Metro Detroit Field Property Claim Specialist

Metro Detroit Field Property Claim Specialist -AAA The Auto Club Group

Reports to: Claim Manager as appropriate

What you will do:

Work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims. 

• Review assigned claims,

• Contacting the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.  

• Complete complex coverage analysis.

• 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.

Employees will be assigned to the Michigan Homeowner claim unit and will handle claims generally valued between $10,000 and $75,000 and occasionally over $100,000 for field role. Investigate claims requiring coverage analysis.  When handling claims in the field, must prepare damage estimates using Xactimate estimating software.  Review estimates for accuracy.   May monitor contractor repair status and updates.

Supervisory Responsibilities:

None

How you will benefit:

• A competitive annual salary between $63,000 - $85,000

• ACG offers excellent and comprehensive benefits packages, including:

• Medical, dental and vision benefits

• 401k Match

• Paid parental leave and adoption assistance

• Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays

• Paid volunteer day annually

• Tuition assistance program, professional certification reimbursement program and other professional development opportunities

• AAA Membership

• Discounts, perks, and rewards and much more

We’re looking for candidates who:

Required Qualifications:

Education:

• Associate 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

• Xactware Training

• 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.

• Must have a valid State Driver's License

Ability to: 

• Lift up to 25 pounds

• Climb ladders.

• Walk on roofs.

 Experience:

• Three years of experience or equivalent training in the following:

• Negotiation of claim settlements

• Securing and evaluating evidence

• Preparing manual and electronic estimates

• Subrogation claims

• Resolving coverage questions

• Taking statements

• Establishing clear evaluation and resolution plans for claims

Knowledge and Skills:

Advanced knowledge of:

• Fair Trade Practices Act as it relates to claims

• Subrogation procedures and processes

• Intercompany arbitration

• Handling simple litigation

• Advanced knowledge of building construction and repair techniques

Ability to:

• Handle claims to the line Claim Handling Standards

• Follow and apply ACG Claim policies, procedures and guidelines

• Work within assigned ACG Claim systems including basic PC software

• Perform basic claim file review 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

• Safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc.

• Research analyze and interpret subrogation laws in various states

• May travel outside of assigned territory which may involve overnight stay

• Resides in the State of Michigan only (Territory Specific: Wayne County, Oakland County and Washtenaw County)

Preferred Qualifications:

• 1-2 years of full cycle homeowners claims handling experience

• Experience handling personal property and additional living expense claims

• Experience with internal water loss, fire, and smoke claims

• Michigan Adjuster’s License preferred, but not required

• Associate degree in Claims

Work Environment

This position is currently able to work remotely from a home office location for day-to-day operations, with traveling to field locations as necessary to complete job responsibilities, unless occasional team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.