AAA Auto Club Dearborn , MI 48120
The Auto Club Group (ACG) provides membership, travel, insurance and financial services offerings to approximately 9 million members and customers across 11 states and 2 U.S. territories through the AAA, Meemic and Fremont brands. ACG belongs to the national AAA federation and is the second largest AAA club in North America.
Primary Duties and Responsibilities (details of the basic job functions):
Manages the daily operations and administers policies and procedures for assigned claim functions within a large loss or highly complex claim processing area. Performs specialized claims functions within assigned region such as organizing and managing claim investigation programs to identify fraudulent insurance claims, handling catastrophic losses/regional claims, casualty claims, subrogation, casualty litigation, etc. Manages the investigation, evaluation and settlement of complex or high dollar value claims. Manages personnel within assigned area. Interviews job applicants and recommends the hiring of personnel. Schedules work hours and assigns job duties. Evaluates employee work performance. Counsels, disciplines and recommends the termination of subordinates as indicated.
Accountable for financial and non-financial results (budget and actual), project management and staff management. Prepares budget estimates and ensures adherence to budgetary guidelines. Takes necessary corrective action to mitigate or reverse unfavorable variances. Reviews and approves reserves for both general and catastrophic claims. Facilitates and supports departmental objectives.
May be responsible for setting and developing a strategy for department operations. Analyzes and appraises departmental operating results and develops innovative approaches to improve performance or resolve problems. Prepares statistical forms necessary to produce monthly company financial reports.
Works in cooperation with director to develop contingency planning for large scale catastrophic losses.
Conducts technical research and develops methods to reduce or contain costs related to operating expenses and paid claims.
Provides direct assistance to director and executive staff in coordinating or conducting special claim surveys and projects.
Involved with outside organizations in the community to enhance public image.
Performs claim investigation and settlement activities in catastrophic loss/injury situations as warranted. Coordinates the investigation of suspected fraud at branches and other office locations.
Supervisory Responsibilities (briefly describe, if applicable, or indicate None):
Directly and indirectly manages a staff of management, professional, technical and or support staff who may be assigned to one or more locations.
Completion of the I.I.A. (Insurance Institute of America) or other insurance coursework.
Possession or completion of one or more of the following:
College level coursework in Business Administration or Criminal Justice
Chartered Property Casualty Underwriting coursework
Ameircan Education Institute coursework or certification in insurance
Fraud Claim Law Specialist Certification
Certified Insurance Fraud Investigator Certification
Basic PC skills.
Previous management or supervisory experience.
Experience in one or more of the following:
Knowledge of one or more of the following:
Company fraud prosecution policies and procedures
investigative practices and methods
Company claim policies and procedures
Works in a temperature controlled office environment. Occasional travel required (20% of work time) to perform claim reinspections and attend management meetings with exposure to road hazards and temperature extremes.
Required Qualifications (these are the minimum requirements to qualify):
Education (include minimum education and any licensing/certifications):
College level coursework in Business Administration, Insurance, or a related field or the equivalent in related work experience. Bachelor's degree preferred.
In states where an adjuster's license is required, the candidate must be eligible to acquire a state adjuster's license within 90 days of hire and maintain as specified for appropriate states
Possession of a valid State driver's license
Claims management experience to include :
Experience to include :
Knowledge and Skills:
Knowledge to include one or more of the following*
claims processing policies and procedures including settlement techniques (homeowners/auto/casualty/subrogation)
policy coverage terminology
Fair Trade Practice Act as it relates to claims
indications of potential fraudulent activities
home construction/repair, product and labor costs, and alternative methods of repair
investigation and negotiation techniques
homeowner loss prevention techniques
catastrophic personal injuries and related rehabilitation therapy required
organizations, services and facilities providing assistance and treatment to injury claims
subrogation procedures (all states)
auto physical damage and/or casualty claim handling
intercompany arbitration and litigation management
Management ability to include:
Important Note: The above statements describe the principal and essential functions, but not all functions that may be inherent in the job. This job requires the ability to perform duties contained in the job description for this position, including, but not limited to, the above requirements. Reasonable accommodations will be made for otherwise qualified applicants, as needed, to enable them to fulfill these requirements.
The Auto Club Group, and all of its affiliated companies, is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability or protected veteran status.