liability has been established, review claim details including FNOL, claim memos and police report to determine primary liability.
Update the claim system by adding liable party or parties participants and ensure insurance verification has been completed for the liable party.
On FACTS claims, update the Subrogation node, or create the node when one is not already established, and accurately document the recovery reason, pursued amount, and liable party information.
Using assignment logic, determine the appropriate Subrogation claim handling team (Investigators, Claim Rep. 1, Claim Rep 2 or Claim Specialist) and assign the claim to the subrogation claim handler.
Provides support to CR1 staff during periods of high volume, which includes compiling claim packets and referring eligible claims with supporting documentation to collection vendors, excluding claims involving total losses.
Process and pay evidence storage invoices on home claims.
Review FNOL, memos and police report to determine who is primarily liable for the loss.
Determine if the liable party is insured.
Add party/parties liable to the claim as participants, add the claimant carrier as a participant, create/update the subrogation node.
Based on review of the claim, determine the proper subrogation team the claim should be assigned to.
Complete the assignment including updating the claim system, updating CCC-Outbound, adding a memo regarding assignment and set a task for the subrogation handler.
Refer subrogation claims to approved collection vendors.
Performs overflow support during periods of increased claim volume.
Review and pay evidence storage invoices on Homeowner claims.