Sr. Litigation Adjuster (Michigan PIP) - Meemic

The Auto Club Group; Michigan; On-site; USD 72,000 - 97,000; Full time

Job summary

An established industry player is seeking a Senior Litigation Adjuster to join their dynamic team. This role involves reviewing complex claims, conducting thorough investigations, and utilizing advanced negotiation skills to ensure policyholder benefits are identified and maximized. With a competitive salary and a range of benefits, this position offers the opportunity to work in a supportive environment that values diversity and innovation. If you have a passion for helping others and a strong background in claims management, this could be the perfect fit for you.

Benefits

401k Match

Medical, Dental, Vision

PTO, Paid Holidays

Tuition Reimbursement

Qualifications

• 5+ years in complex claim negotiation and evidence evaluation.
• Eligible for State Adjuster's license within 90 days if required.

Responsibilities

• Review claims, contact insured parties, and document in the system.
• Complete coverage analysis on complex claims and determine payments.

Skills

Complex Claim Negotiation

Evidence Evaluation

Subrogation

Coverage Resolution

Effective Communication

Problem Analysis

Education

ACG Claim Representative Training

Associate Degree or Related Work Experience

Job description

Join AAA The Auto Club Group!

Join a team committed to driving your career forward

Job Type: Full time

Exempt/Non Exempt: Salary

Job Description:

Sr. Litigation Adjuster (Michigan PIP) - Meemic

Primary Duties & Responsibilities:

• Review assigned claims, contact the insured and other affected parties, set expectations, and document in the claim handling system.
• Complete coverage analysis on complex claims and ensure all policyholder benefits are identified.
• Create sub-claims if needed and investigate claim facts to determine payment, limits, exclusions, and recovery potential.
• Review damages, determine applicability of laws, evaluate financial loss, and approve payments.
• Refer claims to other units when necessary and document all activities thoroughly.
• Utilize strong negotiation skills.

Senior Claim Specialists in the PIP unit handle claims involving catastrophic injuries and attorney-represented cases, requiring proficiency with MCCA and related claims.

Work Environment: Currently remote with potential for occasional travel, subject to policy changes.

Benefits:

Competitive salary of $72,737.60 - $96,969.60 annually with bonus potential, plus benefits including:

• 401k Match
• Medical, Dental, Vision
• PTO, Paid Holidays
• Tuition Reimbursement

Qualifications:

Education:

• Complete ACG Claim Representative Training or equivalent experience.
• Eligible for State Adjuster's license within 90 days if required.
• Valid State Driver's License.

Experience:

• At least five years in complex claim negotiation, evidence evaluation, estimates, subrogation, coverage resolution, and statement taking.

Knowledge and Skills:

• Advanced knowledge of insurance laws, subrogation, arbitration, and litigation.
• Understanding of negligence law, no-fault law, medical terminology, and MCCA claims.

Additional Skills:

• Ability to handle claims per standards, follow policies, use claim systems, review files, communicate effectively, build relationships, analyze problems, prioritize tasks, and manage time.

Preferred Qualifications:

• Associate degree or related work experience.
• Insurance credentials like CPCU or completion of related courses.

About Us:

Join a company that values diversity and innovation. AAA provides services to over 14 million members across multiple states and territories. We are committed to a safe, inclusive workplace and excellent service.

Learn more at www.aaa.com

Note: Compensation is market-competitive and based on geographic factors. All applicants will undergo background and drug screening. AAA is an equal opportunity employer, considering all qualified applicants without discrimination.