Senior MedPay Auto Claims Specialist

AAA Auto Club Enterprises; Coppell (TX); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Health coverage

401(K) matching and Pension

Tuition assistance

Floating holidays and PTO

Paid parental leave

Wellness programs

Employee discounts

Job summary

AAA Auto Club Enterprises in Coppell, TX seeks a Senior MedPay Adjuster to manage moderate to high complexity Auto claims, focusing on liability, coverage evaluation, and negotiation within authority. You will investigate, assess damages, and coordinate with insureds and claimants per regulatory guidelines.

Eligibility includes 7-9 years of claims experience, strong knowledge of claims practices, and proficiency with claims systems.

Qualifications

• 7-9 years prior claims handling experience.
• 7-9 years property auto casualty or relevant claims administration experience.
• Advanced communication skills (oral and written).
• Strong knowledge of claims administration best practices.

Responsibilities

• Communicate with insureds and claimants explaining benefits, coverages, and processes.
• Conduct phone investigations to determine liability and damages, gather statements.
• Evaluate claim values upon receipt and assess property, bodily injury, and liability data.
• Negotiate within authority to resolve first and third party claims.
• Update claim files using company systems (CACS, HUON, HOC, GUIDEWIRE).
• Coordinate with internal/external departments to resolve coverage issues.

Skills

Oral and written communication

Interpersonal skills

Leadership among peers

Education

Bachelor's degree equivalent

Tools

Microsoft Office

Claims software

Job description

AAA Auto Club Enterprises in Coppell, TX seeks a Senior MedPay Adjuster to manage moderate to high complexity Auto claims, focusing on liability, coverage evaluation, and negotiation within authority. You will investigate, assess damages, and coordinate with insureds and claimants per regulatory guidelines.

Eligibility includes 7-9 years of claims experience, strong knowledge of claims practices, and proficiency with claims systems.