What are the responsibilities and job description for the Claims Service Representative 2 - Subrogation position at ACSC Management Services Inc?
Job Summary:
This position supports the Claims Operation by providing service pursuant to the policy by handling claims of material damage, property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include investigation, evaluation and negotiation of low to moderate complexity claims in compliance with established company technical and customer service Best Practices. Under general technical direction, works within specific limits of authority.
Duties and Responsibilities:
Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverage, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements.
Conduct phone and/or field investigations to determine liability and damages. May attend and participate in legal proceedings. Identify and obtain statements from insureds, claimants and witnesses.
Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data.
Negotiate within settlement authority with insureds and claimants to resolve their first- and third-party claims.
Handle administrative functions, update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, etc.
Verify and interpret/resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required.
Provide independent analysis and differentiation between allegations and facts.
Determine policy obligations by assessing the liability and damage components of the loss. Independently resolve claim exposures within level of authority.
Respond quickly to customer needs and problems.
Recognize and appropriately address common coverage issues.
Recognize and appropriately address common subrogation issues.
Qualifications:
Bachelors or Equivalent combination of education and experience.
Moderate computer and line of business technical software skills required.
General knowledge of negligence and subrogation principles desired.
Moderate understanding of vehicle nomenclature and repair practices or; Moderate understanding of building nomenclature and repair practices.
Advanced organization and planning recognition skills required.
Advanced oral and written communication skills required. Advanced interpersonal skills required.
Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State.
Remarkable benefits:
"Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.”
AAA is an Equal Opportunity Employer
This position supports the Claims Operation by providing service pursuant to the policy by handling claims of material damage, property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include investigation, evaluation and negotiation of low to moderate complexity claims in compliance with established company technical and customer service Best Practices. Under general technical direction, works within specific limits of authority.
Duties and Responsibilities:
Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverage, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements.
Conduct phone and/or field investigations to determine liability and damages. May attend and participate in legal proceedings. Identify and obtain statements from insureds, claimants and witnesses.
Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data.
Negotiate within settlement authority with insureds and claimants to resolve their first- and third-party claims.
Handle administrative functions, update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, etc.
Verify and interpret/resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required.
Provide independent analysis and differentiation between allegations and facts.
Determine policy obligations by assessing the liability and damage components of the loss. Independently resolve claim exposures within level of authority.
Respond quickly to customer needs and problems.
Recognize and appropriately address common coverage issues.
Recognize and appropriately address common subrogation issues.
Qualifications:
Bachelors or Equivalent combination of education and experience.
Moderate computer and line of business technical software skills required.
General knowledge of negligence and subrogation principles desired.
Moderate understanding of vehicle nomenclature and repair practices or; Moderate understanding of building nomenclature and repair practices.
Advanced organization and planning recognition skills required.
Advanced oral and written communication skills required. Advanced interpersonal skills required.
Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State.
Remarkable benefits:
- Health coverage for medical, dental, vision
- 401(K) saving plan with company match AND Pension
- Tuition assistance
- PTO for community volunteer programs
- Wellness program
- Employee discounts (membership, insurance, travel, entertainment, services and more!)
"Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.”
AAA is an Equal Opportunity Employer