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Auto Club Enterprises seeks a Claims Senior Property Adjuster to handle homeowners claims with independence and discretion, ensuring compliance with state and federal laws. The role covers investigation, coverage evaluation, negotiation strategies, and timely claims resolution.
The position requires strong communication, organization, and negotiation skills, plus experience with claims software; travel to off-site meetings is possible (about 5%).
This position supports the Property Claims operation by handling claims reported on Homeowner policies written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The position handles claims of moderate to high complexity. The primary functions include interpreting information from First Notice of Loss reports, claim investigation, coverage evaluation, negotiation strategies and claims resolution. Employs discretion and independent judgment to ensure compliance with state and federal laws. Applies technical and customer service best practices in accordance with company guidelines.
Identify and obtain statements from insureds, vendors and witnesses. Conduct phone investigations to determine coverage and damages and differentiate between allegations and facts in each loss. Determine policy obligations by assessing the liability and damage components of the loss. Responsible for maintaining proper activities and service levels.
Communicate and interact with a variety of individuals. Explain policy coverages, benefits, and claims process either verbal and/or in writing which complies with regulatory and statutory requirements. Recognize and appropriately address moderate-complexity coverage issues.
Evaluate, assess, make decisions, and negotiate within settlement authority with insureds to resolve first-party claims in multiple markets. Demonstrate proficiency with assessment of personal property, property damage, loss of use, and claims technology and tool usage. Objectively discern and address issues that may be questioned in an audit.
Coordinate with internal and external departments as required.
The position requires a higher degree of discretion and independent judgment in analysis and problem-solving to manage losses effectively. Respond quickly and effectively to customer needs and problems.
May attend and participate in legal proceedings.
Occasional travel to off-site business meetings or conferences. (5% proficiency)
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