Senior Casualty Claim Specialist - Tampa, FL

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:

 

Florida Casualty Senior Claim Specialist– The Auto Club Group

What you will do:

The Auto Club Group is seeking prospective Casualty Senior 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 Senior Claim Specialist can lead to a rewarding career at our growing organization.

How you will benefit:

Claim Specialist will earn a competitive salary of $75,000 - $85,000 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:

Preferred Qualifications:

Education:

• 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
• 5 years of Litigated file handling experience

Required Qualifications:

Education:

• Degree in Business Administration, Insurance or a related field or the equivalent in related work experience
• Must have a Florida State adjuster license
• 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.

Experience:

Five 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 and Skills:

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 fu