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Claims Senior Property Adjuster

Remote: 
Full Remote
Contract: 
Experience: 
Senior (5-10 years)
Work from: 
Oregon (USA), United States

Offer summary

Qualifications:

Bachelor's degree or equivalent experience, 4-6 years prior claims handling experience, Moderate knowledge of fault assessment and negotiations, Working knowledge of Microsoft Office and claims software.

Key responsabilities:

  • Handle moderate to high complexity claims
  • Conduct investigations and evaluate policy obligations
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AAA-Auto Club Enterprises Insurance XLarge https://www.ace.aaa.com/
10001 Employees
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Job description

Claims Senior Property Adjuster

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 moderate to high complexity. The primary functions include interpreting information from First Notice of Loss reports, claim investigation, coverage 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, vendors 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. Explain policy coverages, benefits, and claims process either verbally and/or in writing which complies with regulatory and statutory requirements. Recognize and appropriately address moderate-complexity coverage issues.

  • Evaluate, assess, make decisions, and negotiate within settlement authority with insureds to resolve first-party claims in multiple markets. Demonstrate proficiency with assessment of personal property, property damage, loss of use, and claims technology and tool usage. Objectively discern and address issues that may be questioned in an audit.

  • Coordinate with internal and external departments as required.

  • The position requires a higher degree of discretion and independent judgment in analysis and problem-solving to manage losses effectively. Respond quickly and effectively to customer needs and problems.

  • May attend and participate in legal proceedings.


Qualifications

  • Bachelors Equivalent combination of education and experience

  • 4-6 years Prior claims handling experience. Required

  • 4-6 years Property claims administration experience. Preferred

  • Working knowledge of claims administration best practices and procedures.

  • Moderate knowledge of fault assessment, negligence and subrogation principles required.

  • Working knowledge of Microsoft Office suite, general computer software and claims software.

  • 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

  • An insurance/claims adjuster license may be required for claims administration in specific states.


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.

  • Plans and arranges own work, refers only unusual cases to supervisors or others.

  • 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!)

Auto Club Enterprises is the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 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 1902, 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

Required profile

Experience

Level of experience: Senior (5-10 years)
Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Negotiation
  • Microsoft Office
  • Social Skills
  • Problem Solving
  • Planning
  • Communication

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