Claims Complex Auto Adjuster

AAA Auto Club Enterprises; Lincoln (RI); On-site; USD 69,000 - 93,000; Full time

Benefits offered by this job

Health coverage

401(K) match & Pension

Tuition assistance

Floating holidays & PTO for volunteer

Paid parental leave

Wellness programs

Employee discounts

Job summary

AAA Auto Club Enterprises seeks a Claims Complex Auto Adjuster to support Auto Claims Operations, handling liability, material and property damage claims with expert evaluation and negotiation strategies. Work under minimal supervision within defined authority to resolve complex claims.

The role requires 4–6 years of claims experience, licenses where applicable, and strong proficiency in claims systems and MS Office. Travel may be required occasionally and competitive benefits are offered.

Qualifications

• 4-6 years claims handling experience required.
• Property & Casualty license preferred; may need adjuster license within 60 days.
• Advanced knowledge of claims administration practices.
• Advanced understanding of vehicle repair processes and fault assessment.

Responsibilities

• Communicate with insureds and claimants; explain benefits and process in compliance with regulations.
• Obtain statements from insureds, claimants and witnesses; conduct investigations to determine liability and damages.
• Negotiate settlements within authority for complex claims across markets; analyze claims data.

Skills

Complex problem solving

Advanced communication

Organization and planning

Typing / keyboarding / mousing

Microsoft Office proficiency

Claims software proficiency

Interpersonal skills

Negotiation skills

Education

Bachelors equivalent education & experience

Tools

Microsoft Office

Claims software

Job description

Job Summary

The Claims Complex Auto Adjuster supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, claims resolution, and negotiation strategies of high-complexity claims in compliance with established company technical and customer service best practices. Under minimal supervision, the adjuster works within specific limits and authority to resolve claims.

Job Summary

The Claims Complex Auto Adjuster supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, claims resolution, and negotiation strategies of high-complexity claims in compliance with established company technical and customer service best practices. Under minimal supervision, the adjuster works within specific limits and authority to resolve claims.

Job Duties

• Communicate and interact with a variety of individuals including insureds and claimants. Verify and explain benefits, coverages, fault, and claims process either verbally or in writing which complies with regulatory and statutory requirements. Recognize and appropriately address complex coverage issues.
• Identify and obtain statements from insureds, claimants, and witnesses. Conduct phone investigations to determine liability and damages. Provide independent analysis and differentiate between allegations and facts.
• Evaluate and negotiate within settlement authority with insureds and claimants to resolve first and third-party complex claims in multiple markets. Demonstrate proficiency with estimates, property, bodily injury, material damage, liability, total loss evaluations, diminished value, analysis of claims, claims technology, and tool usage.
• Coordinate with internal and external departments as required.
• Respond quickly to customer needs and inquiries.
• Overtime and holiday hours may be required

Qualifications

• Bachelors Equivalent combination of education and experience Preferred
• 4-6 years Claims handling experience. Required
• Advanced knowledge of claims administration best practices and procedures.
• Advanced understanding of vehicle repair processes and procedures
• Advanced in fault assessment, negligence and subrogation principles required.
• Proficient of Microsoft Office suite, general computer software and claims software.
• Organization and planning recognition proficiency required.
• Advanced oral and written communication skills.
• Advanced interpersonal skills required.
• Advanced in typing/keyboarding/mousing
• Property and Casualty Insurance License, valid in selling state - Issued by State Preferred
• May be required to obtain an Adjuster license as applicable in accordance with state law. within 60 Days Preferred

Travel Requirements

• Occasional travel to off-site business meetings or conferences. (5% proficiency)

The starting pay range for this position is $69,300 - $92,600 annually. Additionally, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.

Remarkable benefits

• Health coverage for medical, dental, vision
• 401(K) saving plans with company match AND Pension
• Tuition assistance
• Floating holidays and PTO for community volunteer programs
• Paid parental leave
• Wellness programs
• Employee discounts (membership, insurance, travel, entertainment, services and more!)

Auto Club Enterprises is the largest club within the national AAA federation. We have nearly 17,000 employees in 24 states helping more than 18 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 1900, 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.”

AAA is an Equal Opportunity Employer

Our organization participates in E-Verify