High-Value Claims Adjuster

6 days ago


Dearborn, Michigan, United States The Auto Club Group Full time
Job Summary

We are seeking a highly skilled and experienced Senior Litigation Claims Specialist to join our team at The Auto Club Group. As a key member of our claims team, you will be responsible for handling complex and high-value claims, working closely with insureds, physicians, and medical insurance carriers to ensure timely and fair resolution of claims.

Key Responsibilities
  • Claims Handling: Review and analyze complex claims, negotiate settlements, and make recommendations for claim resolution.
  • Communication: Develop and maintain strong relationships with insureds, physicians, and medical insurance carriers to ensure effective communication and resolution of claims.
  • Investigation: Conduct thorough investigations of claims, gathering and analyzing evidence to determine the validity and extent of claims.
  • Documentation: Maintain accurate and detailed records of claims, including documentation of communication, investigation, and resolution.
  • Collaboration: Work closely with other departments, including underwriting, recovery, and claims special investigation unit, to ensure seamless claim resolution.
Requirements
  • Education: Associate degree in Business Administration, Insurance, or a related field, or equivalent experience.
  • Experience: Five years of experience in claims handling, negotiation, and resolution, with a focus on complex and high-value claims.
  • Skills: Advanced technical knowledge of insurance laws and regulations, including the Essential Insurance Act (Michigan) and Fair Trade Practices Act. Strong negotiation and communication skills, with the ability to work effectively with insureds, physicians, and medical insurance carriers.
What We Offer
  • Competitive Salary: $72,737.60 to $96,969.60 annually, with annual bonus potential based on performance.
  • Comprehensive Benefits: 401k match, medical, dental, vision, PTO, paid holidays, and tuition reimbursement.
About Us

The Auto Club Group is a leading provider of membership, travel, insurance, and financial services to approximately 14+ million members and customers across 14 states and 2 U.S. territories. We are committed to providing a safe and inclusive work environment, and we welcome applications from diverse backgrounds and experiences.



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