Claims Adjuster

2 weeks ago

Houston, United States The Friedkin Group Full time

External Description:
**LIVING OUR VALUES**

All associates are guided by Our Values. Our Values are the unifying foundation of our companies. We strive to ensure that every decision we make and every action we take demonstrates Our Values. We believe that putting Our Values into practice creates lasting benefits for all of our associates, shareholders, and the communities in which we live.

**JOB SUMMARY**

The Technical Service Specialist under the leadership of the Team Leader, Claim Adjudication will support the process to increase the profitability of the company's finance and insurance (F&I) products and services provided to automobile dealers. The Technical Service Specialist will provide superior customer service to dealers, consumers, repair facilities, and other customers, adjust and process claims for GSFS products, and settle claims pursuant to company guidelines. The Service Specialist also will take action to enhance cross-functional coordination and expand internal communications within GSA.

**ESSENTIAL FUNCTIONS**
- Adjust/process claims from dealers, repair facilities, and customers accurately and expeditiously.
- Follow company guidelines. Meet productivity goals.
- Register a verified claim in the database.
- Review claim history for the vehicle; ensure there are no red flags. Record cause of breakdown. Discuss breakdown with customer and/or service department.
- Agree on
- labor time and costs;
- parts to be replaced, whether after-market parts will be used, and mark up;
- rental or towing reimbursements,
- sublet repairs.
- Determine total costs plus sales taxes. Review costs with service department; reach agreement. Authorize the claim; then, give the dealer a claim number.
- During process, answer questions from dealers and customers concerning their coverage, benefits, maintenance requirements, and denials. Help locate an "honoring repair facility." Be able to justify all decisions.
- Dispatch independent adjusters as needed to examine vehicles in the field. Evaluate their inspection reports.
- Inform Team Specialist about claims results, use of after-market parts, and critical decisions. Identify problem areas, problem dealers, needed policies and procedures, etc. and recommend solutions. Refer disputed claims to Team Specialist.
- Process customer reimbursement requests and transfer requests.
- Coordinate and communicate actions within the company and with dealers.

**QUALIFICATIONS**

High school diploma or general education degree (GED); and two years related experience and/or training; or equivalent combination of education and experience.
- Demonstrate excellent customer service and negotiating skills.
- Is customer and dealer focused.
- Is able to handle customers under difficult situations.
- Demonstrate strong analytical and problem solving skills.
- Demonstrate thorough knowledge of automotive repair, technical vehicle operations, components, and breakdowns.
- Is able to act as technical advisor to claims processors.
- Demonstrate excellent claims administration skills.
- Demonstrate knowledge of the company's products their coverage and benefits.
- Demonstrate computer skills. Is able to use computer in stressful situations.
- Is able to support change. Is able to communicate effectively
- orally and in writing.
- Understand the company's claims productivity measurements.

Key Measures
- Performance Achievement
- Percentage of Self Development Tasks achieved.

Productivity (Monthly & YTD)
- Number of claims paid compared to total number of claims processed.
- Value of claims paid.

Customers
- Satisfaction of customers with claims services.
- Satisfaction of dealers with claims services.
- Satisfaction of management with claims services.

Leadership
- Validity of technical advice provided associates.
- Effectiveness of communications.

Compliance
Carries out responsibilities in accordance with the company's policies, administrative, dealer, and operating agreements, licensing requirements, agent's guidelines, and applicable federal and state laws.

Language Skills
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedures manuals. Ability to write routine reports and correspondence. Ability to speak effectively with vendors and associates from corporate office.

Mathematical Skills
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Reasoning Ability

To perform this job successfully, an individual must be able to perform each essential function satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.

(For optimum performance, the jobholder in this position would be expected to dem

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