Remote Associate Mechanical Claims Adjuster
US Virtual - (Recruiter/TA Use Only), United States
Overview of Position
This is a remote work from home position.
You will be responsible for determining covered failures by reviewing vehicle service agreements, determining the need for inspection, interpreting policy coverage, and researching all facts, for multiple product lines; including but not limited to automobiles, recreational vehicles, and power sports. This position requires direct interaction with customers and repair facilities with occasional contact directly with the client.
- Candidates must be able to work any shift between the hours of Monday-Friday 6am-9pm Central Time and Saturday 7am-7pm Central Time - Saturdays are required
What makes us different?
- We have various work schedules and pay shift differentials for night and weekend hours worked.
- Medical benefits begin on your first day
- Tuition reimbursement available after 6 months, up to $5000/annually
- Competitive paid time off, including holidays
What will be my duties and responsibilities in this job?
- Responds to and resolves issues encountered by clients and customers in a timely and positive manner. This involves mostly inbound calls, but may also include outbound calls, email, fax, and chat.
- Ensures that all customer/client requests are responded to in a timely manner, and meaningful solutions are proposed and implemented.
- Adjust and document all claims within departmental standards and in accordance to applicable laws and policy provisions to ensure compliance with all Department of Insurance Regulations
- Process claims with accuracy to confirm coverage by reviewing all available tools including contract and web-based applications to resolve complex issues and refer any issues as necessary to senior level adjusters or supervisor
- Adjudicate claims with accuracy, by working directly with the repair facility, inspection and parts vendors and multiple other resources to ensure proper claims adjudication within departmental standards
- Document reasons for denial or authorization of claim in accordance with policy conditions and quoting policy language to the correct parties in a timely manner within authority level and seek approval when above authority
- Note: This position does not involve cold calling/outbound calls related to solicitations, contract upgrades or sales of any kind
What are the requirements needed for this position?
- High school diploma or GED
- Automotive experience. Some examples would be but are not limited to: Official automotive training through a college or other training program, experience as a Service Advisor or Technician, working in a Parts department or as a Lube Technician.
- 2 years of customer service and automotive experience (ex. technician; service writer; …
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US Virtual
Benefits/PerksMedical benefits Paid Time Off Remote work Shift differentials Tuition reimbursement Work From Home
Tasks- Adjudicate claims
- Communicate with repair facilities
- Document claims
- Ensure compliance
- Process Improvement
- Resolve client issues
Adjudication Automotive Knowledge Benefits Bilingual Communication Compensation Compliance Computer Customer Experience Customer service Data processing Insurance Insurance Products Management Microsoft Office .Net Partnering Policy interpretation Problem-solving Process Improvement Sales Service Contracts Services Team Collaboration Time Management Training Windows
Experience2 years
EducationBusiness Compliance English GED High school diploma Insurance Management
Certifications TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9