Role overview

Qualifications

Bachelors or equivalent combination of education and experience
4-6 years prior claims handling experience
Moderate knowledge of insurance, fault assessment, negligence and subrogation principles
Valid Driver's License with acceptable DMV record

Responsibilities

Identify and obtain statements from insureds, vendors, and witnesses
Conduct phone and/or field investigations to determine coverage and damages
Negotiate within settlement authority with insureds to resolve claims
Update database production reports and document claim files

Key facts

Remote from: California (USA)
Full time
Senior (5-10 years)
Insurance Adjuster
English

Hard skills

Code Coverage Claims And Litigation Management Insurance Law Failure Analysis Subrogation Database Management Construction Engineering Organizational Structure

Other skills

Investigation
Negotiation
Communication
Social Skills
Planning
Customer Service

About the company

AAA-Auto Club Enterprises

Insurance

AAA is a federation of fully taxpaying, not-for-profit motor clubs in the U.S. with more than 62 million members that has been serving motorists for more than a century. Auto Club Enterprises is a group of AAA clubs serving more than 17 million members in 21 states, employing more than 14,000 people directly and working with thousands of independent businesses that provide benefits and service to our members. Our more than 300 branches receive 8 million visits annually, 23 call centers take more than 24 million calls per year and AAA.com and the AAA Mobile app are used more than 54 million times per year. Club Locations: AAA Alabama (Alabama) AAA Northern New England (Maine, New Hampshire, Vermont) AAA East Central (Sections of Pennsylvania, Ohio, Kentucky, West Virginia and New York) AAA Tidewater (Southeastern Virginia) AAA Missouri (Missouri, Arkansas, Louisiana, and sections of Kansas, Illinois and Indiana) AAA Texas (Texas) AAA New Mexico (New Mexico) Automobile Club of Southern California (from Mono to San Diego Counties) AAA Hawaii Our Mission: Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value. Our Values: RESPECT – Appreciate each other’s contributions. TEAMWORK – Excel through collaboration. RELEVANCE – Anticipate and adjust to evolving needs. CHARACTER – Do the right thing, honor our commitments. COMMITMENT – Relentlessly pursue excellence. We are committed to creating a workplace where all employees, regardless of background, or characteristics, are engaged, feel they belong and can grow and develop long careers with our organization. We are focusing on what we can do to help bring about meaningful change to advance diversity, inclusion and belonging in both our organization and our local communities

Company details

Company typeXLarge

IndustryInsurance

Company size10001

Links

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Job description

Claims Field Senior Property Adjuster

Job Summary
This position handles moderate to complex claims matters involving homeowner property insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include investigation, damages evaluation, negotiation strategies, and claims resolution of moderate to complex claims. The position employs discretion and independent judgment to ensure compliance with state and federal law and established company Best Practices.

Job Duties

Identify and obtain statements from insureds, vendors and witnesses. Conduct phone and/or field investigations to determine coverage and damages and differentiate between allegations and facts in each loss.
Communicate and interact with a variety of individuals. Explain benefits, coverages, and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address moderate complexity coverage issues.
Evaluate and determine claim values upon receipt and assessment of property damage data.
Negotiate within settlement authority with insureds to resolve first claims.
Update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc.
Control expenses for areas of responsibility.
Verify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Objectively discern and address issues that may be questioned in audit. Coordinate with internal and external departments as required.
May attend and participate in legal proceedings.
Respond quickly and effectively to customer needs and problems.

Qualifications

Bachelors Equivalent combination of education and experience
4-6 years Prior claims handling experience. Required
4-6 years Property claims administration experience. Preferred
1-3 years Experience in the construction industry. Preferred
Working knowledge of claims administration best practices and procedures.
Moderate knowledge of insurance, fault assessment, negligence and subrogation principles required.
Comprehensive understanding of vehicle and building repair procedures and third-party liability issues.
Working knowledge of Microsoft Office suite, general computer software and claims software.
Moderate leadership skills necessary.
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.

Travel Requirements

Claims field duties may involve company car usage and local travel to inspect accident scenes or first-party homeowner losses. (40% proficiency)

The starting pay range for this position is:

$80,100.00 - $107,000.00

Additionally, for full time positions, 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

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 (FCIHO), the Unincorporated Los Angeles County (ULAC) regulation, and the California Fair Chance Act (CFCA).