Jobs · Florida

Senior Casualty Claim Specialist - Tampa, FL

AAA-The Auto Club Group · Tampa, FL · 1 wk ago
Hybrid$75k–$85k/yrFull-time

Location: Hybrid – Tampa, Florida

Schedule: Monday-Friday 8am-5pm ET

About the Role

As a driven experienced Florida Litigation Bodily Injury Adjuster, you will evaluate high-exposure claims, partner with legal counsel, and resolve complex cases through strategic negotiation and sound decision-making. A strong knowledge of Florida bodily injury claims, litigation processes, coverage analysis, and negotiation techniques is essential to minimize financial exposure and support organizational objectives.

Responsibilities

  • Review assigned claims.
  • Contact the insured and other affected parties, set expectations for the remainder of the claim process, and thoroughly document activities in the claim file.
  • Complete complex coverage analysis and ensure all possible policyholder benefits are identified.
  • Investigate the facts regarding the claim and determine if the claim should be paid, confirming recovery potential.
  • Conduct thorough reviews of damages and determine the applicability of state law and other factors related to the claim.
  • Identify when to refer claims to other company units (e.g., Underwriting, Subrogation, or Special Investigation Unit).
  • Handle both attorney-represented and unrepresented claimants with injury claims involving coverage investigation, liability disputes, bodily injuries, and litigation.
  • Assist Claim Manager with file reviews and training.
  • Possess strong critical thinking and negotiating skills.

Requirements

  • Florida State Adjuster License (required in states where an Adjuster’s license is mandatory).
  • Degree in Business Administration, Insurance, or a related field, or equivalent work experience.
  • Valid driver's license (required if primary responsibilities involve conducting in-person inspections or frequent in-person meetings).
  • Five 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
    • Establishing clear evaluation and resolution plans for claims
  • Must reside within 50 miles of Tampa, Florida.
  • Ability to travel outside of assigned territory, which may involve overnight stays, work evenings, or weekends, and relocate if necessary.

Skills & Knowledge

  • Advanced knowledge of:
    • Fair Trade Practices Act as it relates to claims
    • Subrogation procedures and processes
    • Intercompany arbitration
    • Handling litigation
    • Negligence Law
    • No-Fault Law
    • Medical terminology and human anatomy
  • Ability to:
    • 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 insured/claimants
    • Analyze and solve problems while demonstrating sound decision-making
    • Prioritize claim-related functions
    • Process time-sensitive data and information from multiple sources
    • Manage time, organize, and plan workload and responsibilities
    • Research, analyze, and interpret subrogation laws in various states

Preferred Qualifications

  • Associate degree in Business Administration, Insurance, or a related field, or equivalent work experience.
  • Completion of the ACG Claim Representative Training Program or equivalent knowledge/experience.
  • Completion of the Insurance Institute of America's: General Insurance Program, Associate in Claims, Associate in Management, or equivalent.
  • CPCU coursework or designation.
  • Five years of litigation file handling experience.

Work Environment

This is a hybrid work arrangement (time spent in office and remote). Depending on the role and leadership’s assessment, some employees will come into an ACG facility on a weekly, monthly, or "as needed" basis for key meetings and collaborative activities. Most employees will be required to come into the office, at a minimum, for important departmental meetings or team-building events.

Pay

A Senior Litigation Bodily Injury Claim Specialist earns a competitive annual salary of $75,000-$85,000, along with the opportunity for an annual company bonus incentive.

Benefits

Health & Wellness

  • Medical plans with multiple coverage options, including HSA eligibility.
  • Prescription drug coverage.
  • Dental and vision benefits.
  • Employee Assistance Program (confidential support services).

Financial Protection & Insurance

  • 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.

Retirement & Savings

  • 401(k) plan with:
    • 3% automatic deferral upon eligibility.
    • Option to contribute 1% to 50% of eligible earnings, either pre- or post-tax.
    • Company match of 50% paid on employee contributions up to 6% of pay (paid annually; immediate vesting).
    • Additional company contribution of 4% of pay each payday (100% vested after three years of service).
  • Health Savings Account (HSA) and Flexible Spending Accounts (FSA) options.

Time Off & Leave

  • Paid Time Off (PTO):
    • Accrual-based, increases with tenure, eligible at 90 days of employment.
    • Full-time new employees receive up to 12 PTO days annually (accrual based on start date; may include additional PTO based on role and/or state/local requirements).
    • Part-time employee PTO hours calculated based on standard weekly hours (minimum accrual of 3 hours per month).
  • Paid holidays:
    • Full-time employees: 10 company-paid holidays annually, plus 1 mental health day, 2 floating holidays, and 1 volunteer day.
    • Part-time employees: 8 company-paid holidays annually, plus 1 mental health day and 2 floating holidays.
  • Paid leave programs, including parental, bereavement, jury duty, and military leave.

Career Growth & Education

  • Tuition assistance (up to $5,250 annually; 80% covered by ACG).
  • Professional certification support with 100% reimbursement for eligible programs.
  • Opportunities for career development and advancement.

Additional Perks

  • Complimentary AAA membership with roadside assistance and travel discounts.
  • Adoption assistance program.

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