Claims Service Representative 1

2 weeks ago

Costa Mesa, United States Automobile Club of Southern California Full time
Claims Service Representative 1 - APD MPR

This entry level position supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include investigation, evaluation, and negotiation of lower complexity claims in compliance with established company technical and customer service Best Practices. Under moderate supervision, works within specific limits and authority.

  • Communicates and interacts with a variety of individuals including insureds and claimants. Explains benefits, coverages, fault, and claims process either verbally or in writing in compliance with regulatory and statutory requirements.  

  • Conducts phone and/or field investigations to determine liability and damages. Identifies and obtains

  • statements from insureds, claimants, and witnesses.

  • Evaluates and determines claim values upon receipt and assessment of property, medical and liability data.

  • Negotiates within settlement authority with insureds and claimants to resolve first- and third-party claims.

  • Handles administrative functions, update database production reports, and document and update claim files via company systems, i.e. CACS, HUON, HOC, etc.

  • Verifies and interprets/resolves coverage by gathering necessary information to ensure policy applicability.

  • Coordinates with internal and external departments as required.

  • Identifies cross-sell opportunities based on members’ product needs and service requests.

  • Enhance member relationship by diversifying use of products and services.

  • Provides sales leads to insurance, travel and other departments as appropriate.

Education:

  • Four-year college degree or equivalent combination of education and experience required.

Experience:

  • No prior claims experience required. Typically has 6 months to 3 years claims handling experience. Moderate computer literacy required.

  • General understanding of negligence desired.

  • Advanced organization and planning recognition skills required.

  • Advanced oral and written communication skills required.

  • Advanced interpersonal skills required.

The starting pay range for this position is $25.48 – $28.03 per hour. Additionally, you will be eligible to participate in our incentive program based upon your team and individual performance.

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

The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance.

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