AAA The Auto Club Group is a leading provider of membership, travel, insurance, and financial services. They are seeking a Claim Support Specialist to handle day-to-day operations, including assigning claims, performing quality control tasks, and assisting management with department projects.
Responsibilities
- In accordance with established guidelines, assign claims electronically
- Recognize subrogation potential and refer claims to appropriate area as indicated
- Update claims files to document assignments
- Review claims assignments within assigned area to ensure proper load-balancing
- Perform quality control tasks to ensure the timely assignment of claims
- Monitor claim systems to ensure proper assignment of claims based on key identifiers within intake reports
- Notify management of system problems or potential issues
- Forward claim files to appropriate areas (e.g. Legal) as necessary
- Perform a variety of high-level support duties to ensure the proper handling of claims
- Assist management in the support of department projects and research and compile requested information
- Gather information for management reports
- Create and distribute various reports and/or documents including: agent workload assignments, open claims, agent attendance, etc
- May enter, process, retrieve and/or correct data to ensure systems are updated and management has correct information to respond to inquiries
- Review claim files to ensure payments are disbursed to appropriate individuals
- Assist other staff members in performing claim support functions such as typing correspondence/memos and responding to telephone inquiries as needed during peak periods/staff shortages
- Answer customer/vendor calls and provide information, as needed
- Perform other related duties as assigned
Skills
- High school education or equivalent
- Completion of ACG approved training program for the position
- 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
- P.C. software applications
- Knowledge of general claim processing functions
- Knowledge of claim processing system
- Ability to work under pressure
- Ability to organize and prioritize work
- Ability to prepare claim files
- Ability to communicate effectively with others over the telephone and in person
- Ability to investigate policy coverage, including the establishment of new policies and verification of cancelled policies
- Ability to compose a descriptive narrative
- Ability to perform alphabetic and numeric filing
- Ability to use basic math skills
- Ability to bend and stoop in order to file and/or retrieve claims documents
- Ability to sit for the majority of the day
- Ability to operate a PBX console
- Ability to handle multiple tasks
- Ability to use automated processing and computer systems
- Ability to audit records and computer files
- Ability to rotate within department to perform various training or support functions
- Ability to provide high quality customer service
- Ability to analyze and problem solve
- College level coursework or equivalent claims experience
- Experience preparing claim files and diary entries
- Experience performing salvage activities such as file preparation, processing of titles, arranging for vehicle towing and storage
- Knowledge of insurance processing, including the understanding of policy/coverage terminology
- Knowledge of subrogation procedures
- Knowledge of homeowners claims
- Knowledge of bodily injury
- Knowledge of homeowners' policy coverage/terminology techniques
Benefits
- 401k Match
- Medical
- Dental
- Vision
- PTO
- Paid Holidays
- Tuition Reimbursement
Company Overview
AAA - The Auto Club Group (ACG) is the second largest AAA club in North America, serving more than 13+ million members across 14 U.S. It was founded in 1901, and is headquartered in Dearborn, MI, US, with a workforce of 5001-10000 employees. Its website is http://aaa.com.