Claim Specialist - Michigan PIP

Key Responsibilities

• Review assigned claims and initiate claim handling activities.
• Contact insureds and other affected parties to gather information and set expectations for the claims process.

• Qualifications

  • Required Education: Complete ACG Claim Representative Training Program or demonstrate equivalent knowledge or experience.
  • Licensing/Certifications: In states where an Adjuster’s license is required, the candidate must be eligible to acquire a State Adjuster’s license within 90 days of hire and maintain as specified for appropriate states.
  • Experience: Three years of experience or equivalent training in the following: Negotiation of claim settlements, Securing and evaluating evidence, Preparing manual and electronic estimates, Subrogation claims, Resolving coverage questions, Taking statements, Establishing clear evaluation and resolution plans for claims.
  • Knowledge: Advanced knowledge of: Essential Insurance Act (Michigan), Fair Trade Practices Act as it relates to claims, Subrogation procedures and processes, Intercompany arbitration, Handling simple litigation, Negligence Law, No-Fault Law, medical terminology and human anatomy, MCCA and attorney represented claims.

  Skills

  • Handle claims to the line.
  • Claim Handling Standards.
  • Follow and apply ACG Claim policies, procedures and guidelines.
  • Work within assigned ACG Claim systems including basic PC software.
  • Perform basic claim file review and investigations.
  • Demonstrate effective communication skills (verbal and written).
  • Demonstrate customer service skills by building and maintaining relationships with insureds/claimants while exhibiting understanding of their problems and responding to questions and concerns.
  • Analyze and solve problems while demonstrating sound decision making skills.
  • Prioritize claim related functions.
  • Process time sensitive data and information from multiple sources.
  • Manage time, organize and plan work load and responsibilities.
  • Safely operate a motor vehicle in order to visit repair facilities, homes (for inspections), patients, etc.
  • Research analyze and interpret subrogation laws in various states.
  • Travel outside of assigned territory which may involve overnight stay.

  Compensation & Benefits Overview

  • Annual salary range: $67,300 - $75,000.
  • Opportunity for an annual company bonus incentive.
  • Comprehensive and flexible benefits package including:
    • Medical plans with multiple coverage options, including HSA eligibility.
    • Prescription drug coverage.
    • Dental and vision benefits.
    • Employee Assistance Program (confidential support services).
    • Basic life insurance.
    • 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 automatic deferral.
    • Tuition assistance and professional certification support.