- Ability to troubleshoot mechanical breakdown claims to determine whether customer complaints, repair facility diagnoses, and failed parts match.
- Verify if the verified failure meets the criteria for approval based on the terms and conditions of the extended service contract.
- Review and verify repair costs using standard "national labor time guides" (including labor rates and time) to ensure estimates are within approval guidelines and other resources such as technical bulletins, recalls, system comments, and other requirements are properly used during the adjudication process.
- Determine if the claim meets the criteria for a field inspection based on the cause of failure, cost estimate, and failures submitted by the repair facility.
- Document all interactions, research, verifications, and other claim-related information in the database system.
- Interacted with customers, agents, dealers, and other relevant parties to complete all claims investigations.
- Review claims using the adjudication process established by the department.
- Partner with other departments, claim adjusters, and management staff to identify options that support claims resolution and approval.
- Contribute to overall team success by meeting and/or exceeding performance metrics, goals, and objectives.
- Maintain a continual working knowledge of our client's products, services, and promotions.
- Ability to solve problems and work through complex situations.
- Research, respond, and resolve issues in a timely fashion.
- Retrieve information from the claim file system and clearly communicate information to the customers, dealers, repair facilities, and vendors.
- Minimum of two years of hands-on automotive repair and diagnosis experience, including knowledge of heavy mechanical breakdowns.
- Excellent negotiation skills.
- Proficient computer and data entry skills, heavy use of Windows-based programs.
- Professional telephone etiquette and excellent oral and written communication skills in the English language.
- A desire to learn and a passion for helping people.
- Strong attention to detail, dependability, and follow-through.
- Fluency in Spanish is a plus.
- ASE Certification is a plus.
- Nine Paid Company Holidays
- Paid Time Off - progressive with tenure
- Health/Dental, Visions Insurance
- H.S.A. with company match
- Life Insurance & Short-Term Disability - Company provided
- Additional Life Insurance and Long Term Disability - employee optional
- Continuing Education Assistance
- 401(k)
- Employee Recognition Events
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Claims Adjuster II - Grapevine, United States - CareGard Warranty Services
Description
CareGard continues to grow.Interested in making your mark? Want to work for a company that will celebrate your wins while promoting your development? Then CareGard is the place for you
Are you a skilled mechanic searching for a company willing to invest in you? Are you looking for growth & stability in today's not-so-stable environment? (We did not lay off any employees in the 2008/2009 recession or during the COVID pandemic). Then CareGard is the place for you
The Claims Adjuster II position will be responsible for interactions with our customers, inspectors, repair facilities, and parts vendors to support our clients and customers. The ideal Claims Adjuster II candidate will be an analytical, problem-solving, results-driven, and solutions-focused individual looking to build a rewarding long-term career with CareGard.
Responsibilities
