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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing low-complexity salvage claims, including investigating claim facts, negotiating settlements, and applying relevant state laws. Proficient in utilizing claim handling systems and ensuring accurate documentation and resolution of claims.
Highest-signal resume keywords
Claim InvestigationNegotiating Claim SettlementsSubrogation ProceduresEffective Communication SkillsTime Management
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 File ReviewEvidence EvaluationManual and Electronic EstimatesSubrogation ClaimsPolicy Coverage AnalysisClaim DocumentationPayment ApprovalLoss Value EvaluationClaims Closure ActivitiesBasic PC Software
Soft Skills
Customer Service SkillsProblem-Solving SkillsOrganizational SkillsDecision-Making SkillsRelationship Management
Tools & Technologies
ACG Claim SystemsClaim Handling SystemCollection Agency CoordinationInsurance Claim Software
Certifications & Qualifications
State Adjuster LicensesACG Claim Representative Training ProgramCPCU Coursework or DesignationInsurance Institute of America's General Insurance Program
Industry Keywords
Essential Insurance ActFair Trade Practices ActIntercompany ArbitrationAuto Collision ClaimsPIP/Medical-Pay Assignments
About the role
Key responsibilities & impact- Investigate and manage low-complexity salvage claims
- Identify recovery opportunities and ensure accurate claim resolution
- Review assigned claims and contact insureds and affected parties
- Set expectations and initiate documentation in the claim handling system
- Analyze policy coverage, provisions, benefits, exclusions, and applicability to reported losses
- Create sub-claims or refer complex claims to management or appropriate claim handlers
- Investigate claim facts and determine payment limits, exclusions, and recovery potential
- Review damages and apply state law and other claim-related factors
- Evaluate loss value and approve payments to appropriate parties
- Refer files to Underwriting, Recovery Units, or Claims Special Investigation Unit as needed
- Document and code claim files and complete claim closure activities
- Identify liable parties and determine insurance status
- Refer files to collection agencies and prepare proofs
- Answer inquiry calls, gather additional proofs, and complete investigations
- Obtain information from claim-related systems
- Work with collection vendors to approve requests to file suit
- Complete receipt and file closure processes, ensuring funds are returned and accounted for
- Reimburse deductibles and prepare mini tort proofs when applicable
- Perform simple recovery tasks involving auto collision, home, or PIP/medical-pay assignments
- Work remotely from a home office for day-to-day operations, with occasional travel for meetings, collaboration, or team-building activities
Requirements
What you’ll need- Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience
- Must attain all required State Adjuster licenses for applicable states within 60 days after completing licensing coursework
- Valid driver's license required if primary responsibilities involve in-person inspections or frequent in-person meetings
- Experience negotiating claim settlements
- Experience securing and evaluating evidence
- Experience preparing manual and electronic estimates
- Experience with subrogation claims
- Basic knowledge of the Essential Insurance Act (Michigan)
- Basic knowledge of the Fair Trade Practices Act as it relates to claims
- Knowledge of subrogation procedures and processes
- Knowledge of intercompany arbitration
- Ability to follow and apply ACG Claim policies, procedures, and guidelines
- Ability to work within assigned ACG Claim systems and basic PC software
- Ability to perform basic claim file reviews and investigations
- Effective verbal and written communication skills
- Customer service skills and ability to maintain relationships with insureds/claimants
- Problem-solving and sound decision-making skills
- Ability to prioritize claim-related functions
- Ability to process time-sensitive data from multiple sources
- Ability to manage time, organize, and plan workload
- Ability to research, analyze, and interpret subrogation laws in various states
- Ability to travel outside assigned territory, potentially overnight
- Ability to relocate and work evenings or weekends
- Preferred: associate degree in Business Administration, Insurance, or related field, or equivalent related work experience
- Preferred: completion of Insurance Institute of America's General Insurance Program, Associate in Claims, Associate in Management, or equivalent
- Preferred: CPCU coursework or designation
- Preferred: CCC training
- Preferred: six months of experience with claim settlements, evidence evaluation, estimates, communication, or call center/queue calling
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 with company match and additional company contribution
- Health Savings Account (HSA) and Flexible Spending Accounts (FSA)
- Paid Time Off (PTO)
- 10 company-paid holidays annually for full-time employees
- 1 mental health day, 2 floating holidays, and 1 volunteer day
- Paid parental, bereavement, jury duty, and military leave
- Tuition assistance up to $5,250 annually
- 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
