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AAA-The Auto Club Group · 1 day ago

Subrogation Investigative Claim Representative II

Hybrid - SC

Full-time

Hybrid

Entry, Mid Level

$58K/yr - $75K/yr

1+ years exp

AAA The Auto Club Group is a leading organization providing membership, travel, insurance, and financial services. They are seeking a Subrogation Investigative Claim Representative II to handle moderately complex claims, assist with investigations, and evaluate recovery potential while ensuring compliance with claim handling standards.

Insurance

Responsibilities

Work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards

Take statements and establish clear evaluation and resolution plans for claims

Assist with subrogation investigations. This may include insurance verification, obtaining proofs, taking recorded statements, and hiring experts

Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim, and initiating documentation in the claim handling system

Complete an investigation of the facts and determine 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

Qualification

Subrogation claimsNegotiating claim settlementsInsurance verificationEssential Insurance ActNegligence LawNo-Fault LawCustomer service skillsEffective communicationProblem-solving skillsTime management

Required

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

One year of experience with negotiating claim settlements

One year of experience with securing and evaluating evidence

One year of experience with preparing manual and electronic estimates

One year of experience with subrogation claims

One year of experience with resolving coverage questions

One year of experience with taking statements

One year of experience with establishing clear evaluation and resolution plans for claims

Essential Insurance Act (Michigan)

Fair Trade Practices Act as it relates to claims

Subrogation procedures and processes

Intercompany arbitration

Technical knowledge of Negligence Law

Technical knowledge of No-Fault Law

Technical knowledge of Collision repair shop

Ability to handle claims to the line Claim Handling Standards

Ability to follow and apply ACG and Meemic Claim policies, procedures and guidelines

Ability to work within assigned Meemic Claim systems including basic PC software

Ability to perform basic claim file review and investigations

Ability to demonstrate effective communication skills (verbal and written)

Ability to demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns

Ability to analyze and solve problems while demonstrating sound decision making skills

Ability to prioritize claim related functions

Ability to process time sensitive data and information from multiple sources

Ability to manage time, organize and plan workload and responsibilities

Ability to research analyze and interpret subrogation laws in various states

Strong negotiating skills