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Mechanical Online Claims Adjudicator II (Ideal for Automotive Technicians/Service Advisors)

Company: NAE/NWAN, A Portfolio Company
Location: Strongsville
Posted on: November 19, 2021

Job Description:

At this time a Mechanical Claims Adjudicator II (Non-Call Center Claims Processor) is needed to protect the interest of the administration company by gathering information to best assist and process claims by following the guidelines of each contract NAE/NWAN administers while providing knowledge to the dealers. Focuses on "small-medium" claims (claims with estimated dollar of no more than $2500). As a non-call center adjudicator, reviews contract information and previous notes and makes claims request decisions in a timely manner while maintaining a high level of professionalism and friendly customer service. Works with team and utilizes leadership for guidance.
Compensation $19.00 - $20.00 per hour PLUS Shift Differential Pay! *1.5 times hourly rate
Exceptional Benefits Package
Schedule: Mon-Friday 9:30am-6:30 pm
Work from home potential after training * Must reside in the area for commuting purposes
Role and Responsibilities:
As a non-call center claims adjudicator, handle claims that are faxed, emailed or mailed into the claim center. Handle claims sent to us through system in Pending Dealer Claims or the YDE application.
Gather information from customers, service advisors and dealers to help us make the best decision possible.
Take detailed notes of the claim and provide that information in the contract as well as OAMS.
Review estimate submitted by repair facility and customers.
Compare coverage on contract to estimate costs (pull parts & labor times in Mitchell or search for parts prices by using the internet or manufacturer's website).
Pull maintenance schedules (utilize Edmunds or manufacturer resources)
Ensure understanding, is always aware of and follows special procedures that may be in place according to Dealer Notes.
Request any additional information that you may need to make the best possible decision.
Order inspection if required/ discrepancies.
Escalate questionable claims to a supervisor or team lead.
Authorize/Deny claims with authorization of up to $2500.
Takes ownership of changes and personally responsible for managing change in an upbeat positive manner.
Strive to enforce and live the NAE /NWAN Philosophy of CQSE each and every day.
Other duties as needed.
Qualifications and Education Requirements:
High School Diploma or equivalent.
Strong problem-solving skills.
Must be ASE Certified- or be ASE certified -eligible.
Problem solving skills.
Clear demonstration of positive customer service skills.
A high level of organizational skills.
Ability to navigate through multiple computer software programs and the internet.
Minimum of 45-50 words per minute typing skills.
Demonstrated high level of attention to detail.
Ability to effectively communicate the same message to different audiences (people of different learning/understanding levels).
Demonstrated ability to accurately document a recap of each situation which allows the reader to have a vision of the situation at hand.
Personable and Professional attitude.
Work Environment and Physical Requirements:
Normal office environment.
Ability to frequently sit for long periods of time.
Ability to occasionally walk, stand, reach with hands and arms, stoop, kneel or crouch.
Ability to spend extended hours in front of a computer screen and use close vision, distant vision, and depth perception.
Ability to lift at least 20 pounds.
Preferred Skills:
Strong understanding of all contracts administered by NAE.
Previous claims administration experience.
Familiarity with Mitchells and Alldata
Ability to listen and identify customer needs and concerns.
Previous experience in the automotive industry/ service department
INDSP

Keywords: NAE/NWAN, A Portfolio Company, Strongsville , Mechanical Online Claims Adjudicator II (Ideal for Automotive Technicians/Service Advisors), Other , Strongsville, Ohio

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