Claims Service Representative 2 - Casualty
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The Auto Club of Southern CA is looking for a Claims Service Representative for our High Severity Team; responsible for investigation, evaluation and negotiation of high complexity claims in compliance with established company technical and customer service. Currently this is a work from home position, however, training is in office and subject to change in the future.
Responsibilities include:
Communicate and interact with a variety of individuals including insureds and claimants.
Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements.
Conduct phone and/or field investigations to determine liability and damages. May attend and participate in legal proceedings. Identify and obtain statements from insureds, claimants and witnesses.
Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data.
Negotiate within settlement authority with insureds and claimants to resolve their first- and third-party claims.
Handle administrative functions, update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, etc.
Verify and interpret/resolve coverage by gathering necessary information to ensure policy applicability.
Coordinate with internal and external departments as required.
Identify cross-sell opportunities based on members’ product needs and service requests. Enhance member relationship by diversifying use of products and services.
Provide sales leads to insurance, travel and other departments as appropriate.
Perform other duties and responsibilities as assigned or required.
Knowledge/Skills/Competencies:
4-yr. College Degree or equivalent combination of education and work experience required.
Ability to service claims of high complexity, with prior litigation experience.
Moderate computer and line of business technical software skills required.
Solid knowledge of negligence and subrogation principles desired.
Moderate understanding of vehicle nomenclature and repair practices or; moderate understanding of building nomenclature and repair practices.
Advanced organization and planning recognition skills required.
Advanced oral and written communication skills required.
Advanced interpersonal skills required.
Position requires a minimum of 3 years Casualty experience.
This position requires being in the field to attend depositions, mediations, and trials.
The starting pay range for this position is:
$27.48 - $36.64Additionally, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.
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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
“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
The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance.
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