About The Position

The Mechanical Claims Adjuster I will provide support to our claims department by handling automotive, RV/other unit types, and/or powersports claims. Additionally, opening new claims, thoroughly and accurately, collecting and reviewing all claim files, verifying all requirements have been met, and providing claim status updates. The Mechanical Claims Adjuster I will provide exceptional customer service, perform key administrative duties, and perform other related functions as assigned by management.

Requirements

  • Bachelor’s degree or equivalent work experience
  • 3+ years of customer service or administrative experience
  • Reliable and punctual
  • A positive attitude while remaining cool under stress
  • Demonstrated ability to plan, organize, prioritize, and complete projects and assignments in a timely manner
  • Detail oriented, accurate, and highly organized
  • Demonstration of prideful work
  • Active listener with ability to adapt/respond to various types of personalities
  • Receptive to coaching and development
  • Effective written communication skills with associates, management, and internal and external customers
  • Superior written communication skills
  • Demonstrated ability to solve customer problems using creative and effective techniques
  • Proven adherence to confidentiality of sensitive company and proprietary information
  • Sustained use of sound judgment and tact in applying policies, solving problems, and communicating standards
  • Experienced utilization of computer hardware and software
  • Knowledgeable and experienced working within the Microsoft Office Suite programs
  • Typing/Alpha Numeric: 40 wpm +
  • Strong 10-key
  • Strong mathematical aptitude
  • Proven ability to multi-task while handling interruptions
  • Ability to frequently sit for long periods of time
  • Ability to occasionally walk, stand and reach with hands and arms, stoop, kneel or crouch
  • Ability to constantly hear and talk, both in person and by phone
  • Ability to grasp objects such as telephone and computer mouse
  • Ability to efficiently utilize and navigate multiple computer monitor(s) and programs
  • Finger dexterity to use a keyboard, calculator, and standard office equipment
  • Ability to spend extended hours in front of a computer screen and use close vision, distant vision, depth perception and adjust focus
  • Ability to work flexible hours
  • Ability to lift at least 20 pounds

Nice To Haves

  • Contact center claims or automotive service experience preferred
  • Experience in automotive mechanical claims, service writing, or repair facility operations
  • Strong understanding of automotive systems, repair processes, and industry labor guides (e.g., Mitchell, AllData)

Responsibilities

  • Adjudicates claims submitted through our Web portal and other work queues and verifies validity and accuracy of claim submission
  • Communicates follow-up information as needed
  • Communicates new claims web instructions
  • Reviews incoming claims assigned to themselves and/or their responsible queues
  • Requests any additional information needed, such as pictures or ordering inspections, prior to authorizing claims
  • Ensures 100% of all authorized claims are approved by the appropriate parties, prior to authorization
  • Adjudicates claims, in accordance with the applicable agreement terms and state requirements, and provides authorization no more than 30 minutes of receipt if no additional information is required
  • Ensures all claim handling and communication is handled within our desired metrics
  • Maintains professional and technical knowledge
  • Works independently & proactively
  • Assists the Mechanical Claims Lead and Supervisor with various projects
  • Maintains Key Performance Indicators, which includes claims audits, contact center adherence, new claim handling, attendance, and actively participating in monthly 1-on-1’s and coaching and development plans
  • Supports other teams
  • Cross trains to gain basic knowledge of other departments within our organization
  • Shares ideas that may help with organizational productivity

Benefits

  • Comprehensive health insurance
  • Dental insurance
  • Vision insurance
  • Mental health benefits
  • Employee assistance program
  • Paid time away benefits
  • Paid parental leave
  • Short-term disability
  • Cultural observance day
  • Contributions to healthcare accounts
  • Pension plan
  • 401(k) plan with Company matching
  • ProHealth Rewards
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