The Auto Club Group
Remote PIP/ FL Claim Representative II - ( 220002OZ ) **Description** **Remote Claim Representative II - FL PIP – The Auto Club Group** **W
Remote PIP/ FL Claim Representative II – ( 220002OZ )
**Remote Claim Representative II – FL PIP – The Auto Club Group**
**What you will do:**
The Auto Club Group is seeking prospective **Claim Representative II** who can work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units, resolve coverage questions, take statements and establish clear evaluation and resolution plans for claims. The Auto Club Group’s PIP department is growing rapidly and is interested in all candidates with any type of PIP experience.
In this **Claim Representative II** position, you will have the opportunity to:
+ Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim, and initiate documentation in the claim handling system.
+ Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss.
+ Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler.
+ 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.
With our powerful brand and the mentoring we offer, you will find your position as a **Claim Representative II** can lead to a rewarding career at our growing organization.
How you will benefit:
PIP Claim Representative II will earn a competitive salary of $55,000 to $60,000 annually; with annual bonus potential based on performance
+ Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include:
+ 401k Match
+ Paid Holidays
+ Tuition Reimbursement
**We’re looking for candidates who:**
+ High School Diploma
+ 4 year degree preferred
+ 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
The ideal candidate will have experience in, at least, one of the below skill sets:
+ Two or more years of Personal Injury Protection benefits experience
+ Negotiating claim settlements
+ Securing and evaluating evidence
+ Subrogation claims
+ Resolving coverage questions
+ Taking statements
+ Establishing clear evaluation and resolution plans for claims
+ Medical management
+ Interpreting policy language
+ Florida statute knowledge
+ Letter writing
+ 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 work load and responsibilities
+ Research analyze and interpret subrogation laws in various states
+ Work evenings or weekends
+ Strong negotiating skills
What it’s like to work for us:
We serve our members by making their satisfaction our highest priority. We do what’s right by sustaining an open, honest and ethical work environment. We lead in everything we do by offering best-in-class products, benefits and services. And we value our employees by seeking the best talent, rewarding high performance and holding ourselves accountable.
All in all, we create an inclusive and welcoming environment of diverse backgrounds, experiences and viewpoints, realizing our differences make us stronger.
Who we are:
The Auto Club Group helps AAA Members enjoy life’s journey with peace of mind by providing innovative solutions, advocacy and membership benefits wherever and whenever they need them. We currently conduct business in 13 states in the upper Midwest and the Southeast.
The Auto Club Group has established four long-term enterprise goals:
+ Long-term, sustainable, profitable growth
+ AAA Membership growth and renewal
+ Operational excellence
+ Become the “flagship club” of the AAA Federation
_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 principle 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 of its affiliated companies, is an equal opportunity/affirmative action 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._
**Primary Location** : United States-FL-Tampa
**Work Locations** :
FL-ACG Florida AOB
9125 Henderson Road
**Job** : Claims
**Organization** : Claims
**Schedule** : Full-time
**Employee Status** : Regular
**Job Type** : Regular
**Job Level** : Individual Contributor
**Travel** : No
**Job Posting** : Jul 27, 2022, 3:36:13 PM
**Req ID:** 220002OZ
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