Claims Complex Auto Adjuster

American Automobile Association

$69K — $92K *
Finance & Insurance
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree or equivalent experience preferred.
  • 4-6 years of claims handling experience required.
  • Advanced knowledge of claims administration best practices.
  • In-depth understanding of vehicle repair processes.
  • Proficient in fault assessment and subrogation principles.
  • Strong skills in Microsoft Office and claims software.
  • Excellent communication and interpersonal skills.

Responsibilities

  • Communicate with insureds and claimants about their benefits and claims process.
  • Obtain statements from involved parties and conduct phone investigations.
  • Evaluate and negotiate claims settlements within authority limits.
  • Coordinate with internal and external departments as needed.
  • Respond promptly to customer inquiries and needs.

Benefits

  • Health coverage including medical, dental, and vision.
  • 401(K) plan with company match and pension benefits.
  • Tuition assistance program for further education.
  • Floating holidays and PTO for community volunteer work.
  • Paid parental leave for new parents.
  • Wellness programs to promote employee health.
  • Various employee discounts on memberships and services.
Full Job Description
Claims Complex Auto Adjuster

Job Summary
The Claims Complex Auto Adjuster supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, claims resolution, and negotiation strategies of high-complexity claims in compliance with established company technical and customer service best practices. Under minimal supervision, the adjuster works within specific limits and authority to resolve claims.

Job Duties
  • Communicate and interact with a variety of individuals including insureds and claimants. Verify and explain benefits, coverages, fault, and claims process either verbally or in writing which complies with regulatory and statutory requirements. Recognize and appropriately address complex coverage issues.
  • Identify and obtain statements from insureds, claimants, and witnesses. Conduct phone investigations to determine liability and damages. Provide independent analysis and differentiate between allegations and facts.
  • Evaluate and negotiate within settlement authority with insureds and claimants to resolve first and third-party complex claims in multiple markets. Demonstrate proficiency with estimates, property, bodily injury, material damage, liability, total loss evaluations, diminished value, analysis of claims, claims technology, and tool usage.
  • Coordinate with internal and external departments as required.
  • Respond quickly to customer needs and inquiries.
  • Overtime and holiday hours may be required


Qualifications
  • Bachelors Equivalent combination of education and experience Preferred
  • 4-6 years Claims handling experience. Required
  • Advanced knowledge of claims administration best practices and procedures.
  • Advanced understanding of vehicle repair processes and procedures
  • Advanced in fault assessment, negligence and subrogation principles required.
  • Proficient of Microsoft Office suite, general computer software and claims software.
  • Organization and planning recognition proficiency required.
  • Advanced oral and written communication skills.
  • Advanced interpersonal skills required.
  • Advanced in typing/keyboarding/mousing
  • Property and Casualty Insurance License, valid in selling state - Issued by State Preferred
  • May be required to obtain an Adjuster license as applicable in accordance with state law. within 60 Days Preferred


Travel Requirements

  • Occasional travel to off-site business meetings or conferences. (5% proficiency)


The starting pay range for this position is $69,300 - $92,600 annually. Additionally, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.

Remarkable benefits:
• Health coverage for medical, dental, vision
• 401(K) saving plans with company match AND Pension
• Tuition assistance
• Floating holidays and PTO for community volunteer programs
• Paid parental leave
• Wellness programs
• Employee discounts (membership, insurance,

travel, entertainment, services and more!)

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