Job Description

The Auto Club of Southern CA is looking for a Claims Service Representative responsible for investigation, evaluation and negotiation of low to moderate complexity claims in compliance with established company technical and customer service. This position will work from home and requires being in the field. This position does include a company car. 

Responsibilities include:

Communicate and interact with a variety of individuals including insureds and claimants on a face to face basis. 

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. 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 via company systems, i.e. Guidewire HUON, HOC, etc.

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-yr. College Degree or equivalent combination of education and Casualty work experience required.

Ability to service complex casualty claims

Computer and line of business technical software skills required.

General knowledge of negligence and subrogation principles required.

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

Advanced organization and planning recognition skills required.

Advanced oral and written communication skills required.

Advanced interpersonal skills required.

Position requires a minimum of 2-3 years Casualty experience.

Valid driver's license with a level of financial responsibility required by the club and an acceptable motor vehicle record required for field positions.

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