What are the responsibilities and job description for the Claims Adjuster position at Total Warranty Services?
The Claims Adjuster is responsible for adjudication of mechanical repair claims, tire claims, and pre-paid maintenance claims. The Claims Adjuster also functions as a customer service representative by explaining contract coverage and claim decisions to contract holders. The position requires the Claims Adjusters to be adept at utilizing a computer database, handling several ongoing cases simultaneously and seeing a claim filed to completion while offering efficient solutions to the variety of cases that are presented.
Essential Duties and Responsibilities
- Validates repair coverage
- Adjudicates automotive repair claims by phone
- Questions and investigates discrepancies on repairs and related costs
- Resolves inquiries from contract holders related to claim status or decision
- Assigns independent inspectors to investigate questionable claims
- Verifies repair costs using the Alldata and On Demand software tools
- Reviews and analyzes inspection reports to identify issues to make recommendations for fair and accurate resolution
- Effectively present information and respond to questions from contract holders, directors, managers, and external vendors
- Ability to effectively collaborate and communicate well with contract holders, vendors, teammates, and all employees throughout the organization
- Special projects as assigned by immediate supervisor