The Auto Club Group
Sr. Litigation Specialist (Michigan PIP)
The Auto Club Group, Dearborn, Michigan, United States, 48120
It's a great time to join AAA The Auto Club Group!JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARDJob Type:
Full timeExempt/Non Exempt:
SalaryJob Description:Sr. Litigation Specialist (Michigan PIP) - The Auto Club GroupWhat you will do: (Primary Duties & Responsibilities)The Auto Club Group is seeking prospective 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.Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.Complete coverage analysis on the most complex claims.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.Senior Claims Specialists assigned to the PIP unit are responsible for claims involving the MCCA or quadriplegic, traumatic brain, amputations, and other catastrophic injuries. The role will require proficiency in dealing with the MCCA and attorney represented claims. Work with insureds, physicians' offices, and medical insurance carriers to obtain necessary information to complete the claims review process and make the appropriate determinations.Work EnvironmentThis position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.How you will benefit:Senior Claim Specialist will earn a competitive salary of $70,967 to $94,600 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 MatchMedicalDentalVisionPTOPaid HolidaysTuition ReimbursementWe'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 experienceCompletion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalentCPCU coursework or designationComplete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experienceIn 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 LicenseExperience:Five years of experience in the following:Negotiation of complex claim settlementsSecuring and evaluating evidencePreparing manual and electronic estimatesSubrogation claimsResolving complex coverage questionsTaking statementsEstablishing clear evaluation and resolution plans for claimsKnowledge and Skills:Advanced technical knowledge of Essential Insurance Act (Michigan)Fair Trade Practices Act as it relates to claimsSubrogation procedures and processesIntercompany arbitrationLitigationAdvanced technical knowledge of:Negligence LawNo-Fault LawMedical terminology and human anatomyMCCA and attorney represented claimsAbility to:Handle claims to the line Claim Handling StandardsFollow and apply ACG Claim policies, procedures and guidelinesWork within assigned ACG Claim systems including basic PC softwarePerform claim file review and investigationsDemonstrate 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 concernsAnalyze and solve problems while demonstrating sound decision making skillsPrioritize claim related functionsProcess time sensitive data and information from multiple sourcesManage time, organize and plan workload and responsibilitiesAttend virtual meetings and corporate/court onsite meetingsWho We AreThe Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance.And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other.We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.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. 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/affirmative action 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.
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Full timeExempt/Non Exempt:
SalaryJob Description:Sr. Litigation Specialist (Michigan PIP) - The Auto Club GroupWhat you will do: (Primary Duties & Responsibilities)The Auto Club Group is seeking prospective 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.Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.Complete coverage analysis on the most complex claims.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.Senior Claims Specialists assigned to the PIP unit are responsible for claims involving the MCCA or quadriplegic, traumatic brain, amputations, and other catastrophic injuries. The role will require proficiency in dealing with the MCCA and attorney represented claims. Work with insureds, physicians' offices, and medical insurance carriers to obtain necessary information to complete the claims review process and make the appropriate determinations.Work EnvironmentThis position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.How you will benefit:Senior Claim Specialist will earn a competitive salary of $70,967 to $94,600 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 MatchMedicalDentalVisionPTOPaid HolidaysTuition ReimbursementWe'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 experienceCompletion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalentCPCU coursework or designationComplete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experienceIn 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 LicenseExperience:Five years of experience in the following:Negotiation of complex claim settlementsSecuring and evaluating evidencePreparing manual and electronic estimatesSubrogation claimsResolving complex coverage questionsTaking statementsEstablishing clear evaluation and resolution plans for claimsKnowledge and Skills:Advanced technical knowledge of Essential Insurance Act (Michigan)Fair Trade Practices Act as it relates to claimsSubrogation procedures and processesIntercompany arbitrationLitigationAdvanced technical knowledge of:Negligence LawNo-Fault LawMedical terminology and human anatomyMCCA and attorney represented claimsAbility to:Handle claims to the line Claim Handling StandardsFollow and apply ACG Claim policies, procedures and guidelinesWork within assigned ACG Claim systems including basic PC softwarePerform claim file review and investigationsDemonstrate 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 concernsAnalyze and solve problems while demonstrating sound decision making skillsPrioritize claim related functionsProcess time sensitive data and information from multiple sourcesManage time, organize and plan workload and responsibilitiesAttend virtual meetings and corporate/court onsite meetingsWho We AreThe Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance.And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other.We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger.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. 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/affirmative action 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.
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