Claim Support Specialist - Tampa, FL

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