APD Claim Representative II - TEMP

Auto Club Services; United States; A distancia; USD 42.000 - 65.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Remote work

Temporary assignment

Descripción de la vacante

Auto Club Services is seeking a Temporary Claim Representative II to support Auto Physical Damage (APD) claims. This remote 3-6 month assignment involves handling moderately complex claims from review to resolution, investigating losses, negotiating settlements, and documenting activity in the claims system.

The role requires a High School diploma, completion of ACG Claim Representative Training (or equivalent), and eligibility to obtain a State Adjuster's license within 90 days.

Formación

• Requires High School diploma or equivalent.
• Complete ACG Claim Representative Training or equivalent.
• In states requiring an Adjuster's license, eligibility to obtain within 90 days.

Responsabilidades

• Review and manage moderately complex APD claims through resolution.
• Communicate with insureds and parties; set expectations.
• Analyze policy coverage and limits; investigate facts and liability.
• Inspect vehicles and prepare damage estimates; negotiate settlements.
• Monitor repairs and rental expenses; refer claims as needed.

Conocimientos

Communication

Negotiation

Analytical thinking

Time management

Customer service

Educación

High School diploma

ACG Claim Rep Training

State Adjuster license eligibility

Herramientas

ACG Claim systems

MS Office

Descripción del empleo

Job Type:

Full time

Exempt/Non Exempt:

Salary

Job Description:

Location Details: Remote

Position Schedule / Shift: Monday-Friday 8am-5pm

Position Summary:

This is a temporary assignment for 3-6 months with a possibility for extension if there is a business need.

As a Temporary Claim Representative II supporting Auto Physical Damage (APD) claims, you will handle moderately complex auto claims from initial review through resolution. You will investigate losses, review policy coverage, evaluate vehicle damage, communicate with customers and other involved parties, negotiate settlements, and approve appropriate payments. You may also inspect vehicles, prepare damage estimates, settle total losses, monitor repairs and rental expenses, and identify potential recovery opportunities. You will document claim activity and partner with other teams when additional review or assistance is needed.

Key Responsibilities:

• Review and manage moderately complex APD claims from initial assignment through resolution
• Contact insureds and other affected parties, set expectations, and provide clear communication throughout the claim process
• Analyze policy coverage, limits, exclusions, and available policyholder benefits.
• Investigate claim facts, determine cause of loss and liability, and identify potential subrogation or recovery opportunities.
• Inspect vehicles, evaluate damages, and prepare damage estimates.
• Evaluate the financial value of losses and negotiate appropriate claim settlements.
• Settle total loss claims and approve payments to appropriate parties.
• Monitor vehicle repairs and approve eligible car rental expenses.
• Create additional sub-claims and refer claims to other company units when appropriate, including Underwriting, Recovery, or Claims Special Investigation.
• Maintain accurate claim documentation, coding, and closure activities in the claims management system.
• Handle simple APD litigation cases, as assigned.
• For employees assigned to the DRS Examiner role, manage Direct Repair Shops to ensure compliance with program requirements.

Qualifications:

Required

Education

• High School diploma or equivalent
• Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
• In 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 state
• 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

Experience

• One years of experience or equivalent training in the following
• Negotiation of claim settlements
• Securing and evaluating evidence
• Preparing manual and electronic estimates
• Subrogation claims/identifying recovery opportunities
• Resolving coverage questions
• Taking statements
• Establishing clear evaluation and resolution plans for claims

Knowledge of

• Essential Insurance Act (Michigan)
• Fair Trade Practices Act as it relates to claims
• Subrogation procedures and processes
• Intercompany arbitration
• Handling simple litigation
• Negligence Law
• No-Fault Law
• Collision repair techniques

Skills

• Handle claims to the line Claim Handling Standards
• Follow and apply ACG Claim policies, procedures and guidelines
• 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 insured/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
• Safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc.
• Research analyze and interpret subrogation laws in various states
• Travel outside of assigned territory which may involve overnight stay
• Relocate, work evenings or weekends

Preferred

Education

• 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
• I-Car ProLevel training
• CCC training
• XACT ware Training

Work Environment:

Work Environment: 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.

Compensation & Benefits Overview:

ACG complies with all applicable state and local laws regarding