Warranty Claims Adjudicator

Responsibilities:

• Evaluate claims to determine coverage and liability.
• Review claim documentation including warranty terms, vehicle records, policy documents or other artifacts of the process.
• Review policies to determine coverage for various product lines.
• Process claims promptly while ensuring accuracy and audit/legal compliance.
• Communicate with stakeholders to collect necessary claim information.
• Identify and flag potentially fraudulent claims.
• Maintain accurate claim records in Salesforce CRM.
• Work with the team to enhance claims adjudication processes.
• Keep abreast of industry regulations and best practices.
• Document and authorize covered losses based on cost/prices obtained.
• Investigate claims thoroughly and research agreements for claim completion.
• Maintain a high accuracy rate in claims processing.
• Negotiate settlements for complex claims with advanced product knowledge.
• Perform quality assurance activities and provide exceptional customer service.
• Investigate coverage, liability, and damages comprehensively.
• Document damages through photos, inventories, and damage scope.
• Coordinate repairs or replacements with our network.
• Manage claim costs to be within acceptable limits
• Be able to estimate repair/replacement costs and build competitive quote using industry standard tools

Requirements
Qualifications:

• Two years of experience in claims adjudication or a related insurance field,
• Proficiency in Microsoft Office Suite, Salesforce and claims management software.
• Exceptional attention to detail, organizational skills, and the ability to work both independently and collaboratively within a team.
• Excellent communication skills, capable of drafting reports, official correspondence, and addressing complex issues effectively.
• Excellent analytical and problem-solving abilities.
• Experience with multi-tasking and independent decision-making, maintaining confidentiality and data security standards.
• Competency in mathematics, including geometry and financial calculations, is necessary for accurate claims processing and review.
• Ability to engage effectively with a diverse range of individuals and resolve intricate claims-related matters.
• Capable of applying product knowledge to the adjudication process, enhancing the overall quality of claims handling.