Casualty Claim Specialist – Florida

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: ***This is a hybrid work arrangement (time spent in office and remote). This candidate must reside within the state of Florida, preferably near Tampa. 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.*** Florida Casualty Claim Specialist – The Auto Club Group Reports to: Claim Manager II What you will do: (Primary Duties & Responsibilities) The Auto Club Group is seeking prospective Casualty 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: - Review assigned claims - Contact the insured and other affected parties - Set expectations for the remainder of the claim process and thoroughly document 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 - Conduct thorough reviews of damages and determine 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 strong 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. How you will benefit: Claim Specialists will earn a competitive salary of $68,000 - $80,000 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 Required Qualifications: Education: - In states where an Adjuster’s license is required, the candidate must have a Florida State Adjuster License - Degree in Business Administration, Insurance, or a related field, or the equivalent in related work experience - Must have a valid State Driver's License Experience: - Three 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 according 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 reviews 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 functions - Process time-sensitive data and information from multiple sources - Manage time, organize, and plan workload and responsibilities Work Environment: This is a hybrid work arrangement (time spent in office and remote). 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. #LI-AH2 Who We Are: Become a part of something bigger. The 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. To learn more about AAA The Auto Club Group, visit www.aaa.com. 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. Pay ranges outlined in this posting are based on the various ranges within the geographic areas in which ACG operates. Salary at the 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 are equal opportunity employers. 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. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.