Michigan Homeowners Claim Rep II Meemic
The Auto Club Group is seeking prospective Homeowner Claim Representative II who can work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units, resolve coverage questions, take statements, and establish clear evaluation and resolution plans for claims.
In this position, you will have the opportunity to :
- Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim, and initiate documentation in the claim handling system.
- Complete coverage analysis including a review of policy coverages and provisions, and the applicability to the reported loss.
- Ensure all possible policyholder benefits are identified, create additional sub-claims if needed or refer complex claims to management or the appropriate claim handler.
- 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.
Employees assigned to the 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 field role). Investigate claims requiring coverage analysis. When handling claims in the field, prepare damage estimates using claims software. Review estimates for accuracy. May monitor contractor repair status and update.
This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and / or modifications to the ACG Flex Work policy.
With our powerful brand and the mentoring, we offer, you will find your position as a Claims Representative II can lead to a rewarding career at our growing organization.
Claim Representative II will earn a competitive salary of $64,000 to $72,000 annually with annual bonus potential based on performance.
Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include :
401K MatchMedicalDentalVisionPTOPaid HolidaysTuition ReimbursementWe're looking for candidates who :
Required Qualifications (these are the minimum requirements to qualify)
Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience in property adjustingIn states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate statesA 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.Experience :
One year of experience or equivalent training in the following :Negotiating claim settlementsSecuring and evaluating evidencePreparing manual and electronic estimatesSubrogation claimsResolving coverage questionsTaking statementsEstablishing clear evaluation and resolution plans for claimsKnowledge and Skills :
Advance knowledge of :Essential Insurance Act (Michigan)Fair Trade Practices Act as it relates to claimsSubrogation procedures and processesIntercompany arbitrationKnowledge of :Knowledge of building construction and repair techniquesAbility to :Handle claims to the line Claim Handling StandardsFollow and apply ACG Claim policies, procedures, and guidelinesWork within assigned ACG Claim systems including basic PC softwarePerform basic claim file review and investigationsDemonstrate 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 concernsAnalyze and solve problems while demonstrating sound decision-making skillsPrioritize claim-related functionsProcess time-sensitive data and information from multiple sourcesManage time, organize and plan workload and responsibilitiesResearch, analyze, and interpret subrogation laws in various statesStrong negotiating skillsAbility to work outside normal business hours as neededPreferred Qualifications :
Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experienceXactimate software experience / training or experience in an equivalent softwareClaims adjuster experience specifically in home / property claims preferredExperience working within a customer service settingCall center experience or experience handling high volume calls preferred, but not requiredExcellent communication skills both oral and writtenExperience working within an insurance or claims-based role for one year or moreFull claims cycle experience preferred