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Claims Adjuster II

4 months ago

Grapevine, United States CareGard Warranty Services Full time
Job DescriptionJob Description

CareGard continues to grow. 

Are you interested in making your mark? Do you 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 employees during the 2008/2009 recession or 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 candidate will be analytical, problem-solving, results-driven, and solutions-focused and have at least 2 years of experience working as a Line Tech on vehicle engines, looking to build a rewarding long-term career with CareGard.

Responsibilities
  • 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 adjudication.
  • 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.
  • 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, claims 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 communicate information to the customers, dealers, repair facilities, and vendors.
 Qualifications
  • Minimum of two years of hands-on automotive repair and diagnosis experience as a Line Tech or Service Advisor, including knowledge of heavy mechanical breakdowns.
  • ASE Certification - must have at least one.
  • 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.
Benefits:
  • 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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