Subrogation Investigative Claim Representative II
AAA The Auto Club Group is a leading organization providing membership, travel, insurance, and financial services. They are seeking a Subrogation Investigative Claim Representative II to handle moderately complex claims, assist with investigations, and evaluate recovery potential while ensuring compliance with claim handling standards. Responsibilities Work under normal supervision with an intermediate-level approval authority to handle moderately complex claims within Claim Handling Standards Take statements and establish clear evaluation and resolution plans for claims Assist with subrogation investigations. This may include insurance verification, obtaining proofs, taking recorded statements, and hiring experts Claim handling responsibilities will include the following: reviewing assigned claims, contacting the insured and other affected parties, setting expectations for the remainder of the claim, and initiating documentation in the claim handling system Complete an investigation of the facts and determine possible recovery potential Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim Evaluate the financial value of the loss Approve payments for the appropriate parties accordingly Refer claims to other company units when necessary (e.g., Underwriting, Recovery Units or Claims Special Investigation Unit) Thoroughly document and/or code the claim file and complete all claim closure and related activities in the assigned claims management system Utilize strong negotiating skills Skills Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience 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 One year of experience with negotiating claim settlements One year of experience with securing and evaluating evidence One year of experience with preparing manual and electronic estimates One year of experience with subrogation claims One year of experience with resolving coverage questions One year of experience with taking statements One year of experience with establishing clear evaluation and resolution plans for claims Essential Insurance Act (Michigan) Fair Trade Practices Act as it relates to claims Subrogation procedures and processes Intercompany arbitration Technical knowledge of Negligence Law Technical knowledge of No-Fault Law Technical knowledge of Collision repair shop Ability to handle claims to the line Claim Handling Standards Ability to follow and apply ACG and Meemic Claim policies, procedures and guidelines Ability to work within assigned Meemic Claim systems including basic PC software Ability to perform basic claim file review and investigations Ability to demonstrate effective communication skills (verbal and written) Ability to demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns Ability to analyze and solve problems while demonstrating sound decision making skills Ability to prioritize claim related functions Ability to process time sensitive data and information from multiple sources Ability to manage time, organize and plan workload and responsibilities Ability to research analyze and interpret subrogation laws in various states Strong negotiating skills Benefits Medical, dental and vision benefits 401k Match Paid parental leave and adoption assistance Paid Time Off (PTO), company paid holidays, CEO days, and floating holidays Paid volunteer day annually Tuition assistance program, professional certification reimbursement program and other professional development opportunities AAA Membership Discounts, perks, and rewards and much more 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