Automotive Technician, Service Advisor, Parts Specialist- Mechanical Claims Adjuster II

TheMechanical Claims Adjuster II 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 II will provide exceptional customer service, perform key administrative duties, and perform other related functions as assigned by management.

Work schedule:

Monday- Friday, 10:30am - 7:00pm EST (OR) Monday- Friday 10:00am - 6:30pm EST

This position does allow a remote, work from home opportunity 

Essential Functions:

Customer Service & Claims Adjudication:

• • Strives to uphold Core Values of Serving People, Building Trust, Improving Continuously, and Embraces Innovation & Change
  • 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
   Claims Quality Control:
  • • 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

    Team Player with Other Departments:

    • • Supports other teams
      • Cross trains to gain basic knowledge of other departments within our organization
      • Shares ideas that may help with organizational productivity

Education and Qualification Requirements:

• • Bachelor’s degree or equivalent work experience (see below)
  • • 3+ years of customer service or administrative experience

Required Knowledge, Skills, and Abilities:

• 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

Preferred Skills and Experience:

• 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)

Work Environment and Physical Requirements:

• Normal office environment
• 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