Proud to serve our 62+ million members, help travelers see the world and drive real change to improve road safety.
Claims Complex Property Adjuster
Location
United States
Posted
3 days ago
Salary
$78.2K - $104K / year
No structured requirement data.
Job Description
Job Summary
This position supports the Property Claims operation by handling claims reported on Homeowner policies written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The position handles claims of high complexity. The primary functions include interpreting information from First Notice of Loss reports, loss investigation, coverage and damages evaluation, negotiation strategies and claims resolution. Employs discretion and independent judgment to ensure compliance with state and federal laws. Applies technical and customer service best practices in accordance with company guidelines.
Job Duties
- Identify and obtain statements from insureds, claimants and witnesses. Conduct phone investigations to determine coverage and damages and differentiate between allegations and facts in each loss. Determine policy obligations by assessing the liability and damage components of the loss. Responsible for maintaining proper activities and service levels.
- Communicate and interact with a variety of individuals, including members, insureds, claimants, and vendors, as well as coordinating with internal and external departments. Explain policy coverages, benefits, and claims process verbally and/or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address complex coverage and subrogation issues.
- Evaluate, assess, and negotiate within settlement authority with insureds to resolve first-party claims in multiple markets. Demonstrate proficiency with assessment of personal property, property damage, coverage, loss of use, arbitration responses, damage evaluations, and claims technology and tool usage. Objectively discern and address issues that may be questioned in an audit.
- Mentor and assist with the training of less experienced personnel within the Claims promotional/development guidelines and provide coaching in files.
- May attend and participate in legal proceedings. Direct and interact with in-house and outside counsel on litigated files. Provide sworn expert testimony in Courtroom or Deposition settings.
- Prepare comprehensive formal reporting on high-profile claims to senior management.
- Respond quickly to customer needs and problems.
Qualifications
- Bachelors Equivalent combination of education and experience Preferred
- 7-9 years Prior claims handling experience. Required
- 7-9 years Property claims administration experience. Preferred
- Working knowledge of claims administration best practices and procedures.
- Advanced knowledge of insurance, coverage investigation, scope and damage assessment, negligence and subrogation principles required.
- Advanced knowledge of Microsoft Office suite, general computer software and claims software.
- Comprehensive understanding of building and vehicle repair procedures and third-party liability issues.
- Advanced leadership skills among peers required.
- 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 Required
- Chartered Property Casualty Underwriter - Insurance Institute of America Preferred
- Associate in Claims - Insurance Institute of America Preferred
- An insurance/claims adjuster license may be required for claims administration in specific states.
Travel Requirements
- Occasional travel to off-site business meetings or conferences. (5% proficiency)
The starting pay range for this position is $78,200 - $104,100 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!)
Auto Club Enterprises is the largest club within the national AAA federation. We have nearly 17,000 employees in 24 states helping more than 18 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity – we win. All of Us! With our national brand recognition, long-standing reputation since 1900, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.
"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
Our organization participates in E-Verify
Related Guides
Related Categories
Related Job Pages
More Claims Specialist Jobs
LTC Claims Pending Specialist
Northwestern MutualYou’ll Like It Here At Northwestern Mutual, we believe that our lives and our work matter. And that doing what’s right is good for everyone. We follow through by designing tech that improves the community and cultivating creative ways to make finance accessible anywhere. These guiding principles have allowed our company to grow for more than 160 years. Here, you’ll be with a team who emphasizes integrity and prioritizes security to design experiences that better everyone. You’ll work in cross functional teams to create optimal solutions that are rooted in innovative strategy and thoughtful execution. And you’re provided development tools and opportunities to become a leader all with the support of a collaborative team. You’ll be surrounded in a culture that values innovation and works to always evolve to stay ahead of trends and client needs. We are intentional in seeking out team members who will challenge us. Our employees choose us for the career opportunities, commitment to philanthropy and desire to have a meaningful impact in the lives of our clients. You have career passions and goals. We have ambition and opportunity for you to grow your future in tech. Discover today: https://careers.northwesternmutual.com/
The specialist determines benefit applicability by interpreting contracts and regulations, making claim decisions on new and continuing long-term care claims. Responsibilities include ordering and reviewing necessary information, conducting interviews, and communicating claim status and contract provisions to various parties.
The role involves applying claims management experience to analyze claim exposure, plan actions, and resolve workers' compensation claims, while interacting extensively with various parties for effective communication and resolution. Responsibilities also include providing exceptional customer service to claimants and ensuring claims handling is consistent with policies and regulatory requirements.
The Senior Resolution Manager will apply claims management experience to analyze exposure, plan actions, and resolve complex workers compensation claims, interacting extensively with various parties for effective communication. This role involves providing exceptional customer service to claimants while ensuring all claims handling is consistent with client, corporate, statutory, and regulatory requirements.
The role involves applying claims management experience to analyze General Liability claim exposure, plan resolution courses of action, and execute claim settlements. This requires extensive interaction with various parties to ensure effective communication and resolution while handling claims according to policies and regulatory requirements.