Non-Michigan Personal Injury Protection Adjuster

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:

 

Non-Michigan Personal Injury Protection Adjuster – The Auto Club Group

What you will do: (Primary Duties & Responsibilities)

AAA - The Auto Club Group is seeking a prospective Claim Specialist who can work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims.

 In this position, you will have the opportunity to:

• Review assigned claims

• Contacting the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system. 

• Complete complex coverage analysis.

• Ensure all possible policyholder benefits are identified.

• Create additional sub-claims if needed.

• 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.

Claim Specialist assigned to the Non-MI PIP claim units will handle highly complex injury claims. Answer coverage and policy questions. Handle Med Pay claims in all states, and PIP claims in KY, MN, and ND. Apply the correct liability determination, evaluate the damages, and arrive at a fair settlement.

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.

Work Environment

This is a hybrid work arrangement. 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.

How you will benefit:

Claim Specialist will earn a competitive salary of $63,800 - $85,000 annually with 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/Required Qualifications)

Education:

• 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

• 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.

• Must have a valid State Driver's License

Preferred Experience:

Three years of experience in the following:

• Negotiation of claim settlements

• Securing and evaluating evidence

• Preparing manual and electronic estimates

• Subrogation claims

• Resolving complex coverage questions

• Taking statements

• Establishing clear evaluation and resolution plans for claims

Knowledge an