13 jobs found

Claims Senior Medpay Adjuster The Claims Senior Medpay Adjuster handles moderate to high complexity of PIP and Medpay claims for our Eastern Expansion. The primary functions include liability investigation, coverage evaluation, and negotiation of moderate to high-complexity claims. Employs discretion and independent judgment to ensure compliance with state and federal law, and with established company, technical, and customer service best practices. Job Duties Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address coverage issues. Conduct phone investigations to determine liability and damages. Identify and obtain statements from insureds, claimants and witnesses. Verify and resolve coverage by gathering necessary information to ensure policy applicability. Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data. Negotiate within settlement authority with insureds and claimants to resolve first and third party claims. Update database production reports, document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc. claiVerify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required. Independently resolve claim exposures within level of authority. Respond quickly to customer needs and problems. May attend and participate in legal proceedings. Qualifications Bachelors Equivalent combination of education and experience Preferred 7-9 years Prior claims handling experience. Required 7-9 years Property, Auto, Casualty or relevant claims administration experience. Preferred Comprehensive knowledge of claims administration best practices and procedures. Comprehensive knowledge of building and vehicle repair procedures and third-party liability issues. Extensive knowledge of insurance, fault assessment, negligence and subrogation principles required. Advanced knowledge of Microsoft Office suite, general computer software and claims software. Advanced organization and planning recognition skills required. Advanced oral and written communication skills required. Advanced interpersonal skills required. Advanced leadership skills among peers required. Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required An insurance/claims adjuster license may be required for claims administration in specific states. The starting pay range for this position is $72,700 - $96,800 annually. Remarkable benefits: Health coverage for medical, dental, vision 401(K) saving plan with company match AND Pension Tuition assistance PTO for community volunteer programs Wellness program Employee discounts (membership, insurance, travel, entertainment, services and more!) Auto Club Enterprises is the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity - we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. "Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value." AAA is an Equal Opportunity Employer Required Preferred Job Industries Other

Claims Senior Medpay Adjuster The Claims Senior Medpay Adjuster handles moderate to high complexity of PIP and Medpay claims for our Eastern Expansion. The primary functions include liability investigation, coverage evaluation, and negotiation of moderate to high-complexity claims. Employs discretion and independent judgment to ensure compliance with state and federal law, and with established company, technical, and customer service best practices. Job Duties Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address coverage issues. Conduct phone investigations to determine liability and damages. Identify and obtain statements from insureds, claimants and witnesses. Verify and resolve coverage by gathering necessary information to ensure policy applicability. Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data. Negotiate within settlement authority with insureds and claimants to resolve first and third party claims. Update database production reports, document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc. claiVerify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required. Independently resolve claim exposures within level of authority. Respond quickly to customer needs and problems. May attend and participate in legal proceedings. Qualifications Bachelors Equivalent combination of education and experience Preferred 7-9 years Prior claims handling experience. Required 7-9 years Property, Auto, Casualty or relevant claims administration experience. Preferred Comprehensive knowledge of claims administration best practices and procedures. Comprehensive knowledge of building and vehicle repair procedures and third-party liability issues. Extensive knowledge of insurance, fault assessment, negligence and subrogation principles required. Advanced knowledge of Microsoft Office suite, general computer software and claims software. Advanced organization and planning recognition skills required. Advanced oral and written communication skills required. Advanced interpersonal skills required. Advanced leadership skills among peers required. Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required An insurance/claims adjuster license may be required for claims administration in specific states. The starting pay range for this position is $72,700 - $96,800 annually. Remarkable benefits: Health coverage for medical, dental, vision 401(K) saving plan with company match AND Pension Tuition assistance PTO for community volunteer programs Wellness program Employee discounts (membership, insurance, travel, entertainment, services and more!) Auto Club Enterprises is the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity - we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. "Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value." AAA is an Equal Opportunity Employer Required Preferred Job Industries Other

Claims Senior Medpay Adjuster The Claims Senior Medpay Adjuster handles moderate to high complexity of PIP and Medpay claims for our Eastern Expansion. The primary functions include liability investigation, coverage evaluation, and negotiation of moderate to high-complexity claims. Employs discretion and independent judgment to ensure compliance with state and federal law, and with established company, technical, and customer service best practices. Job Duties Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address coverage issues. Conduct phone investigations to determine liability and damages. Identify and obtain statements from insureds, claimants and witnesses. Verify and resolve coverage by gathering necessary information to ensure policy applicability. Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data. Negotiate within settlement authority with insureds and claimants to resolve first and third party claims. Update database production reports, document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc. claiVerify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required. Independently resolve claim exposures within level of authority. Respond quickly to customer needs and problems. May attend and participate in legal proceedings. Qualifications Bachelors Equivalent combination of education and experience Preferred 7-9 years Prior claims handling experience. Required 7-9 years Property, Auto, Casualty or relevant claims administration experience. Preferred Comprehensive knowledge of claims administration best practices and procedures. Comprehensive knowledge of building and vehicle repair procedures and third-party liability issues. Extensive knowledge of insurance, fault assessment, negligence and subrogation principles required. Advanced knowledge of Microsoft Office suite, general computer software and claims software. Advanced organization and planning recognition skills required. Advanced oral and written communication skills required. Advanced interpersonal skills required. Advanced leadership skills among peers required. Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required An insurance/claims adjuster license may be required for claims administration in specific states. The starting pay range for this position is $72,700 - $96,800 annually. Remarkable benefits: Health coverage for medical, dental, vision 401(K) saving plan with company match AND Pension Tuition assistance PTO for community volunteer programs Wellness program Employee discounts (membership, insurance, travel, entertainment, services and more!) Auto Club Enterprises is the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity - we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. "Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value." AAA is an Equal Opportunity Employer Required Preferred Job Industries Other

Claims Senior Medpay Adjuster The Claims Senior Medpay Adjuster handles moderate to high complexity of PIP and Medpay claims for our Eastern Expansion. The primary functions include liability investigation, coverage evaluation, and negotiation of moderate to high-complexity claims. Employs discretion and independent judgment to ensure compliance with state and federal law, and with established company, technical, and customer service best practices. Job Duties Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address coverage issues. Conduct phone investigations to determine liability and damages. Identify and obtain statements from insureds, claimants and witnesses. Verify and resolve coverage by gathering necessary information to ensure policy applicability. Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data. Negotiate within settlement authority with insureds and claimants to resolve first and third party claims. Update database production reports, document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc. claiVerify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required. Independently resolve claim exposures within level of authority. Respond quickly to customer needs and problems. May attend and participate in legal proceedings. Qualifications Bachelors Equivalent combination of education and experience Preferred 7-9 years Prior claims handling experience. Required 7-9 years Property, Auto, Casualty or relevant claims administration experience. Preferred Comprehensive knowledge of claims administration best practices and procedures. Comprehensive knowledge of building and vehicle repair procedures and third-party liability issues. Extensive knowledge of insurance, fault assessment, negligence and subrogation principles required. Advanced knowledge of Microsoft Office suite, general computer software and claims software. Advanced organization and planning recognition skills required. Advanced oral and written communication skills required. Advanced interpersonal skills required. Advanced leadership skills among peers required. Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required An insurance/claims adjuster license may be required for claims administration in specific states. The starting pay range for this position is $72,700 - $96,800 annually. Remarkable benefits: • Health coverage for medical, dental, vision • 401(K) saving plan with company match AND Pension • Tuition assistance • PTO for community volunteer programs • Wellness program • Employee discounts (membership, insurance, travel, entertainment, services and more!) Auto Club Enterprises is the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity - we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. "Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value." AAA is an Equal Opportunity Employer

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: Senior Casualty Litigation Specialist - The Auto Club Group What you will do: (Primary Duties & Responsibilities) The Auto Club Group is seeking a prospective Senior Claim Specialist to work under less supervision with a high-level of authority. In 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 coverage analysis on the most complex claims. 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. Senior Claim Specialists assigned Liability/BI/Med Pay/Non-MI PIP claims involving litigation/arbitration. Handle the most complex claims involving liability disputes, bodily injuries, and coverage questions. With our powerful brand and the mentoring, we offer, you will find your position as a Senior Claim Specialist can lead to a rewarding career at our growing organization. How you will benefit: Claim Specialist W ill earn a competitive salary of $80,000 to $97,000 annually with annual bonus potential based on performance. Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include: 401k Match Medical Dental Vision PTO Paid Holidays Tuition Reimbursement We're looking for candidates who: (Preferred/Required Qualifications) Education: Associate degree in business administration, Insurance or a related field or the equivalent in related work experience Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, associate in management or equivalent CPCU coursework or designation Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience. In 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: Five years of experience in the following: Negotiation of complex claim settlements Securing and evaluating evidence Preparing manual and electronic estimates Subrogation claims Resolving complex coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Knowledge and Skills: Advanced technical knowledge Essential Insurance Act (Michigan) Fair Trade Practices Act as it relates to claims. Subrogation procedures and processes Intercompany arbitration Litigation Strong negotiation skills A good teamwork orientation Advanced technical knowledge of: Negligence Law No-Fault Law Medical terminology and human anatomy Attorney represented claims. Ability to: Handle claims to the line Claim Handling Standards Follow and apply ACG Claim policies, procedures and guidelines. Work within assigned ACG Claim systems including basic PC software Perform claim file review and investigations Demonstrate effective communication skills (verbal and written) Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns Analyze and solve problems while demonstrating sound critical thinking and decision-making skills Prioritize claim related functions Process time sensitive data and information from multiple sources Manage time, organize and plan workload and responsibilities Attend virtual meetings and corporate/court onsite meetings Work evenings or weekends Must Reside in the State of Michigan Work Environment This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come in to an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or teambuilding events. Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.

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: Senior Casualty Litigation Specialist - The Auto Club Group What you will do: (Primary Duties & Responsibilities) The Auto Club Group is seeking a prospective Senior Claim Specialist to work under less supervision with a high-level of authority. In 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 coverage analysis on the most complex claims. 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. Senior Claim Specialists assigned Liability/BI/Med Pay/Non-MI PIP claims involving litigation/arbitration. Handle the most complex claims involving liability disputes, bodily injuries, and coverage questions. With our powerful brand and the mentoring, we offer, you will find your position as a Senior Claim Specialist can lead to a rewarding career at our growing organization. How you will benefit: Claim Specialist W ill earn a competitive salary of $80,000 to $97,000 annually with annual bonus potential based on performance. Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include: 401k Match Medical Dental Vision PTO Paid Holidays Tuition Reimbursement We're looking for candidates who: (Preferred/Required Qualifications) Education: Associate degree in business administration, Insurance or a related field or the equivalent in related work experience Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, associate in management or equivalent CPCU coursework or designation Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience. In 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: Five years of experience in the following: Negotiation of complex claim settlements Securing and evaluating evidence Preparing manual and electronic estimates Subrogation claims Resolving complex coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Knowledge and Skills: Advanced technical knowledge Essential Insurance Act (Michigan) Fair Trade Practices Act as it relates to claims. Subrogation procedures and processes Intercompany arbitration Litigation Strong negotiation skills A good teamwork orientation Advanced technical knowledge of: Negligence Law No-Fault Law Medical terminology and human anatomy Attorney represented claims. Ability to: Handle claims to the line Claim Handling Standards Follow and apply ACG Claim policies, procedures and guidelines. Work within assigned ACG Claim systems including basic PC software Perform claim file review and investigations Demonstrate effective communication skills (verbal and written) Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns Analyze and solve problems while demonstrating sound critical thinking and decision-making skills Prioritize claim related functions Process time sensitive data and information from multiple sources Manage time, organize and plan workload and responsibilities Attend virtual meetings and corporate/court onsite meetings Work evenings or weekends Must Reside in the State of Michigan Work Environment This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come in to an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or teambuilding events. Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.

Claims Senior Medpay Adjuster The Claims Senior Medpay Adjuster handles moderate to high complexity of PIP and Medpay claims for our Eastern Expansion. The primary functions include liability investigation, coverage evaluation, and negotiation of moderate to high-complexity claims. Employs discretion and independent judgment to ensure compliance with state and federal law, and with established company, technical, and customer service best practices. Job Duties Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address coverage issues. Conduct phone investigations to determine liability and damages. Identify and obtain statements from insureds, claimants and witnesses. Verify and resolve coverage by gathering necessary information to ensure policy applicability. Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data. Negotiate within settlement authority with insureds and claimants to resolve first and third party claims. Update database production reports, document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc. claiVerify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required. Independently resolve claim exposures within level of authority. Respond quickly to customer needs and problems. May attend and participate in legal proceedings. Qualifications Bachelors Equivalent combination of education and experience Preferred 7-9 years Prior claims handling experience. Required 7-9 years Property, Auto, Casualty or relevant claims administration experience. Preferred Comprehensive knowledge of claims administration best practices and procedures. Comprehensive knowledge of building and vehicle repair procedures and third-party liability issues. Extensive knowledge of insurance, fault assessment, negligence and subrogation principles required. Advanced knowledge of Microsoft Office suite, general computer software and claims software. Advanced organization and planning recognition skills required. Advanced oral and written communication skills required. Advanced interpersonal skills required. Advanced leadership skills among peers required. Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required An insurance/claims adjuster license may be required for claims administration in specific states. The starting pay range for this position is $72,700 - $96,800 annually. Remarkable benefits: • Health coverage for medical, dental, vision • 401(K) saving plan with company match AND Pension • Tuition assistance • PTO for community volunteer programs • Wellness program • Employee discounts (membership, insurance, travel, entertainment, services and more!) Auto Club Enterprises is the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity - we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. "Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value." AAA is an Equal Opportunity Employer

Claims Senior Medpay Adjuster The Claims Senior Medpay Adjuster handles moderate to high complexity of PIP and Medpay claims for our Eastern Expansion. The primary functions include liability investigation, coverage evaluation, and negotiation of moderate to high-complexity claims. Employs discretion and independent judgment to ensure compliance with state and federal law, and with established company, technical, and customer service best practices. Job Duties Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address coverage issues. Conduct phone investigations to determine liability and damages. Identify and obtain statements from insureds, claimants and witnesses. Verify and resolve coverage by gathering necessary information to ensure policy applicability. Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data. Negotiate within settlement authority with insureds and claimants to resolve first and third party claims. Update database production reports, document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc. claiVerify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required. Independently resolve claim exposures within level of authority. Respond quickly to customer needs and problems. May attend and participate in legal proceedings. Qualifications Bachelors Equivalent combination of education and experience Preferred 7-9 years Prior claims handling experience. Required 7-9 years Property, Auto, Casualty or relevant claims administration experience. Preferred Comprehensive knowledge of claims administration best practices and procedures. Comprehensive knowledge of building and vehicle repair procedures and third-party liability issues. Extensive knowledge of insurance, fault assessment, negligence and subrogation principles required. Advanced knowledge of Microsoft Office suite, general computer software and claims software. Advanced organization and planning recognition skills required. Advanced oral and written communication skills required. Advanced interpersonal skills required. Advanced leadership skills among peers required. Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required An insurance/claims adjuster license may be required for claims administration in specific states. The starting pay range for this position is $72,700 - $96,800 annually. Remarkable benefits: • Health coverage for medical, dental, vision • 401(K) saving plan with company match AND Pension • Tuition assistance • PTO for community volunteer programs • Wellness program • Employee discounts (membership, insurance, travel, entertainment, services and more!) Auto Club Enterprises is the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity - we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. "Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value." AAA is an Equal Opportunity Employer

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: Senior Casualty Litigation Specialist - The Auto Club Group What you will do: (Primary Duties & Responsibilities) The Auto Club Group is seeking a prospective Senior Claim Specialist to work under less supervision with a high-level of authority. In 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 coverage analysis on the most complex claims. 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. Senior Claim Specialists assigned Liability/BI/Med Pay/Non-MI PIP claims involving litigation/arbitration. Handle the most complex claims involving liability disputes, bodily injuries, and coverage questions. With our powerful brand and the mentoring, we offer, you will find your position as a Senior Claim Specialist can lead to a rewarding career at our growing organization. How you will benefit: Claim Specialist W ill earn a competitive salary of $80,000 to $97,000 annually with annual bonus potential based on performance. Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group. Benefits include: 401k Match Medical Dental Vision PTO Paid Holidays Tuition Reimbursement We're looking for candidates who: (Preferred/Required Qualifications) Education: Associate degree in business administration, Insurance or a related field or the equivalent in related work experience Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, associate in management or equivalent CPCU coursework or designation Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience. In 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: Five years of experience in the following: Negotiation of complex claim settlements Securing and evaluating evidence Preparing manual and electronic estimates Subrogation claims Resolving complex coverage questions Taking statements Establishing clear evaluation and resolution plans for claims Knowledge and Skills: Advanced technical knowledge Essential Insurance Act (Michigan) Fair Trade Practices Act as it relates to claims. Subrogation procedures and processes Intercompany arbitration Litigation Strong negotiation skills A good teamwork orientation Advanced technical knowledge of: Negligence Law No-Fault Law Medical terminology and human anatomy Attorney represented claims. Ability to: Handle claims to the line Claim Handling Standards Follow and apply ACG Claim policies, procedures and guidelines. Work within assigned ACG Claim systems including basic PC software Perform claim file review and investigations Demonstrate effective communication skills (verbal and written) Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns Analyze and solve problems while demonstrating sound critical thinking and decision-making skills Prioritize claim related functions Process time sensitive data and information from multiple sources Manage time, organize and plan workload and responsibilities Attend virtual meetings and corporate/court onsite meetings Work evenings or weekends Must Reside in the State of Michigan Work Environment This is a hybrid work arrangement (time spent in office and remote). Depending on the employee's role and leadership's assessment, some employees will come in to an ACG facility on a weekly basis, a monthly basis, or on an "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or teambuilding events. Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and customers across 14 states and 2 U.S. territories through AAA, Meemic, and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. And when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other. We have positions available for every walk of life! AAA prides itself on creating an inclusive and welcoming environment of diverse backgrounds, experiences, and viewpoints, realizing our differences make us stronger. To learn more about AAA The Auto Club Group visit Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals. ACG utilizes a geographic pay differential as part of the base salary compensation program. Pay ranges outlined in this posting are based on the various ranges within the geographic areas which ACG operates. Salary at time of offer is determined based on these and other factors as associated with the job and job level. The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements. The Auto Club Group, and all its affiliated companies, is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status. Regular and reliable attendance is essential for the function of this job. AAA The Auto Club Group is committed to providing a safe workplace. Every applicant offered employment within The Auto Club Group will be required to consent to a background and drug screen based on the requirements of the position.

Claims Senior Medpay Adjuster The Claims Senior Medpay Adjuster handles moderate to high complexity of PIP and Medpay claims for our Eastern Expansion. The primary functions include liability investigation, coverage evaluation, and negotiation of moderate to high-complexity claims. Employs discretion and independent judgment to ensure compliance with state and federal law, and with established company, technical, and customer service best practices. Job Duties Communicate and interact with a variety of individuals including insureds and claimants. Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements. Recognize and appropriately address coverage issues. Conduct phone investigations to determine liability and damages. Identify and obtain statements from insureds, claimants and witnesses. Verify and resolve coverage by gathering necessary information to ensure policy applicability. Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data. Negotiate within settlement authority with insureds and claimants to resolve first and third party claims. Update database production reports, document and update claim files via company systems, i.e. CACS, HUON, HOC, GUIDEWIRE, etc. claiVerify and interpret / resolve coverage by gathering necessary information to ensure policy applicability. Coordinate with internal and external departments as required. Independently resolve claim exposures within level of authority. Respond quickly to customer needs and problems. May attend and participate in legal proceedings. Qualifications Bachelors Equivalent combination of education and experience Preferred 7-9 years Prior claims handling experience. Required 7-9 years Property, Auto, Casualty or relevant claims administration experience. Preferred Comprehensive knowledge of claims administration best practices and procedures. Comprehensive knowledge of building and vehicle repair procedures and third-party liability issues. Extensive knowledge of insurance, fault assessment, negligence and subrogation principles required. Advanced knowledge of Microsoft Office suite, general computer software and claims software. Advanced organization and planning recognition skills required. Advanced oral and written communication skills required. Advanced interpersonal skills required. Advanced leadership skills among peers required. Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required An insurance/claims adjuster license may be required for claims administration in specific states. The starting pay range for this position is $72,700 - $96,800 annually. Remarkable benefits: • Health coverage for medical, dental, vision • 401(K) saving plan with company match AND Pension • Tuition assistance • PTO for community volunteer programs • Wellness program • Employee discounts (membership, insurance, travel, entertainment, services and more!) Auto Club Enterprises is the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity - we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team. "Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value." AAA is an Equal Opportunity Employer

Zurich North America is looking for a dynamic and experienced leader to join our Complex Liability Claims team. In this high-impact role, you'll take charge of managing intricate, high-exposure construction and litigation claims while playing a key role in supporting our New York Labor Law team. If you're passionate about delivering customer focused solutions and driving claims excellence, this is your opportunity to make a meaningful difference at an industry leader. Work-Life Balance & Flexibility At Zurich North America, we recognize the importance of work-life balance and flexibility in today's work environment. Our ZNA hybrid work model offers employees the autonomy to perform individual tasks remotely, while encouraging in-person collaboration when meaningful. While this role provides significant flexibility, occasional in-office attendance may be required. The selected candidate will work remotely from anywhere in the U.S., with 20% travel expected within the New York metropolitan area. Key Responsibilities: Manage complex primary and excess high-exposure litigated general liability claims with an emphasis on litigated construction claims, from inception to resolution. Collaborate with your colleagues to drive best practices and optimal claims outcomes. Ensure regular communication with clients, brokers, business units, and senior claims management. Proactively manage and resolve high-severity injury claims while adhering to Zurich's best practices. Accurately document claims files, capturing and updating relevant data to ensure compliance with industry standards. Basic Qualifications: Bachelor's Degree and 8+ years of experience managing litigated general liability claims, including high-severity cases OR Juris Doctor (JD) with 4+ years of experience managing general liability claims, including high-severity cases OR High School Diploma (or equivalent) and 10+ years of experience managing litigated general liability claims, including high-severity cases OR Zurich Certified Insurance Apprentice, with an Associate Degree and 8+ years of experience managing litigated general liability claims, including high-severity cases Must obtain and retain required adjuster licenses Proficiency with Microsoft Office Knowledge of insurance regulations, markets, and products Preferred Qualifications: SCLA, AIC, CPCU certification or a JD 10+ years of experience managing litigated general liability claims, including high-severity cases with an emphasis on construction claims Experience with New York Labor Law Proven skills in claim evaluation, coverage analysis, and negotiation Strong organizational and time management abilities Exceptional verbal and written communication skills Ability to work both independently and in a collaborative team environment At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please click here. Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply as they will be considered based on their experience, skills, and education. The compensation indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled. The proposed salary range for this position is $98,300.00 - $161,000.00, with short-term incentive bonus eligibility set at 20%. As an insurance company, Zurich is subject to 18 U.S. Code 1033. A future with Zurich. What can go right when you apply at Zurich? Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500 . Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please click here to learn more. Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission. Location(s): AM - New York, AM - Remote Work (US) Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag:

In this role, utilize your knowledge of commercial property, auto and liability claims to investigate, evaluate, reserve and resolve claims to achieve appropriate outcomes. Provide superior customer service to internal and external business partners. Administer and resolve assigned claims in a timely manner, in accordance to jurisdictional requirements, policy coverages and company guidelines. Responsibilities: Promptly investigate all assigned claims for coverage, liability, damages, subrogation and contribution Ensures timely disposition of all claims in accordance with regulatory and statutory requirements Within granted authority, establish appropriate loss and expense reserves with documented rationale Maintain and adjust reserves over the life of the claim to reflect changes in exposure Notify appropriate claims management when exposure exceeds authority Negotiate claims resolution within granted authority Establish and execute appropriate action plans for claim resolution including loss cost management while achieving appropriate balance between allocated expense and loss outcome Work collaboratively with internal and external business partners in investigating and reaching appropriate disposition of all claims Select and manage service vendors to achieve appropriate balance between allocated expense and loss outcome Maintain working knowledge of regulatory and jurisdictional requirements for assigned claims territory Demonstrate technical proficiency through timely, consistent execution of best claim practices and established claims handling guidelines Communicate effectively with customers on claims and account issues Maintain and manage a diary system and claim pending to efficiently and effectively resolve all claims. Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work. Job Requirements: Bachelor's degree or four or more years of equivalent work experience in an insurance related industry required At least 3 to 5 years of auto or liability claims management experience required; commercial lines experience strongly preferred Familiarity with coverage, negligence principles, investigation and negotiation techniques Strong organizational skills and detail orientation Ability to work independently, handle multiple tasks simultaneously and exercise good judgment Excellent verbal and written communication skills Computer literacy, including working knowledge of MS Office including Word, Excel and PowerPoint.

Company Details: Responsibilities: The Senior Physical Damage Adjuster is responsible for the investigation, evaluation, disposition and settlement of moderate to complex claims involving commercial automobile litigation. This includes the investigation, determination and evaluation of coverage, liability and damages, risk transfer, and the timely setting of proper reserves. In addition, the Claims professional will control the insured's exposures and losses, manage consultants, and achieve a prompt, fair and equitable settlement according to fair claims handling requirements. S/her will negotiate settlement of claims with varying complexity and perils. Duties and responsibilities include but are not limited to: Oversee and resolve truck, bus, commercial auto and/or public transportation claims, including litigation Select, oversee, and grade the performance of outside counsel Attend and monitor trials to assess attorney performance and jury verdict risk Set and control litigation budgets Conducts a prompt, thorough and fair investigation by obtaining relevant facts to determine coverage, origin, and extent of loss losses. Utilize critical thinking and solid judgment to solve problems, make decisions and resolve complex issues inherent in handling losses, as well as plan and organize activities throughout the claim's management process. Experienced with managing, evaluating and resolving claims in litigation consistent with in-place litigation guidelines. Able to write concise reports and effectively communicate contractual issues, technical legal concepts and coverage application in easy to understand terms. Act timely upon emerging information to insure ongoing recognition of the financial exposure on losses within assigned authority as well as promptly communicate to management, if beyond the assigned level of authority. Interpret related claims documentation. Initiate and oversee serious automobile accident investigations and rapid response Develop strategies and effective plans that drive litigated matters / claims to better results Accurately assess and resolve commercial auto insurance coverage issues, analyze facts and allegations in conjunction with all policy provisions, endorsements and amendments Draft declination, Reservation of Rights and other coverage letters Negotiate outstanding settlements Present case statuses/summaries in a clear, concise and understandable manner Documents and communicates all claim activities timely and effectively and in a manner, which supports the outcome of the claim file Qualifications: BA/BS degree 5 + years complex commercial auto liability experience handling or other serious personal injury claims Strong and professional negotiation, communication, organization and documentation skills required