Claim Department Jobs (NOW HIRING)

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Job Type:

Job Description:

This is a six-month temporary work assignment. Successful candidates may have conversion opportunities into a full-time position depending on performance and position availability.

Reports to: ClaimManager or above

What you will do:

Provide daily support to the Claim department by completing well defined clerical tasks that require a general understanding of the Claims process, business

Provide daily support to the Claim department by completing well defined clerical tasks that require a general understanding of the Claims process, business context and the Claims department organization and workflow.

Day-to-day routine tasks include:

• Research and proper routing of mail, data entry of key information into claim systems for proper routing of documents including summons and complaints

• Oversight for exception process of RPA functions, ordering police reports and paying low dollar, high volume invoices, generally associated with claim expenses, including research to ensure no payment duplication

• Request and track retrieval requests for paper files when needed, daily oversight for manual printing, logging, and mailing remotely printed checks for multiple claim systems

• Receive inbound and make outbound customer phone calls to resolve claims needs

• Triage phone line as well as a customer care line to answer questions from members or body shops related to inspection assignment

• Work requires detailed compliance to specific instructions, with supervisory oversight

• May be assigned tasks normally handled at a higher level as needed

• Assign claims to claim handlers following prescribed business rules

• Update claim systems with information related to assigned recovery tasks

Primary duties are to triage all claims received by Subrogation unit and route them to the correct Subrogation team claim handler. This includes claims in FACTS and legacy policies (WINS, IPM, CPS, SPI). Review claims to determine whether liability has been established, review claim details including FNOL, claim memos and police report to determine primary liability. Update the claim system by adding liable party or parties participants and ensure insurance verification has been completed for the liable party.

On FACTS claims, update the Subrogation node, or create the node when one is not already established, and accurately document the recovery reason, pursued amount, and liable party information. Using assignment logic, determine the appropriate Subrogation claim handling team (Investigators, Claim Rep. 1, Claim Rep 2 or Claim Specialist) and assign the claim to the subrogation claim handler. This position also provides support to CR1 staff during periods of high volume, which includes compiling claim packets and referring eligible claims with supporting documentation to collection vendors, excluding claims involving total losses. Process and pay evidence storage invoices on home claims.

• Review FNOL, memos and police report to determine who is primarily liable for the loss.

• Determine if the liable party is insured.

• Add party/parties liable to the claim as participants, add the claimant carrier as a participant, create/update the subrogation node.

• Based on review of the claim, determine the proper subrogation team the claim should be assigned to.

• Complete the assignment including updating the claim system, updating CCC-Outbound, adding a memo regarding assignment and set a task for the subrogation handler.

• Refer subrogation claims to approved collection vendors.

• Performs overflow support during periods of increased claim volume.

• Review and pay evidence storage invoices on Homeowner claims

Supervisory Responsibilities:

None

How you will benefit:

• A competitive hourly salary between $15.00 - $20.00

We are looking for candidates who:

Required Qualifications (these are the minimum requirements to qualify)

Education:

• High School Diploma or equivalent or one year of experience in processing, customer service or business administration

• 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.

• Must attain all required State Adjuster licenses for applicable states within 60 days after completing licensing coursework

Experience:

• Working with P.C. software applications

Knowledge of:

• Data processing techniques

• Claim investigation and liability determination across multiple lines of business, including Auto, Property, and Casualty.

• State negligence laws and statutes across all states within the current operating footprint

• Subrogation principles and requirements to determine recoverability.

• Claims processes, documentation standards, and referral workflows.

Skills and Ability to:

• Organize and prioritize multiple tasks

• Communicate effectively (oral and written)

• Use basic math skills

• Use automated processing and computer systems

• Maintain accurate files and records

• Analyze claim details, including FNOLs, claim notes, and police reports, to determine the liable party.

• Research statespecific negligence laws to assess subrogation viability.

• Navigate and work efficiently across multiple claims systems and platforms, including FACTS, CPS, IPM, WINS, and SPI.

• Strong organizational and timemanagement skills to manage highvolume workloads across multiple companies.

• Multitask effectively while maintaining accuracy and consistency in claim triage and referral decisions.

• Work efficiently to ensure timely processing and assignment of incoming claims.

• Work collaboratively in a team environment, including providing coverage and coordination with peers to ensure uninterrupted claim triage.

• Prioritize and manage competing demands to support timely and accurate claim handling.

• Maintain focus and accuracy in a fastpaced, highvolume environment.

• Adapt to process changes and evolving system requirements while maintaining service standards.

Preferred Experience:

• Prior claims experience is preferred

Work Environment

This 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.

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 which ACG operates. 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 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.

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.