The Claims Adjuster is responsible for adjudication of mechanical repair claims, tire claims, and pre-paid maintenance claims. The Claims Adjuster also functions as a customer service representative by explaining contract coverage and claim decisions to contract holders. The position requires the Claims Adjusters to be adept at utilizing a computer database, handling several ongoing cases simultaneously and seeing a claim filed to completion while offering efficient solutions to the variety of cases that are presented.
Essential Duties and Responsibilities
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Validates repair coverage
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Adjudicates automotive repair claims by phone
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Questions and investigates discrepancies on repairs and related costs
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Resolves inquiries from contract holders related to claim status or decision
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Assigns independent inspectors to investigate questionable claims
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Verifies repair costs using the Alldata and On Demand software tools
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Reviews and analyzes inspection reports to identify issues to make recommendations for fair and accurate resolution
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Effectively present information and respond to questions from contract holders, directors, managers, and external vendors
- Ability to effectively collaborate and communicate well with contract holders, vendors, teammates, and all employees throughout the organization
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Special projects as assigned by immediate supervisor
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High school diploma or GED
- Prefer 2 years of experience working in the automotive repair industry
- Must type at least 25-30 wpm
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Experience with database systems such as Alldata and On Demand software tools
- Strong analytical and problem-solving skills
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Excellent verbal and written communication skills
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Excellent Microsoft Office (Excel, Word, Power Point, Outlook)
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Must be highly organized, detail oriented and always maintain confidentiality
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Must be able to multi-task and effectively balance competing priorities