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Job Description

Homeowners Claims Specialist (Florida Desk) - The Auto Club Group

Responsibilities

- Review assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim process, and initiating documentation in the claim handling system.
- Complete complex coverage analysis.
- Ensure all possible policyholder benefits are identified.
- Create additional sub-claims if needed.
- Conduct an investigation of the facts regarding the claim to further and in more detail determine if the claim should be paid, the applicable limits or exclusions and possible recovery potential.
- Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
- Evaluate the financial value of the loss.
- Approve payments for the appropriate parties accordingly.
- Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit).
- Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system.
- Utilize strong negotiating skills.

Employees assigned to Homeowner/CAT claim unit will handle claims generally valued between $5,000 and $25,000 for the inside desk role and up to $100,000 for the field role. In the field, must prepare damage estimates using claims software, review estimates for accuracy, and may monitor contractor repair status and update.

Work Environment

With our powerful brand and mentoring, a Claims Specialist can lead to a rewarding career at our growing organization.

Benefits

Claims Specialist will earn a competitive salary of $70,000 to $73,000 annually with annual bonus potential based on performance.

- 401K Match
- Medical
- Dental
- Vision
- PTO
- Paid Holidays
- Tuition Reimbursement

Required QualificationsEducation

- Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience.
- Must have a valid State Driver's License.

Experience





- Three years of experience or equivalent training in the following:
- Negotiating claim settlements.
- Securing and evaluating evidence.
- Preparing manual and electronic estimates.
- Subrogation claims.
- Resolving coverage questions.
- Taking statements.
- Establishing clear evaluation and resolution plans for claims.

Knowledge and Skills

- Advance knowledge of Essential Insurance Act (Michigan), Fair Trade Practices Act as it relates to claims, Subrogation procedures and processes, Intercompany arbitration, Building construction and repair techniques, Florida NOI/Civil Remedy Notice handling, Mediation, Florida.
- Handle claims to the line Claim Handling Standards.
- Work within assigned ACG Claim systems including basic PC software.
- Perform basic claim file review and investigations.
- Demonstrate effective communication skills (verbal and written).
- Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns.
- Analyze and solve problems while demonstrating sound decision making skills.
- Prioritize claim related functions.
- Process time sensitive data and information from multiple sources.
- Manage time, organize and plan workload and responsibilities.
- Research analyze and interpret subrogation laws in various states.
- Strong negotiating skills.
- Ability to work outside normal business hours as needed.

Preferred Qualifications

- Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experience.
- Completion of the Insurance Institute of America's General Insurance Program, Associate in Claims, Associate in Management or equivalent.
- CPCU coursework or designation.
- Xactware Training.
- Mediation experience.

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About the Company

The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the

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📌 Homeowners Claims Specialist - Florida Desk (La Florida) (Chile)
🏢 AAA The Auto Club Group
📍 Chile