Senior MedPay Auto Claims Specialist

AAA; Coppell (TX); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

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

Job summary

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.

Responsibilities

• 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.

Skills

Claims handling experience

Interviewing insureds/claimants

Negotiation skills

Regulatory compliance knowledge

Microsoft Office proficiency

Communication (oral & written)

Team leadership

Drivers license valid

Licensing awareness

Education

Bachelor-equivalent education/experience

Tools

CACS

HUON

HOC

GUIDEWIRE

Job description

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.