Claim Specialist - Bodily Injury - Georgia/Tennessee

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Job Type:

Exempt/Non Exempt:

Job Description:

Claim Specialist – Bodily Injury – The Auto Club Group

What you will do: (Primary Duties & Responsibilities)

ACG is seeking a Claim Specialist work under minimal supervision with a high-level approval authority to handle complex technical issues and complex claims. 

In this position, you will:

• Review assigned claims.
• Contact the insured and other affected parties,
• Set expectations for the remainder of the claim process.
• Document claim file memos, upload documents to claim file, complete claim coding.
• 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.
• Handling policies within the following states: Georgia and Tennessee.

Claim Specialist assigned to the Liability, Bodily Injury unit will handle highly complex claims involving liability disputes, bodily injuries, and valued up to $250,000. Answer coverage and policy questions. Apply the correct liability determination, evaluate the damages, and arrive at a fair settlement. May assist Claim Manager with file reviews and training.

With our powerful brand and the mentoring, we offer, you will find your position as a Claims Specialist can lead to a rewarding career at our growing organization.

How you will benefit:

Claim Specialist Will earn a competitive salary of $68,000 to $78,000 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:

Education (include minimum education and any licensing/certifications):

• Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience.
• In states where an Adjuster’s …