Job Description

Casualty Claims Service Representative III

The Auto Club of Southern CA is looking for a Casualty Claims Representative responsible for investigation, evaluation and negotiation of low to moderate complexity claims in compliance with established company technical and customer service.  

Responsibilities include..

Communicate and interact with a variety of individuals including insureds and claimants.

Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements.

Conduct phone and/or field investigations to determine liability and damages. May attend and participate in legal proceedings. Identify and obtain statements from insureds, claimants and witnesses.

Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data.

Negotiate within settlement authority with insureds and claimants to resolve their first and third party claims.

Handle administrative functions, update database production reports, and document and update claim files .

Verify and interpret/resolve coverage by gathering necessary information to ensure policy applicability.

Coordinate with internal and external departments as required.

Identify cross-sell opportunities based on members’ product needs and service requests. Enhance member relationship by diversifying use of products and services.

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

Perform other duties and responsibilities as assigned or required.

Knowledge/Skills/Competencies

4 year College Degree required.

Ability to service claims of high complexity claims, as normally acquired through experience.

Moderate computer and line of business technical software skills required.

General knowledge of negligence and subrogation principles desired.

Moderate understanding of vehicle nomenclature and repair practices or; moderate understanding of building nomenclature and repair practices.

Advanced organization and planning recognition skills required.

Advanced oral and written communication skills required.

Advanced interpersonal skills required.

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