Claims Senior Medpay Adjuster

AAA; Coppell (TX); Sur place; USD 65 000 - 95 000; Plein temps

Avantages offerts par ce poste

Health coverage (medical, dental, and视

401(k) with company match and pension

Tuition assistance

Floating holidays and PTO for charity

Paid parental leave

Wellness programs

Employee discounts

Résumé du poste

AAA is seeking a Claims Senior Medpay Adjuster to handle moderate to high complexity Auto claims within our Texas team. You will evaluate coverage, investigate liability, negotiate settlements, and manage claim files using our systems with strict adherence to regulatory requirements.

The role requires 7–9 years of claims handling experience, strong communication skills, and proficiency with claims software. Occasional travel may be involved, and the position offers comprehensive benefits.

Qualifications

• Bachelors-equivalent combo of education and experience preferred.
• 7-9 years of prior claims handling experience required.
• 7-9 years in Property, Auto, Casualty or related claims admin preferred.
• Strong knowledge of claims administration procedures and best practices.
• Understanding of building and vehicle repair and third-party liability.
• Strong knowledge of fault assessment, negligence and subrogation.

Responsabilités

• Interact with insureds and claimants; explain benefits and process.
• Conduct phone investigations to determine liability and damages.
• Evaluate claim values from property, bodily injury, and liability data.
• Negotiate within authority to resolve claims.
• Update databases and file documents in company systems (CACS, HUON, HOC, GUIDEWIRE).
• Control expenses for areas of responsibility.
• Verify coverage and coordinate with internal/external departments.
• Independently resolve claim exposures within authority.
• Respond promptly to customer needs and issues.
• May attend and participate in legal proceedings.

Connaissances

Claims handling experience

Interviewing insureds/claimants

Negotiation skills

Regulatory compliance knowledge

Microsoft Office proficiency

Communication (oral & written)

Team leadership

Drivers license valid

Licensing awareness

Formation

Bachelor-equivalent education/experience

Outils

CACS

HUON

HOC

GUIDEWIRE

Description du poste

Claims Senior Medpay Adjuster

Job Summary

The Claims Senior Medpay Adjuster handles moderate to high complexity Auto claims matters involving material damage, property 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, and negotiation of moderate to high-complexity claims. Employs discretion and independent judgment to ensure compliance with state and federal law, and with established company, technical, and customer service best practices.

Job Duties

• 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. Recognize and appropriately address coverage issues.
• Conduct phone investigations to determine liability and damages. Identify and obtain statements from insureds, claimants and witnesses. Verify and resolve coverage by gathering necessary information to ensure policy applicability.
• 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, document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, 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.
• Independently resolve claim exposures within level of authority.
• Respond quickly to customer needs and problems.
• May attend and participate in legal proceedings.

Qualifications

• Bachelors Equivalent combination of education and experience Preferred
• 7-9 years Prior claims handling experience. Required
• 7-9 years Property, Auto, Casualty or relevant claims administration experience. Preferred
• Comprehensive knowledge of claims administration best practices and procedures.
• Comprehensive knowledge of building and vehicle repair procedures and third-party liability issues.
• Extensive knowledge of insurance, fault assessment, negligence and subrogation principles required.
• Advanced knowledge of Microsoft Office suite, general computer software and claims software.
• Advanced organization and planning recognition skills required.
• Advanced oral and written communication skills required.
• Advanced interpersonal skills required.
• Advanced leadership skills among peers required.
• Valid Driver’s License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required
• An insurance/claims adjuster license may be required for claims administration in specific states.

Travel Requirements

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

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