This position handles highly 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 evaluation and negotiation of high complexity claims. Employs discretion and independent judgment to ensure compliance with state and federal law; and with historical company technical and customer service Best Practices.
RESPONSIBILITIES/JOB DUTIES
Conduct phone and/or field investigations to determine liability and damages. May attend and participate in legal proceedings. Identify and obtain statements from insureds claimants and witnesses.
Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits coverages fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements.
Evaluate and determine claim values upon receipt and assessment of property bodily injury and liability data.
Negotiate within settlement authority with insureds and claimants to resolve first and third party claims.
Update database production reports and document and update claim files via company systems i.e. CACS HUON HOC etc.
Control expenses for areas of responsibility.
Verify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required.
Identify cross-sell opportunities based on members’ product needs and service requests. Enhance member relationship by diversifying use of products and services. Provide sales leads to insurance travel and other departments as appropriate.
Perform other duties and responsibilities as assigned or required.
Education:
Four year college degree or equivalent combination of education and experience required. Evidence of continuing education (i.e. industry designations) preferred.
Experience:
Ability to service claims of low moderate and higher complexity as normally acquired through 5-15 years’ experience.
Multi line business experience desirable.
Knowledge/Skills/Competencies:
Advanced understanding of:
Vehicle repair procedures and issues or;
Building repair procedures and issues or;
Third party liability issues.
Moderate computer and line of business technical software skills required.
Moderate knowledge of fault assessment and subrogation principles required. • Moderate leadership competencies necessary.
Advanced organization and planning recognition skills required.
Advanced oral and written communication skills required.
Advanced interpersonal skills required.
Special:
Valid driver’s license with a level of financial responsibility required by the club and an acceptable motor vehicle record required for field positions.
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
The Automobile Club of Southern California is part of the largest federation of AAA clubs in the nation. We have 14000 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.”
