Job Description
AAA The Auto Club Group is a leading organization providing membership, travel, insurance, and financial services. They are seeking a Claim Support Specialist to handle day-to-day operations, assign claims, perform quality control tasks, and assist management with department projects and reports. Responsibilities In accordance with established guidelines, assign claims electronically Recognize subrogation potential and refer claims to appropriate area as indicated Update claims files to document assignments Review claims assignments within assigned area to ensure proper load-balancing Perform quality control tasks to ensure the timely assignment of claims Monitor claim systems to ensure proper assignment of claims based on key identifiers within intake reports Notify management of system problems or potential issues Forward claim files to appropriate areas (e.g. Legal) as necessary Perform a variety of high-level support duties to ensure the proper handling of claims Assist management in the support of department projects and research and compile requested information Gather information for management reports Create and distribute various reports and/or documents including: agent workload assignments, open claims, agent attendance, etc May enter, process, retrieve and/or correct data to ensure systems are updated and management has correct information to respond to inquiries Review claim files to ensure payments are disbursed to appropriate individuals Assist other staff members in performing claim support functions such as typing correspondence/memos and responding to telephone inquiries as needed during peak periods/staff shortages Answer customer/vendor calls and provide information, as needed Perform other related duties as assigned Skills High school education or equivalent Completion of ACG approved training program for the position 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 P.C. software applications Knowledge of general claim processing functions Knowledge of claim processing system Ability to work under pressure Ability to organize and prioritize work Ability to prepare claim files Ability to communicate effectively with others over the telephone and in person Ability to investigate policy coverage, including the establishment of new policies and verification of cancelled policies Ability to compose a descriptive narrative Ability to perform alphabetic and numeric filing Ability to use basic math skills Ability to bend and stoop in order to file and/or retrieve claims documents Ability to sit for the majority of the day Ability to operate a PBX console Ability to handle multiple tasks Ability to use automated processing and computer systems Ability to audit records and computer files Ability to rotate within department to perform various training or support functions Ability to provide high quality customer service Ability to analyze and problem solve College level coursework or equivalent claims experience Experience preparing claim files and diary entries Experience performing salvage activities such as file preparation, processing of titles, arranging for vehicle towing and storage Knowledge of insurance processing, including the understanding of policy/coverage terminology Knowledge of subrogation procedures Knowledge of homeowners claims Knowledge of bodily injury Knowledge of homeowners' policy coverage/terminology techniques Benefits 401k Match Medical Dental Vision PTO Paid Holidays Tuition Reimbursement Company Overview AAA - The Auto Club Group (ACG) is the second largest AAA club in North America, serving more than 13+ million members across 14 U.S. It was founded in 1901, and is headquartered in Dearborn, MI, US, with a workforce of 5001-10000 employees. Its website is