Liability Claims Specialist

Michigan Liability Claim Specialist FremontJoin AAA – The Auto Club Group as a Michigan Liability Claim Specialist Fremont, where you'll play a critical role in helping members navigate some of life's most challenging events. In this highly autonomous position, you'll leverage your investigative expertise, analytical thinking, and negotiation skills to manage complex Michigan Liability claims from inception through resolution.Key ResponsibilitiesIn this position, you will have the opportunity to: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 complex coverage analysis.Ensure all possible policyholder benefits are identified.Create additional sub-claims if needed.Complete an investigation of the facts regarding the claim to further and in more detail 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/or code the claim file and complete all claim closure and related activities in the assigned claims management system.Utilize strong negotiating skills.Claims Specialists assigned to the Liability unit are responsible for claims involving the MCCA or quadriplegic, traumatic brain, amputations and other catastrophic injuries. The role will require proficiency in dealing with the MCCA and attorney represented claims. Work with insureds, guardians, conservators, attorneys, treatment teams and case managers to obtain necessary information to complete the claims review process and make the appropriate determinations.QualificationsRequiredEducation (including minimum education and any licensing/certifications):Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experienceIn states where an Adjuster's license is required, the candidate must be eligible to acquire a State Adjuster's license within 90 days of hire and maintain as specified for appropriate states.A valid driver's license is required if the primary responsibilities of the role involve conducting in-person inspections or frequent in-person meetings with members.Experience:Three years of experience or equivalent training in the following:negotiation of claim settlementssecuring and evaluating evidencepreparing manual and electronic estimatessubrogation claimsresolving coverage questionstaking statementsestablishing clear evaluation and resolution plans for claimsKnowledge and Skills:Advance knowledge of:Essential Insurance Act (Michigan)Fair Trade Practices Act as it relates to claimsSubrogation procedures and processesIntercompany arbitrationHandling simple litigationAdvance knowledge of:Negligence LawNo-Fault LawNo-Fault Reformmedical terminology and human anatomyMCCA and attorney represented claimsSkills:handle claims to the line Claim Handling Standardsfollow and apply ACG Claim policies, procedures and guidelineswork within assigned ACG Claim systems including basic PC softwareperform basic claim file review and investigationsdemonstrate effective communication skills (verbal and written)demonstrate customer service skills by building and maintaining relationships with insured/claimants while exhibiting understanding of their problems and responding to questions and concernsanalyze and solve problems while demonstrating sound decision-making skillsprioritize claim related functionsprocess time sensitive data and information from multiple sourcesmanage time, organize and plan workload and responsibilitiessafely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc.research analyze and interpret subrogation laws in various statestravel outside of assigned territory which may involve overnight stayrelocate, work evenings or weekendsPreferredEducation:Associate degree in Business Administration, Insurance or a related field or the equivalent in related work experienceCompletion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalentCPCU coursework or designationWork Environment:This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership. This is subject to change based on amendments and/or modifications to the ACG Flex Work policy.Compensation & Benefits Overview:ACG complies with all applicable state and local laws regarding required benefits (including PTO, paid sick leave, etc.).CompensationA Liability Claim Specialist earns a competitive annual salary of $ 67,371.20 -$80,000 along with the opportunity for an annual company bonus incentive.BenefitsAt ACG, we offer a comprehensive and flexible benefits package designed to support your health, financial well-being, and professional growth.Health & WellnessMedical plans with multiple coverage options, including HSA eligibility.Prescription drug coverage.Dental and vision benefits.Employee Assistance Program (confidential support services).Financial Protection & InsuranceCompany-paid basic life insurance.Optional supplemental life insurance and dependent coverage.Short-term and long-term disability coverage.Critical illness, accident, and pet insurance options.Retirement & Savings401(k) plan to support long-term financial goals.3% automatic deferral upon eligibility; may contribute 1% to 50% of eligible earnings, either pre or post tax.Company match of 50% paid on employee contributions up to 6% of pay, payable to employees following the end of the year; immediate vesting.Additional company contribution of 4% of pay each pay day into your account; 100% vested after three (3) years of service.Health Savings Account (HSA) and Flexible Spending Accounts (FSA) options.Time Off & LeavePaid Time Off (PTO): Accrual-based, increases with tenure, eligible at 90 days of employment.Full-time new employees will receive up to 12 PTO days annually; accrual based on start date and may include additional PTO based on role and/or state & local requirements.Part-time employee PTO hours are calculated based upon the standard weekly hours the employee is scheduled to work and will accrue at a minimum of 3 hours per month.Paid holidays:Full-time employees are eligible for 10 company-paid holidays annually, in addition to 1 mental health day, 2 floating holidays, and 1 volunteer day. Holidays will vary by business schedulesPart-time employees are eligible for 8 company-paid holidays annually, in addition to 1 mental health day and 2 floating holidays. Holidays will vary by business unit schedules.Paid leave programs, including parental, bereavement, jury duty, and military leave.