Medical Pay Associate at CSAA Insurance Group, a AAA Insurer

Posted in Other 8 days ago.

Location: Oklahoma City, Oklahoma

Job Description:

Job Summary

Handles to conclusion non-complex claims involving some or all: first-party Personal Injury Protection (PIP), Medical Pay, collision, loss-of-use, third-party property damage and third-party bodily injury exposures up to $5,000. 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.

Essential Functions / Principal Responsibilities

Assigned as owning adjuster when injury exposure is identified for first-party medical benefits and any associated non-complex suffix.

Resolves claims within authority level.

May handle income continuation and essential services suffixes, and may handle liability investigations to determine the at-fault party and apply comparative negligence or issue denial of third-party property damage claims.

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.

Knowledge, Skills and Abilities


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


Negotiating skills

Education, Work Experience, Licenses & Certifications


BA/BS in business, insurance or related area, or equivalent combination of education and experience

Ability to obtain license in required states


1-2 years of claims experience

Bilingual a plus


Nevada SB293

we are disclosing the compensation, or range thereof, for roles that will be, or could be, performed in Nevada.
If performed in Nevada, this position has an

hourly rate range of


In compliance


Equal Pay for Equal Work Act (EPEWA)

we are disclosing the compensation, or a range thereof, for roles that will be, or could be performed in Colorado. If performed in Colorado, this position has an

hourly rate range of


The role includes
an opportunity for a company-wide annual discretionary bonus, through our Annual Incentive Plan (AIP), of up to


of eligible pay

(For Sales Agents Only) In addition we offer an Incentive and Recognition plan which is an additional earning opportunity from a production incentive plan.

Please note, hourly or salary compensation, or the range of hourly or salary compensation available for a position may vary by location. We reserve the right to amend these benefits at any time and actual compensation will be determined at


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