Job Description

The Auto Club Group is seeking prospective Claim Specialist who will work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims. The ideal candidate will reside near the Eau Claire, WI or surrounding areas. In this position, you will have the opportunity to: Claim handling responsibilities will include the following: reviewing 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. Complete 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. Claim Specialists assigned to Homeowner claim unit handle claims valued over $25,000 (for the inside desk role) and over $100,000 (for field role). Investigate claims requiring in-depth coverage analysis. When handling claims in the field, must prepare damage estimates using claims software. Review estimates for accuracy. May monitor contractor repair status. May assist Claim Manager with file reviews and training. This position is currently able to work remotely from a home office location for day-to-day operations, traveling to field locations as necessary to complete job responsibilities, unless occasional team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy. Required qualifications include eligibility to acquire a State Adjuster’s license within 90 days of hire where required, valid State Driver's License, and three years of experience or equivalent training in negotiation of claim settlements, securing and evaluating evidence, preparing estimates, subrogation claims, resolving coverage questions, taking statements, and establishing clear evaluation and resolution plans for claims. Knowledge of insurance acts, subrogation procedures, litigation handling, building and construction techniques, and strong negotiating skills are required. Preferred qualifications include an associate degree or equivalent experience, insurance coursework or designations, and physical ability to lift up to 25 pounds, climb ladders, and walk on roofs. The Auto Club Group offers competitive salary, bonus potential, and comprehensive benefits including 401k match, medical, dental, vision, PTO, paid holidays, and tuition reimbursement.

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