1 Medical Administration jobs in Newport Beach
Office Adjuster - Medical Claims
Costa Mesa, California
ACSC Management Services Inc
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Job Description
Claims Senior Auto Adjuster
The Claims Senior Auto Adjuster supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, claims resolution and negotiation strategies of moderate complexity claims in compliance with established company technical and customer service best Practices. Under limited supervision, works within specific limits and authority to resolve claims with well-defined procedures.
Job Duties
Communicate and interact with a variety of individuals including insureds and claimants. Verify and explain benefits, coverages, fault, and claims process either verbally or in writing which complies with regulatory and statutory requirements. Recognize and appropriately address moderate-complexity coverage issues.
Identify and obtain statements from insureds, claimants and witnesses. Conduct investigations to determine liability and damages and differentiate between allegations and facts.
Evaluate and negotiate within settlement authority with insureds and claimants to resolve first and third-party claims in multiple markets. Demonstrate proficiency with estimates, property, material damage, liability, total loss evaluations, analysis of claims, claims technology, and tool usage.
Coordinate with internal and external departments as required.
Respond quickly to customer needs and inquiries.
Overtime and holiday hours may be required
Qualifications
~ Bachelors Equivalent combination of education and experience Preferred
~1-3 years Claims handling experience. Required
~ Working knowledge of claims administration best practices and procedures.
~ Understanding of vehicle repair processes and procedures
~ Knowledge of fault assessment, negligence and subrogation principles required.
~ Knowledge of Microsoft Office suite, general computer software and claims software.
~ Organization and planning recognition skills required.
~ Oral and written communication skills required.
~ Interpersonal skills required.
The starting pay range for this position is:
$28.19 - $37.55 Additionally, for full time positions, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.
.
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
Auto Club Enterprises is the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.
Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.
AAA is an Equal Opportunity Employer
The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles Fair Chance Initiative for Hiring Ordinance (FCIHO), the Unincorporated Los Angeles County (ULAC) regulation, and the California Fair Chance Act (CFCA).
ACSC Management Services Inc
The Claims Senior Auto Adjuster supports the Auto Claims Operation by providing service pursuant to the policy by handling claims of material damage, property damage, and/or liability lines of insurance written by the Interinsurance Exchange in compliance with all regulatory and statutory requirements. The primary functions include liability investigation, coverage evaluation, claims resolution and negotiation strategies of moderate complexity claims in compliance with established company technical and customer service best Practices. Under limited supervision, works within specific limits and authority to resolve claims with well-defined procedures.
Job Duties
Communicate and interact with a variety of individuals including insureds and claimants. Verify and explain benefits, coverages, fault, and claims process either verbally or in writing which complies with regulatory and statutory requirements. Recognize and appropriately address moderate-complexity coverage issues.
Identify and obtain statements from insureds, claimants and witnesses. Conduct investigations to determine liability and damages and differentiate between allegations and facts.
Evaluate and negotiate within settlement authority with insureds and claimants to resolve first and third-party claims in multiple markets. Demonstrate proficiency with estimates, property, material damage, liability, total loss evaluations, analysis of claims, claims technology, and tool usage.
Coordinate with internal and external departments as required.
Respond quickly to customer needs and inquiries.
Overtime and holiday hours may be required
Qualifications
~ Bachelors Equivalent combination of education and experience Preferred
~1-3 years Claims handling experience. Required
~ Working knowledge of claims administration best practices and procedures.
~ Understanding of vehicle repair processes and procedures
~ Knowledge of fault assessment, negligence and subrogation principles required.
~ Knowledge of Microsoft Office suite, general computer software and claims software.
~ Organization and planning recognition skills required.
~ Oral and written communication skills required.
~ Interpersonal skills required.
The starting pay range for this position is:
$28.19 - $37.55 Additionally, for full time positions, you will be eligible to participate in our incentive program based upon the achievement of organization, team and personal performance.
.
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
Auto Club Enterprises is the largest federation of AAA clubs in the nation. We have 14,000 employees in 21 states helping 17 million members. The strength of our organization is our employees. Bringing together and supporting different cultures, backgrounds, personalities, and strengths creates a team capable of delivering legendary, lifetime service to our members. When we embrace our diversity we win. All of Us! With our national brand recognition, long-standing reputation since 1902, and constantly growing membership, we are seeking career-minded, service-driven professionals to join our team.
Through dedicated employees we proudly deliver legendary service and beneficial products that provide members peace of mind and value.
AAA is an Equal Opportunity Employer
The Automobile Club of Southern California will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles Fair Chance Initiative for Hiring Ordinance (FCIHO), the Unincorporated Los Angeles County (ULAC) regulation, and the California Fair Chance Act (CFCA).
ACSC Management Services Inc
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