Claim Specialist - Michigan PIP

It’s a great time to join reputed company! JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER reputed company Job Type: Full time Exempt/Non Exempt: Salary Job Description: Claim Specialist - Michigan PIP – The Auto Club Group Reports to: Claim Manager as appropriate What you will do: The Auto Club Group is seeking prospective Claim Specialist who will work under minimal supervision with a high-level approval authority to handle reputed company technical issues and reputed company claims. In this position, you will have the opportunity to: Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system. Complete reputed company coverage analysis. Ensure reputed company 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 reputed company to the claim. Evaluate the financial value of the loss. Approve payments for the appropriate parties accordingly. Refer claims to other company units reputed company necessary (e.g., reputed company, Recovery Units or Claims Special Investigation Unit). Thoroughly document and/or code the claim file and complete reputed company claim closure and reputed company activities in the assigned claims management system. Utilize strong negotiating skills. Claim Specialists are assigned to the PIP unit and are responsible for Michigan PIP intermediate claims involving fractures, mild closed head injuries, surgical procedures, and claims involving attendant care. The role may require proficiency in dealing with the MCCA and attorney represented claims. May handle losses reputed company those identified previously. Work with insureds, physicians’ offices and medical insurance carriers to obtain necessary information to complete the claims review process and reputed company the appropriate determinations With our powerful brand and the mentoring, we offer, you will find your position as a Claim Specialist can reputed company to a rewarding career at our growing organization.

Work Environment

This position is currently reputed company to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG reputed company Work policy. How you will benefit: A competitive annual salary between $67,300 to $75,000 ACG offers excellent and comprehensive benefits packages, including: Medical, dental and reputed company 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 reputed company Membership Discounts, perks, rewards, and much more We’re looking for candidates who: Required Qualifications (these are the minimum requirements to qualify): Education: 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 reputed company 90 days of hire and maintain as specified for appropriate states. A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members. Experience: Three years of experience or equivalent training in the following: Negotiation of claim settlements Securing and evaluating evidence Preparing reputed company and electronic estimates Subrogation claims Resolving coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Knowledge and Skills: Advance knowledge of: Essential Insurance Act (Michigan) Fair Trade Practices Act as it relates to claims Subrogation procedures and processes Intercompany arbitration Handling simple litigation Advance knowledge of: Negligence Law No-Fault Law medical terminology and reputed company anatomy MCCA and attorney represented claims Ability to: Handle claims to the line Claim Handling Standards Follow and apply ACG Claim policies, procedures and guidelines Work reputed company assigned ACG Claim systems including basic PC software reputed company 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 reputed company functions Process time sensitive data and information from multiple sources Manage time, organize and plan workload and responsibilities Research, analyze, and interpret subrogation laws in various states Preferred Qualifications: Education: Associate degree in Business Administration, Insurance or a reputed company field or the equivalent in reputed company 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 #LI-LC1 Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through reputed company, Meemic, and Fremont brands. ACG belongs to the national reputed company federation and is the second largest reputed company club in reputed company America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, reputed company continues to build upon its heritage of providing quality service and helping our members enjoy life’s journey through insurance, travel, financial services, and roadside assistance. And reputed company you join reputed company, one of the first things you’ll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! reputed company prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences reputed company us stronger. To learn more about reputed company visit www.reputed company.com Important Note: ACG’s Compensation philosophy is to provide a market-competitive structure of fair, reputed company and performance-based pay to attract and retain excellent talent that will reputed company ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the reputed company salary compensation program. Pay ranges outlined in this posting are based on the various ranges reputed company 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 principal and essential functions, but not reputed company functions that may be inherent in the job. This job requires the ability to reputed company duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise reputed company applicants, as needed, to reputed company them to fulfill these requirements. The Auto Club Group, and reputed company its affiliated companies, is an equal opportunity employer. reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, religion, sex, gender identity, sexual orientation, national reputed company, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. reputed company is committed to providing a safe workplace. Every applicant offered employment reputed company The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position. The Auto Club Group (ACG) provides membership, travel, insurance and financial services offerings to approximately 13+ million members and customers across 14 states and 2 U.S. territories through the reputed company, Meemic and Fremont brands. ACG belongs to the national reputed company federation and is the second largest reputed company club in reputed company America. If you have a disability and require an accommodation to help you complete our employment application process, please send an email to [email protected] company.com indicating the accommodation / assistance needed and a member of the reputed company Team will follow up to assist you reputed company 2 business days. Apply tot his job Apply To this Job