The Claims Senior 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 moderate complexity claims in compliance with established company technical and customer service best Practices. Under limited supervision, works within specific limits and authority to resolve claims with well-defined procedures.
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 moderate-complexity coverage issues.
Identify and obtain statements from insureds, claimants and witnesses. Conduct investigations to determine liability and damages and differentiate between allegations and facts.
Evaluate and negotiate within settlement authority with insureds and claimants to resolve first and third-party claims in multiple markets. Demonstrate proficiency with estimates, property, material damage, liability, total loss evaluations, 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
1-3 years Claims handling experience. Required
Working knowledge of claims administration best practices and procedures.
Understanding of vehicle repair processes and procedures
Knowledge of fault assessment, negligence and subrogation principles required.
Knowledge of Microsoft Office suite, general computer software and claims software.
Organization and planning recognition skills required.
Oral and written communication skills required.
Interpersonal skills required.
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
Scope
Work is accomplished with limited direction. Determines and develops approach to solutions. Work is evaluated upon completion to ensure objectives have been met.
Provides resolution to an assortment of problems that are typically well defined, but some clarification or judgment is required to determine action, as additional information about the problem/task is discovered. Uses judgment within defined practices/procedures to determine appropriate action. Problem/Task resolution timeframe: Inclusive of shorter timeframes, but the majority of tasks take up to several weeks to resolve.
Under general supervision, proceeds alone for regular duties, referring questionable cases to supervisor.
Individual Contributor
Failure to achieve results or erroneous judgments may require the allocation of additional resources to correct and/or achieve goals.
Contacts are primarily within the department or function with occasional cross-functional interfaces. Some limited external customer contact on routine matters.
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