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Mechanical Claims Adjudicator/Adjuster II (Must have Automotive/Mechanical Repair Knowledge)

Company: NAE/NWAN, A Portfolio Company
Location: Strongsville
Posted on: June 25, 2022

Job Description:

At this time a Mechanical Claims Adjudicator II is needed to protect the interest of the administration company by following the guidelines of each contract NAE/NWAN administers while providing knowledge to the customers and dealers. Handles all claims calls with a concentration on "small-medium" claims (excludes engines, transmissions, and drive-shafts).Available schedules:

  • Mon-Fri 10:00am- 7:00pm
  • Mon-Fri, 11:00am-8:00pm
  • Mon, Tue, Wed, Fri, 11:00am- 8:00pm and Sat 9:00am- 5:00pm. (Off Thurs) ***Shift differential pay for hours worked on Sat! 1.5% rate of pay increase during this time worked*Compensation: $20.00- $23.00 per hour; Exceptional Benefits Package!Role and Responsibilities:
    • Process Vehicle Service Claims (VSC).
    • Respond to inbound calls in a timely manner using the utmost professionalism.
    • Gather information from customers, service advisors and dealers to help us make the best decision possible.
    • Guide both customers and repair facilities through the claims process. Explain the information needed to process the claim as efficiently as possible.
    • Take detailed notes of conversations. Provide that information in the contract as well as OAMS.
    • Review estimate submitted by repair facility.
    • Review contracts in system.
    • Compare coverage on contract to estimate (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's resources) fill out maintenance sheet.
    • 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 claim with authorization of up to $1500; includes supervisor/team lead for all claims in excess of $1500 before finalizing authorization or denial.
    • Serves as a back-up to claims payments in evenings and/or Saturdays.
    • Answers general question calls.
    • Takes ownership of changes and personally responsible for managing change in an upbeat positive manner.
    • Strives to enforce and live the NAE Philosophy of CQSE each and every day.
    • Other duties as needed.Qualifications and Education Requirements:
      • High School Diploma or equivalent.
      • Must have ASEs or be ASE certified-eligible (and willing to complete while employed with NAE)
      • At least 2 years' experience as a service writer or technician.
      • Minimum of 35 words per minute typing skills.
      • Familiarity with Mitchells, Edmunds and Alldata.
      • Problem solving skills.
      • Resourcefulness.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 and Traits:
          • ASE Certified.
          • Strong understanding of all contracts administered by NAE.
          • Strong problem-solving skills.
          • Detail oriented.
          • Strong communication skills, both written and verbal.
          • Strong listening skills.
          • Relationship builder.
          • Ethical.
          • Patience.
          • Sense of urgency & timeliness.

Keywords: NAE/NWAN, A Portfolio Company, Strongsville , Mechanical Claims Adjudicator/Adjuster II (Must have Automotive/Mechanical Repair Knowledge), Other , Strongsville, Ohio

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