Sr. Litigation Adjuster (Michigan PIP)

The Auto Club Group; Ohio; On-site; USD 74,000 - 100,000; Full time

Job summary

Join a forward-thinking company as a Senior Litigation Adjuster, where you'll handle complex claims involving catastrophic injuries and work closely with insureds and medical professionals. This role offers the flexibility of remote work with occasional travel, allowing you to thrive in a dynamic environment. With a competitive salary and comprehensive benefits, including 401k match and tuition reimbursement, this is an exciting opportunity to drive your career forward while making a meaningful impact on the lives of others. Embrace innovation and diversity in a company dedicated to quality service.

Benefits

401k Match

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

Paid Holidays

Tuition Reimbursement

Qualifications

• Completion of ACG Claim Representative Training or equivalent experience.
• Eligibility for a State Adjuster's license within 90 days.

Responsibilities

• Review assigned claims and set expectations for the claim process.
• Investigate facts and determine claim payments and applicability of state law.
• Document and code claim files thoroughly.

Skills

Negotiation

Evidence Evaluation

Subrogation

Coverage Resolution

Litigation Knowledge

Medical Terminology

Education

Associate Degree or Equivalent Experience

Job description

It's a great time to join AAA The Auto Club Group!

JOIN THE TEAM COMMITTED TO DRIVING YOUR CAREER FORWARD

Job Type: Full time

Exempt/Non Exempt: Salary

Job Description: Sr. Litigation Adjuster (Michigan PIP) - The Auto Club Group

What you will do:

• Review assigned claims, contact the insured and other affected parties, set expectations for the remainder of the claim process, and initiate documentation in the claim handling system.
• Complete coverage analysis on the most complex claims.
• Ensure all possible policyholder benefits are identified.
• Create additional sub-claims if needed.
• Investigate the facts regarding the claim to determine if the claim should be paid, the applicable limits or exclusions, and possible recovery potential.
• Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
• Evaluate the financial value of the loss.
• Approve payments for the appropriate parties accordingly.
• Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units, or Claims Special Investigation Unit).
• Thoroughly document and code the claim file and complete all claim closure activities in the claims management system.
• Utilize strong negotiating skills.

Senior Claim Specialists in the PIP unit handle claims involving catastrophic injuries, MCCA, and attorney-represented claims, working with insureds, physicians, and medical insurance carriers.

Work Environment: This position can be remote, with occasional travel for meetings or team activities, subject to policy changes.

Benefits include:

• Competitive salary: $74,900 to $99,800 annually with bonus potential
• 401k Match, Medical, Dental, Vision, PTO, Paid Holidays, Tuition Reimbursement

Required qualifications include:

• Completion of ACG Claim Representative Training or equivalent experience
• Eligibility for a State Adjuster's license within 90 days in applicable states
• Valid State Driver's License

Experience required:

• Five years in negotiation, evidence evaluation, estimates, subrogation, coverage resolution, and statements

Knowledge and skills required:

• Technical knowledge of insurance law, subrogation, litigation, negligence law, no-fault law, medical terminology, and MCCA claims

Preferred qualifications:

• Associate degree or equivalent experience
• Insurance certifications such as CPCU or similar

#LI-LC1

Who We Are: AAA provides services to over 14 million members across multiple states and territories, committed to quality service, innovation, and diversity.

Visit www.aaa.com to learn more.

Note: Compensation is market-based and varies by location. The company is an equal opportunity employer and values diversity. Attendance and background checks are required for employment.