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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in evaluating and managing complex vehicle damage claims, including negotiation, documentation, and compliance with state laws and insurance policies. Proficient in customer service, problem resolution, and effective communication to ensure successful claim outcomes.
Highest-signal resume keywords
Complex Vehicle Damage Claims ManagementNegotiation of Claim SettlementsClaim Documentation and CodingSubrogation Law Research and AnalysisACG Claim Policies and Procedures
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claim Evaluation and ResolutionCoverage AnalysisDamage EstimationSubrogation Claims HandlingClaim File ReviewInsurance Policy InterpretationTime-Sensitive Data ProcessingVehicle InspectionTotal-Loss Settlement ManagementBudget Management
Soft Skills
Effective Verbal CommunicationWritten Communication SkillsCustomer Service SkillsRelationship-Building SkillsProblem Analysis and Resolution
Tools & Technologies
ACG Claim SystemsBasic PC SoftwareClaim Handling System
Certifications & Qualifications
State Adjuster’s LicenseACG Claim Representative Training ProgramCPCU Coursework or DesignationInsurance Institute of America's General Insurance ProgramAssociate in Claims
Industry Keywords
Michigan Essential Insurance ActFair Trade Practices ActNegligence LawNo-Fault LawCollision Repair Techniques
About the role
Key responsibilities & impact- Inspect, evaluate, and determine repair or total-loss values for complex vehicle damage claims in the field
- Review assigned claims and contact insureds and other affected parties
- Set expectations for the claim process
- Initiate and maintain claim documentation in the claim handling system
- Complete complex coverage analysis and identify all applicable policyholder benefits
- Create additional sub-claims when needed
- Investigate claim facts to determine payment, limits, exclusions, and recovery potential
- Review damages and determine applicability of state law and other claim factors
- Evaluate financial loss values and approve appropriate payments
- Refer claims to Underwriting, Recovery Units, or the Claims Special Investigation Unit when necessary
- Document and code claim files and complete claim closure activities
- Negotiate with repair facilities, customers, and vendors
- Handle complex Auto Physical Damage claims, including total-loss settlements, vehicle inspections, and damage estimates
- Manage Direct Repair Shops for program compliance when assigned to the DRS Examiner role
- Determine damage cause, establish liability, and identify subrogation potential
- Monitor repairs and approve car rental expenses
- Oversee APD litigation cases, including attorney and budget management, mediation participation, and settlement-position decisions
- Assist the Claim Manager with file reviews and training
- Operate with minimal supervision and independent authority on technically challenging and high-severity claims
- Provide guidance on technical issues, policy interpretation, and claim-resolution strategies
Requirements
What you’ll need- High school diploma or equivalent
- Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
- In states where required, eligible to acquire a State Adjuster’s license within 90 days of hire and maintain it as specified
- Valid State Driver's License
- Three years of experience or equivalent training in negotiation of claim settlements, securing and evaluating evidence, preparing manual and electronic estimates, subrogation claims, resolving coverage questions, taking statements, and establishing claim evaluation and resolution plans
- Handle claims according to Claim Handling Standards
- Apply ACG Claim policies, procedures, and guidelines
- Work within ACG Claim systems and basic PC software
- Perform basic claim file reviews and investigations
- Effective verbal and written communication skills
- Customer service and relationship-building skills
- Problem analysis, resolution, and sound decision-making skills
- Ability to prioritize claim-related functions
- Ability to process time-sensitive data and information from multiple sources
- Time management, organization, and workload planning skills
- Safely operate a motor vehicle to visit repair facilities, homes, patients, and other locations
- Research, analyze, and interpret subrogation laws in various states
- Ability to travel outside the assigned territory, including possible overnight stays
- Ability to relocate and work evenings or weekends
- Background and drug screen required upon employment offer
- Preferred: Associate degree in Business Administration, Insurance, or related field, or equivalent related work experience
- Preferred: Insurance Institute of America's General Insurance Program, Associate in Claims, associate in management, or equivalent
- Preferred: CPCU coursework or designation
- Preferred: I-Car ProLevel training
- Preferred: CCC training
- Preferred: XACTware training
- Preferred knowledge of Michigan Essential Insurance Act, Fair Trade Practices Act as related to claims, subrogation procedures, intercompany arbitration, simple litigation, Negligence Law, No-Fault Law, and collision repair techniques
Benefits
Comp & perks- Annual company bonus incentive
- Medical plans with multiple coverage options, including HSA eligibility
- Prescription drug coverage
- Dental and vision benefits
- Employee Assistance Program
- Company-paid basic life insurance
- Optional supplemental life insurance and dependent coverage
- Short-term and long-term disability coverage
- Critical illness, accident, and pet insurance options
- 401(k) plan
- 50% company match on employee contributions up to 6% of pay
- Additional company contribution of 4% of pay each pay day; 100% vested after three years
- Health Savings Account and Flexible Spending Account options
- Paid Time Off, increasing with tenure
- 10 company-paid holidays annually for full-time employees
- Mental health day, floating holidays, and volunteer day
- Paid parental, bereavement, jury duty, and military leave
- Tuition assistance up to $5,250 annually; 80% covered by ACG
- Professional certification support with 100% reimbursement for eligible programs
- Career development and advancement opportunities
- Complimentary AAA membership with roadside assistance and travel discounts
- Adoption assistance program
- Remote work from a home office for day-to-day operations, subject to policy and occasional travel requirements
