Claims Adjuster - Specialty Lines

Position Summary: This position requires the employee to field customer service and claim calls, emails, and faxes to accurately authenticate the contract, coverage, parts and labor required to complete repairs, etc. within the department guidelines and procedures.

Specific Duties:

• Field customer service and claims calls, emails, and faxes efficiently and courteously. Manage claim files thought prompt evaluation, timely follow up, and thorough research.
• Examine and interpret, adjust and approve claims for payment based on contract language, terms and limitations, following published polices and guidelines.
• Be prompt and ready to work for scheduled shifts. After hours and Saturday shifts may be required.
• Handling escalating adjustment and denial claim calls and determine if those calls need further escalation.
• Handle all calls with a professional demeanor.
• Interact with Claims Payment, Administration, Customer Service and other Departments as required.
• Strive to improve productivity, department service level, and quality of claims.
• Take special care to observe all special agent and dealer arrangements.
• Type an accurate diary of events into the claim comments to make communication with other claims department employes easier.
• Other administrative tasks as assigned by Supervisor.

Skill Requirements:

• High school education or equivalent
• 2 years automotive, powersports, marine parts, and/or service or other relevant experience.

Abilities

• Excellent verbal and written communication skills
• Problem solving skills
• Working knowledge of PCs/laptops and basic office applications, email, etc.
• Team oriented
• Attention to detail, reliability, and commitment to customer satisfaction.

This is a hybrid position split between in office and working from home. Minimum productive standards as set by supervisor must be met to maintain work from home/hybrid eligibility.

Physical Demands

While performing the duties of this job, the employee is regularly required to type and look at a computer screen for long periods of the day. Job requires constant and reliable highspeed internet connection.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions.

Note

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.