Claims Specialist Jobs

About The Position

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 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

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

• Provide support to the claims department by handling automotive, RV/other unit types, and/or powersports claims.
• Open new claims thoroughly and accurately.
• Collect and review all claim files.
• Verify all requirements have been met.
• Provide claim status updates.
• Provide exceptional customer service.
• Perform key administrative duties.
• Perform other related functions as assigned by management.
• Adjudicate claims submitted through our Web portal and other work queues and verifies validity and accuracy of claim submission.
• Communicate follow-up information as needed.
• Communicate new claims web instructions.
• Review incoming claims assigned to themselves and/or their responsible queues.
• Request any additional information needed, such as pictures or ordering inspections, prior to authorizing claims.
• Ensure 100% of all authorized claims are approved by the appropriate parties, prior to authorization.
• Adjudicate 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.
• Ensure all claim handling and communication is handled within our desired metrics.
• Maintain professional and technical knowledge.
• Work independently & proactively.
• Assist the Mechanical Claims Lead and Supervisor with various projects.
• Maintain 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.
• Support other teams.
• Cross train to gain basic knowledge of other departments within our organization.
• Share 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