Claims Support Specialist

Safe-Guard Products International LLC•Wade Hampton, SC

8h•Onsite

About The Position

This position provides support to agents, clients, and customers by adjudicating claims, providing claims status, and resolving or escalating customer issues. Communicate effectively with all levels of the organizations. In executing the duties of the role, claims adjuster will ensure the proper documentation, adjudicate per the terms and conditions of the contract, utilizing available resources, and meet schedule expectations informing management of any changes.

Requirements

High School Diploma or equivalent combination of education and experience required.
Minimum 3 years of experience in customer service, insurance claims, call/claims center environment. Equivalent combination of education and experience may be considered.
Strong computer skills and the ability to troubleshoot and service policy issues
Strong interpersonal, analytical and problem-solving skills. Superior verbal/written skills and communications skills.
Ability to exercise sound judgment when interacting with customers and vendors
Attention to detail and ability to handle complex situations
Proficient in Windows and MS-Office Products (Outlook, Word, PowerPoint & Excel)
High attention to detail, good punctuation, spelling, mathematical, grammar, analyze complex-detailed reports
Must be authorized to work in the U.S
Must be able to successfully pass a background check

Nice To Haves

College degree preferred.
Experience within Automotive Industry preferred
Preferred - two years of experience in a high-volume Call Center
Preferred - two years of experience in automotive insurance or warranty claims
Preferred - one year of experience with in an automotive repair or tech role
Preferred: Bilingual or Trilingual with the ability to read, write and speak English and French in a business setting

Responsibilities

Handle claims related calls per work schedule performing within defined metrics
Order inspection when applicable
Follow proper claims procedures as outlined in training and feedback provided by QA or Supervisor
Master understanding of clients, agents, and contract terms and conditions
Understand exceptions based upon dealership, agent, or client as noted in system
Escalate issues to team lead, supervisor, or managers when unable to de-escalate
Notify Supervisor when possible fraud is suspected
Participate in all training as required to perform the duties of the role
Keep record of the phone call and transmits claim form to Dealership or Repair Facility
Drive the status of the claim within the Safe-Guard system
Receive documentation and organize by claim number
Order an appraisal when claim is over threshold amount or possible fraud
Send denial letter to customer and copies dealership if necessary
Send missing information letter to customer if document is missing and copies Dealership if necessary
Notate the system
Adhere to Quality Assurance Guidelines
Prior to sending checks out, must ensure premium is first received from Dealership
Performs other duties as assigned by the Claims Center Manager or Team Lead
PDR handling