Claims Senior Medpay Adjuster

MS ACSC Management Services Inc; Coppell (TX); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Health coverage

401K with company match

Pension

Tuition assistance

Floating holidays and PTO

Paid parental leave

Wellness programs

Employee discounts

Job summary

AAA in the United States seeks a Claims Senior Medpay Adjuster to handle moderate to high complexity auto claims involving property, liability, and coverage issues. You will conduct liability investigations, evaluate coverage, and negotiate within authority.

Responsibilities include communicating with insureds and claimants, gathering statements, updating claim files in company systems, and coordinating with internal teams. A license may be required depending on state; travel minimal.

Qualifications

• Bachelor's degree or equivalent combination of education and experience.
• Advanced knowledge of Microsoft Office suite and claims software.
• Extensive knowledge of claims administration best practices.

Responsibilities

• Interact with insureds, claimants, and witnesses to gather information.
• Assess liability and coverage, and negotiate within authority.
• Update claim files and documentation in company systems (CACS, HUON, HOC, GUIDEWIRE).
• Coordinate with internal/external departments to resolve claims.
• Attend legal proceedings as needed.

Skills

Communication skills

Leadership

Organization

Interpersonal skills

Oral and written communication

Driver's License

Education

Bachelor's degree or equivalent

Tools

MS Office

Claims software

Job description

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 create 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 For more than a century, AAA has been synonymous with trust, dependability, quality, and innovation. It's our mission to provide our growing membership with the legendary service we are famous for, and we welcome committed professionals ready to challenge themselves in a dynamic industry. AAA would not exist without the millions of members who give us their loyalty, or our employees whose mission it is to give those members world-class service.

What else do we offer?

• Stability.
• Growth.
• Commitment to an exciting future for both you and our members.