First Party Medical Associate
For over 100 years, AAA Insurance Exchange* has had a strong tradition of helping people. We protect dreams and restore lives by delivering member-centric products and a superior claims experience to our members. Our vision is to be the #1 insurer for AAA members across the AAA markets we serve. We provide automobile, homeowners, and other personal lines insurance products to AAA clubs in 23 states and the District of Columbia, and serve more than 17 million AAA members nationwide. We are rated A+ by A.M. Best and earned $2.6 billion in revenue in 2010.
Our Lester, PA site is now hiring for a First Medical Party Associate
Handles to conclusion non-complex first-party Personal Injury Protection (PIP) claims, including Medical Pay. In cases where complexity of file increases beyond proficiency level, file is escalated to next level for handling. Handles claims in multiple states. May take First Notice of Loss (FNOL) calls. Assigned as owning adjuster when injury exposure is identified for first-party medical benefits. Resolves claims within authority level. May handle income continuation and essential services suffixes. Advises customer on coverages and benefit levels, explains the claim process and collects required information. Researches to determine coverage eligibility for applicant(s) according to policy conditions
Approximately 85-90 % of time spent on the job involves the use of a personal computer and/or telephone. May be required to travel by car or plane to conduct business.
This position is expected to relocate to our Mt. Laurel, NJ site by the middle to the end of 2012.
Required:
- Analytical, problem-solving and organizational skills
- Ability to work independently
- Decision-making ability
- Strong customer service orientation
- Basic math and computer skills
- Oral and written communication skills and good command of the English language
- Ability to function in a team environment
- Ability to successfully complete training courses pertinent to job duties
- Developing understanding of statutory and regulatory requirements
- Developing understanding of AAA claims policies and procedures
- Ability to work extended hours and/or weekends
Preferred:
- Negotiating skills
Required:
- BA/BS in business, insurance or related area, or equivalent combination of education and experience
- Ability to obtain license in required states
- Valid drivers license with clean motor vehicle record
Preferred:
- 1-2 years of claims experience
- Bilingual a plus
*The legal name of the Company is AAA Northern California, Nevada Utah Insurance Exchange
