Claims Field Complex

Claims Field Complex

This position handles complex homeowner claims matters involving property lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include investigation, coverage evaluation, negotiation strategies and claims resolution of complex claims. Employs discretion and independent judgment to ensure compliance with state and federal law; and with established company Best Practices. This position demonstrates leadership skills and may involve mentoring and training less experienced personnel.

Job Duties

• Conduct field investigations, evaluate and estimate claim values on very severe damage including total loss fires, earthquakes, landslides, explosions and collapse. Write structural repair estimates in excess of several hundred thousand dollars.
• Determine coverage by interpreting case law, insurance codes and regulations, building codes and ordinances, and insurance contracts on a variety of complex issues; including concurrent causation, efficient proximate and predominate causes, arson, innocent co-insureds. Recognize and appropriately address complex coverage issues.
• Direct, communicate and interact with a variety of forensic experts including Cause and Origin Investigators, Civil, Structural and Soils Engineers and Hygienists.
• Negotiate directly with insureds, attorneys and public adjusters to resolve complicated and high value claims.
• Prepare comprehensive formal reporting on high-profile claims to senior management.
• Mentor and develop lesser experienced personnel.
• May attend and participate in legal proceedings.
• Objectively discern and address items that may be questioned in audits.

Qualifications

• Bachelors' Equivalent combination of education and experience Preferred
• 7-9 years Prior claims handling experience. Required
• 7-9 years Property claims administration experience. Preferred
• 4-6 years' Experience in the construction industry. Preferred
• Working knowledge of claims administration best practices and procedures.
• Advanced knowledge of insurance, fault assessment, negligence and subrogation principles required.
• Advanced knowledge of Microsoft Office suite, general computer software and claims software.
• Comprehensive understanding of vehicle and building repair procedures and third-party liability issues.
• Advanced leadership skills among peers required.
• Advanced organization and planning recognition skills required
• Advanced oral and written communication skills required.
• Advanced interpersonal skills required.
• Valid Driver's License, acceptable Department of Motor Vehicles record and minimum liability insurance - Issued by State Required
• Chartered Property Casualty Underwriter - Insurance Institute of America Preferred
• Associate in Claims - Insurance Institute of America Preferred
• An insurance/claims adjuster license may be required for claims administration in specific states. Preferred
• Contacts are frequently inter-organizational and outside customer/vendor interactions.  Part of a team who represents the organization. Monitors activities and communicates information across the organization

The starting pay range for this position is:

$43.49 - $57.96

Additionally, for full time positions, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.

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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

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 (FCIHO), the Unincorporated Los Angeles County (ULAC) regulation, and the California Fair Chance Act (CFCA). 

Salary : $43 - $58