Claims Service Representative 3 – Quality Assurance
AAA
full-time
Posted on:
Location Type: Remote
Location: Rhode Island • United States
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Salary
💰 $72,700 - $96,800 per year
About the role
- Conduct audits of property files to identify trends, patterns, or anomalies in the claims handling process
- 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
- Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data
- Produce clear, concise audit write-ups that summarize findings and actionable recommendations for claim handling
- Control expenses for areas of responsibility
- Verify and interpret / resolve coverage by gathering necessary information to ensure policy applicability
- Coordinate with internal and external departments as required.
- Determine policy obligations by assessing the liability and damage components of the loss
- Investigate and differentiate between allegations and facts in each loss
- Respond quickly and effectively to customer needs and problems.
- Recognize and appropriately address complex coverage issues
- Recognize and appropriately address complex subrogation issues
Requirements
- Bachelor’s or equivalent combination of education and experience
- 7-9 years of claims handling experience
- Advanced understanding of vehicle repair procedures and issues or building repair procedures and issues or third-party liability issues
- Moderate computer and line of business technical software skills required
- Moderate knowledge of fault assessment and subrogation principles required
- Moderate leadership competencies are necessary
- 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 is required.
Benefits
- Health coverage for medical, dental, vision
- 401(K) saving plans with company match AND Pension
- Tuition assistance
- Floating holidays and PTO for community volunteer programs
- Paid parental leave
- Wellness programs
- Employee discounts (membership, insurance, travel, entertainment, services and more!)
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims handlingaudit proceduresfault assessmentsubrogation principlesvehicle repair proceduresbuilding repair proceduresliability assessmentdata evaluationpolicy applicability verificationexpense control
Soft Skills
communication skillsinterpersonal skillsorganizational skillsplanning skillsleadership competenciesproblem-solving skillscustomer serviceanalytical skillswriting skillsattention to detail
Certifications
Bachelor's degreevalid Driver's Licenseminimum liability insurance