Senior MedPay Auto Claims Adjuster — Complex/High‑Impact

AAA; Lincoln (RI); On-site; USD 50,000 - 66,000; Full time

Benefits offered by this job

Health coverage

401(k) + Pension

Tuition assistance

Paid time off

Parental leave

Wellness programs

Employee discounts

Job summary

AAA is seeking a Claims Senior MedPay Adjuster in Lincoln, RI. The role handles moderate to high complexity Auto claims, including liability investigation, coverage evaluation, and negotiation within authority.

You will use company systems (CACS, GUIDEWIRE, HUON, HOC) to manage claims and ensure regulatory compliance. Applicants should have 7-9 years of claims handling experience and advanced skills in insurance principles, negotiations, and Microsoft Office.

Qualifications

• Bachelor's degree or equivalent education and experience preferred.
• 7-9 years of prior claims handling experience required.
• 7-9 years in Property, Auto, Casualty, or related claims administration preferred.
• Comprehensive knowledge of claims administration and procedures.
• Extensive knowledge of insurance, fault assessment, negligence, and subrogation.
• Advanced proficiency in Microsoft Office and claims software.
• Strong organization, planning, and communication skills.
• Valid driver’s license and acceptable DMV record; state license may be required.

Responsibilities

• Interact with insureds and claimants; explain benefits and processes.
• Conduct phone investigations to determine liability and damages.
• Evaluate claim values for property, bodily injury, and liability data.
• Negotiate within authority to settle first- and third-party claims.
• Update claim files and production reports in company systems.
• Coordinate with internal/external departments to resolve coverage.
• Attend legal proceedings if required.
• Travel occasionally for off-site meetings (5%).

Skills

Communication skills

Negotiation

Organization

Leadership

Education

Bachelor's degree

Tools

CACS

GUIDEWIRE

HUON

HOC

Job description

AAA is seeking a Claims Senior MedPay Adjuster in Lincoln, RI. The role handles moderate to high complexity Auto claims, including liability investigation, coverage evaluation, and negotiation within authority.

You will use company systems (CACS, GUIDEWIRE, HUON, HOC) to manage claims and ensure regulatory compliance. Applicants should have 7-9 years of claims handling experience and advanced skills in insurance principles, negotiations, and Microsoft Office.