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AAA
AAA
5.001 – 10.000 Angajați
Sponsor pentru viza H1BAsigurăriIndustria autoLogistică
AAA este o federație de cluburi auto afiliate care își deservesc membrii prin servicii legate de automobile, călătorii, asigurări și logistică. Oferta sa include asistență rutieră de urgență, resurse pentru planificarea călătoriilor, hărți și ghiduri, precum și reduceri pentru membri disponibile în Statele Unite și la nivel internațional. Cluburile individuale își desfășoară activitatea în propriile zone geografice, respectând în același timp standardele comune AAA, ceea ce creează o rețea locală de servicii care oferă sprijin extins membrilor care călătoresc în țară sau în străinătate.
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Senior Michigan PIP Claims Specialist - Hybrid

Senior claims professional managing complex Michigan PIP cases for AAA members, including catastrophic-injury claims. Responsibilities include coverage analysis, loss evaluation, settlement negotiation, and payment approval.

USStatele Unite ale AmericiiMIMichigan
76.700 $ – 119.433 $ / an
HibridNormă întreagăSeniorLimbă Obligatorie: englezăGeneralSpecialist în daune

Descriere

  • Manage assigned claims while communicating with insureds and other involved parties
  • Explain the remaining claim process and record required information in the claims system
  • Perform complex coverage reviews and identify all applicable policyholder benefits
  • Open additional sub-claims when circumstances require them
  • Investigate claim details to assess payment eligibility, policy limits, exclusions, and recovery opportunities
  • Assess damages and apply Michigan law and other relevant claim considerations
  • Determine the financial value of covered losses
  • Authorize payments to eligible recipients
  • Refer matters to Underwriting, Recovery Units, or the Claims Special Investigation Unit as appropriate
  • Maintain accurate claim-file documentation and coding, and complete closure procedures in the claims system
  • Negotiate resolutions and claim settlements
  • Manage Michigan PIP cases involving MCCA, quadriplegia, traumatic brain injuries, amputations, and other catastrophic injuries
  • Coordinate with insureds, guardians, conservators, attorneys, treatment teams, and case managers to gather information and complete reviews
  • Make well-supported claim decisions

Cerințe

  • Complete the ACG Claim Representative Training Program or demonstrate comparable knowledge or experience
  • Qualify to obtain a state adjuster license within 90 days of hire where required and maintain the license as specified
  • Hold a valid driver's license when the role includes on-site inspections or frequent in-person meetings
  • Bring five years of experience or equivalent training in settlement negotiation, evidence collection and evaluation, manual and electronic estimating, subrogation claims, coverage analysis, statement taking, and claim planning and resolution
  • Demonstrate advanced knowledge of Michigan's Essential Insurance Act
  • Demonstrate advanced knowledge of the Fair Trade Practices Act as it applies to claims
  • Demonstrate advanced knowledge of subrogation procedures and processes
  • Demonstrate advanced knowledge of intercompany arbitration
  • Demonstrate advanced knowledge of basic litigation handling
  • Demonstrate advanced knowledge of negligence, no-fault, and no-fault reform law
  • Demonstrate advanced knowledge of medical terminology and human anatomy
  • Demonstrate advanced knowledge of MCCA and attorney-represented claims
  • Handle claims in accordance with Claim Handling Standards
  • Apply ACG Claim policies, procedures, and guidelines consistently
  • Work effectively in assigned ACG Claim systems, including basic PC software
  • Conduct basic claim-file reviews and investigations
  • Communicate effectively in writing and verbally
  • Provide customer service and maintain productive relationships with insureds and claimants
  • Use sound judgment and problem-solving skills
  • Prioritize claim-related work appropriately
  • Process time-sensitive information from multiple sources
  • Organize, plan, and manage workload and responsibilities effectively
  • Safely drive a motor vehicle for visits to repair facilities, homes, patients, and other locations
  • Research, analyze, and interpret subrogation laws across multiple states
  • Travel outside the assigned territory, including potential overnight stays
  • Be able to relocate and work evenings or weekends
  • Complete background and drug screening after receiving an employment offer

Beneficii

  • Medical coverage with several plan choices, including HSA-eligible options
  • Prescription medication coverage
  • Dental and vision coverage
  • Employee Assistance Program
  • Company-paid basic life insurance
  • Optional supplemental life insurance and dependent coverage
  • Short- and long-term disability coverage
  • Optional critical illness, accident, and pet insurance
  • 401(k) retirement plan
  • Company match of 50% on employee contributions up to 6% of pay
  • Additional company contribution equal to 4% of pay each pay period, fully vested after three years
  • Health Savings Account and Flexible Spending Account options
  • Paid time off that increases with tenure
  • Up to 12 annual PTO days for newly hired full-time employees
  • Ten company-paid holidays each year for full-time employees
  • One mental health day, two floating holidays, and one volunteer day for full-time employees
  • Paid parental, bereavement, jury duty, and military leave
  • Annual tuition assistance up to $5,250, with ACG covering 80%
  • Full reimbursement for eligible professional certification programs
  • Career development and advancement opportunities
  • Complimentary AAA membership with roadside assistance and travel discounts
  • Adoption assistance
  • Annual company bonus opportunity
  • Home-office remote work for daily operations, subject to the ACG Flex Work policy

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