Casualty Claims Representative
Location: Omaha, Nebraska
Description: AAA is at the momment seeking for Casualty Claims Representative right now, this occupation will be settled in Nebraska. More details about this occupation opportunity please give attention to these descriptions. Job Summary
Independently performs detailed and highly complex claim functions both at the office and at off-site locations. Reviews files, obtains coverage information a! nd contacts insured to discuss claim process, provide emergency funds, etc. Explains laws/regulations regarding vehicle repair. Performs physical damage inspections as required. Arranges for vehicle inspections, alternate transportation expenses, etc. Inspects property and prepares estimate or works with direct repair facilities to obtain necessary information. Analyzes damage and determines whether to repair or replace damaged parts. Recommends usage of aftermarket parts for non-safety related items. Determines value of vehicle in order to settle claim. Obtains necessary medical, accident, legal and police reports to complete files. Works with insured to select contractor as needed. Arranges for repair or cleaning of salvageable items. Ensures the sale of salvage to reduce claim costs. Travels to auto salvage yard and inspects vehicles. Attends vehicle auctions on a rotating basis. Notifies insured of total loss and advises regarding procedures. Authorizes repairs and upda! tes claim diary. Reviews the status of open and closed reserve! s and makes adjustments consistent with exposures. Authorizes checks within authority level. May conduct audits of direct repair facility inspections to ensure accuracy of estimates and adherence to corporate procedures. Reviews files for potential subrogation and completes subrogation forms. Assists in the recovery of corporate claim expenditures from insureds/applicants, uninsured motorists, businesses, other insurers, etc. in accordance with established procedures. May represent company at trials, depositions and settlement hearings. Assists less experienced claim representatives with claims that are more complicated and complex. Assumes responsibility for complex files that were previously assigned to other claim representative(s) and/or technical support staff members. Communicates with direct repair shops (DRS) in order to provide/update claim information. Conducts re-inspections as necessary to investigate and evaluate DRS requests for additional repairs, and to eval! uate the quality of service provided. Participates in Branch Settlement Support Council Meetings and visits assigned branches and legal department to assist in structured settlement utilization as necessary. Provides after-hour coverage to process claims on a rotating basis.
REQUIRED:
Experience as a Claim Representative, a Public or Private Investigator, or equivalent or a minimum of one year experience as a Claim Associate within identified area (e.g. casualty, auto physical damage).
Experience in the investigation, evaluation and settlement of claims to include:
auto no fault claims including automobile market evaluations and the review of auto repair estimates
Auto PIP/BI
subrogation claims
Experience to include:
evaluating auto repairs for quality and compliance with estimates
auto market evaluations
complex claim investigations
negotiation of claim settlements
Investigation exper! ience to include :
securing and evaluating evidence
determi! ning the existence of possible criminal actions
assisting in the preparation of court proceedings
Knowledge to include:
Negligence Law
No Fault Law
Essential Insurance Act
the Fair Trade Practices Act as they relate to claims
auto construction and repair techniques
medical terminology and human anatomy
criminal law
court procedures
subrogation procedures and processes
intercompany arbitration
Demonstrated skill in:
organization and planning
analyzing and problem solving
written communications to include record keeping and report preparation
Ability to:
use automated processing and computer systems, including basic PC software skills
effectively respond to questions/concerns
communicate effectively with others in a work environment, with the Public, law enforcement personnel and vendors
provide technical expertise to Claims department on suspected insurance! fraud
independently perform detailed and highly complex injury claim negotiations
process time sensitive data and information from multiple sources
make decisions based on data
communicate decisions to a broad audience
research analyze and interpret subrogation laws in various states
prioritize work
work under pressure to meet deadlines
Willingness to travel outside of assigned territory which may involve overnight stay.
Willingness to relocate, work evenings or Saturdays.
Valid State Driver's License.
PREFERRED:
Associate's degree in Business Administration, Insurance or a related field or the equivalent in related work experience.
Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management or equivalent.
CPCU coursework or designation.
Subrogation experience in a property/casualty insurance company.
Strong negotiation skills. !
Experience to include:
analyzing and problem solvin! g
organization and planning
decision making
medical bill auditing
coordination and collection of data to handle subrogation opportunities on multiple claims from one event
Basic PC software skills (Word, Excel etc.)
Ability to:
lift up to 25 pounds
WORK ENVIRONMENT -
Works in a temperature controlled office environment. Travel required to various repair facilities, visit patients, hospitals, attorneys, rehabilitation centers, repair facilities, etc. per with exposure to road hazards and temperature extremes.
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If you were eligible to this occupation, please email us your resume, with salary requirements and a resume to AAA.
Interested on this occupation, just click on the Apply button, you will be redirected to the official website
This occupation starts available on: Fri, 11 Oct 2013 00:29:22 GMT
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