Manager, GAP Claims Adjusters
1 month ago
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.SUMMARYThe Manager, GAP Claims Adjudication under the leadership of the Senior Manager, Claim Operations will support the process to increase the profitability of company finance and insurance (F&I) products and services provided to automobile dealers. You will play a pivotal role in leading a dedicated team, leveraging your deep expertise in GAP claims adjudication to drive process enhancements and deliver exceptional customer service. Your responsibilities encompass the comprehensive management of the GAP team, focusing on all facets of GAP claims adjudication and management. The Manager will 1) manage associates and processes to provide superior customer service, 2) manage day-to-day claims adjustment operations, and 3) develop and/or maintain standard operating procedures for department functions. The Team Leader also will take action to enhance cross-functional coordination, expand internal communications, and develop associates in GSA.RESPONSIBILITIESTeam Leadership and Development: Oversee the GAP Claims team, guiding and assisting in their training and professional growth.Process Improvement: Identify and implement strategies to enhance departmental efficiencies and workflows.Relationship Management: Foster and maintain professional interactions with customers, agents, underwriters, and other key stakeholders in the claims process.Claim Escalation Handling: Address and resolve any escalations from customers, agents, dealers, or lenders efficiently and professionally.Coverage Analysis: Evaluate company policies to ascertain coverage and address claim-related issues.Claim Processing: Manage the end-to-end claims process in an online environment, ensuring thorough documentation of all communications.Documentation Management: Collect and prepare essential documentation to support accurate and expedited claim resolution.Claim Calculation: Determine the direction of claims, compute claim amounts, and authorize claim payments within set limits.Cross-Departmental Collaboration: Coordinate with various departments to ensure consistent accuracy and timeliness in customer service.Record Keeping: Maintain meticulous records, managing data entry, document analysis, and tracking necessary follow-ups.Complex Claims Handling: Investigate, evaluate, negotiate, and settle highly complex property insurance claims, ensuring compliance with state regulations.Empathy and Member Interaction: Understand and empathize with members' circumstances during claim handling.Specialized Claims Management: Handle a caseload of complex claims, necessitating advanced knowledge of coverage details and settlement processes.Vendor and Partner Coordination: Work with external partners and vendors to resolve intricate claims effectively.Research and Analysis: Conduct extensive research to resolve complex claim situations, serving as a guide for less experienced staff.Estimation Technology Proficiency: Utilize advanced estimation platforms to prepare detailed claims estimates for complex property insurance claims.Subject Matter Expertise: Act as a key resource in claims handling, providing insights and support to team members.Operational Support: Assist in managing workload surges and Catastrophe operations, which may involve significant overtime and potential deployment for in-person claim inspections.Risk and Compliance: Ensure all business activities align with risk and compliance policies, maintaining a keen focus on identifying and mitigating potential risks.SUPERVISORY RESPONSIBILITIESDirectly supervises three or more associates. Carries out responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees, planning, assigning, and directing work, appraising performance, rewarding and disciplining employees, addressing complaints and resolving problems. Responsibilities also include sponsoring, directing, coordinating, and supporting project and process improvement teams, and participating in and/or supporting project teams sponsored by other management team members.QUALIFICATIONSA bachelor's degree with at least 5-8 years related experience and/or training; or equivalent combination of education and experience. Claims Adjudication experience, including negotiation and resolution required. Finance & Insurance experience in a dealership preferred, but not required.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.Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.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.CERTIFICATES, LICENSES, AND REGISTRATIONS*Has a valid driver's license. Holds Automobile Service Excellence (ASE) certifications in at least six areas of automotive technical service. Holds a property and casualty license and an adjusters license.PHYSICAL REQUIREMENTSThe physical demands described here are representative of those that must be met by an associate to successfully perform the essential responsibilities of this job. While performing the duties of this job, the associate is regularly required to talk or hear. The associate frequently is required to stand; walk; sit; use hands to finger, handle, or feel; and reach with hands and arms. The associate is occasionally required to climb or balance; stoop, kneel, crouch, or crawl; and taste or smell. The associate must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.WORK ENVIRONMENTThe work environment characteristics described here are representative of those an associate encounters while performing the essential responsibilities of this job. While performing the duties of this job, the associate is occasionally exposed to wet and/or humid conditions, moving mechanical parts, fumes or airborne particles, toxic or caustic chemicals, and outside weather conditions. The noise level in the work environment varies from quiet to loud.*Is legally able to work in the United States.HP125#LI-JT1 TOTAL REWARDSOur Total Rewards package is an integral part of how we recognize our associates’ contributions as well as attract, retain and reward the most qualified employees. We are committed to providing a fair and competitive compensation structure that includes base pay and performance based rewards, where applicable. Compensation is based on various factors including, but not limited to, skill set, experience, qualifications and job-related requirements. Our benefits include medical, dental, and vision along with wellness programs, retirement plans, paid leave and much more To learn more about these programs and many more, take a tour of ourBenefits PageWe are seeking candidates who are legally authorized to work in the United States, without Sponsorship.
We have other current jobs related to this field that you can find below
-
Claims Adjuster
2 months ago
Fresno, United States Insurance Placement Solutions Full timeInsurance Placement Solutions has an immediate opening for a Remote Workers' Compensation Claims Adjuster with our client in California. As a member of our client’s claims team, utilize your knowledge of workers' compensation to independently investigate, evaluate and resolve assigned claims in order to achieve appropriate outcomes. In this...
-
Claims Specialist
2 weeks ago
Fresno, United States ProKatchers Full timeConducts investigations of claims to confirm coverage and to determine liability, compensability, and damages. Works closely with claimants, witnesses and members of the medical profession and other persons pertinent to the investigation and processing of claims. Verifies policy coverage for submitted claims and notifies the insured of any issues;...
-
Claims Specialist
3 weeks ago
Fresno, United States TalentBurst Full timeClaims Specialist Location: 100% Remote Pay Rate: $24.97/Hour Must have California State Claims License Conducts investigations of claims to confirm coverage and to determine liability, compensability, and damages. Works closely with claimants, witnesses and members of the medical profession and other persons pertinent to the investigation and processing...
-
Claims Specialist
2 weeks ago
Fresno, United States ProKatchers LLC Full timeConducts investigations of claims to confirm coverage and to determine liability, compensability, and damages. Works closely with claimants, witnesses and members of the medical profession and other persons pertinent to the investigation and processing of claims.Verifies policy coverage for submitted claims and notifies the insured of any issues; determines...
-
Daily Property Field Adjuster
4 weeks ago
Fresno, United States Alacrity Solutions Full timeJob DescriptionJob DescriptionAlacrity SolutionsIndependent ContractorDaily Property Field AdjusterAbout Alacrity SolutionsAlacrity Solutions is a full end-to-end provider delivering streamlined insurance claims, repair, and recovery solutions. As one of the largest independent providers of insurance claims services in North America, we provide property,...
-
Adjuster - Part-time
1 month ago
Fresno, United States Chubb Full timeThe territory for this role will be in the Napa/Sonoma county area. Essential Job Duties and Responsibilities: * To accept, contract, and handle claims as assigned. * Work as many claims as possible. * Assist in resolving complaints from policy holder relative to claims. * Assist in investigating more complex claims. * Complete Quality Control functions as...
-
Adjuster - Part-time
4 weeks ago
Fresno, United States Chubb Full timeThe territory for this role will be in the Napa/Sonoma county area. Essential Job Duties and Responsibilities: * To accept, contract, and handle claims as assigned. * Work as many claims as possible. * Assist in resolving complaints from policy holder relative to claims. * Assist in investigating more complex claims. * Complete Quality Control functions as...
-
Workers Compensation Adjuster III
4 weeks ago
Fresno, United States Intercare Holdings Insurance Services Full timeWorkers Compensation Adjuster IIISummary: Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for effectively managing to...
-
Workers Compensation Adjuster III
4 weeks ago
Fresno, United States Intercare Insurance Full timeJob DescriptionJob DescriptionWorkers Compensation Adjuster III Summary:Reports directly to the unit Claims Supervisor and may be called upon to provide technical backup in the absence of the Claims Supervisor. In accordance with applicable statutes and in keeping with company rules, regulations, and established performance objectives, is responsible for...
-
Medical Claims Examiner
1 month ago
Fresno, United States TEKsystems Full timeDescription: The Claims Examiner I reports to the Supervisor of Claims. Claims Examiner I is responsible for reviewing and processing medical, dental, vision and electronic claims in accordance with state, federal and health plan regulatory requirements, department guidelines, as well as meet established quality and production performance benchmarks to...
-
Medical Claims Examiner
4 weeks ago
Fresno, United States TEKsystems Full timeDescription: The Claims Examiner I reports to the Supervisor of Claims. Claims Examiner I is responsible for reviewing and processing medical, dental, vision and electronic claims in accordance with state, federal and health plan regulatory requirements, department guidelines, as well as meet established quality and production performance benchmarks to...
-
Assistant Manager
1 month ago
Fresno, United States The Gap Full timeAbout Banana Republic Born from two California creatives fueled by their explorer spirits, Banana Republic has repositioned itself as a premium, experiential lifestyle brand for today's modern world. Designed for a life where anything is possible, we use the finest materials with the latest fabric innovations to create timeless, versatile clothing, jewelry,...
-
Assistant Manager
4 weeks ago
Fresno, United States The Gap Full timeAbout Banana Republic Born from two California creatives fueled by their explorer spirits, Banana Republic has repositioned itself as a premium, experiential lifestyle brand for today's modern world. Designed for a life where anything is possible, we use the finest materials with the latest fabric innovations to create timeless, versatile clothing, jewelry,...
-
Medical Claims Examiner
2 weeks ago
Fresno, California, United States TEKsystems Full time:The Claims Examiner I reports to the Supervisor of Claims. Claims Examiner I is responsible for reviewing and processing medical, dental, vision and electronic claims in accordance with state, federal and health plan regulatory requirements, department guidelines, as well as meet established quality and production performance benchmarks to include research...
-
Mid Loss Property Adjuster
4 weeks ago
Fresno, United States Travelers Companies, Inc. Full timeMid Loss Property Adjuster (Modesto/Stockton) - New Hire Bonus Travelers Careers You are here: / Mid Loss Property Adjuster (Modesto/Stockton) - New Hire Bonus ... Mid Loss Property Adjuster (Modesto/Stockton) New Hire Bonus Job ID: R-16343 Job Category: Claim Location: Fresno, CA Additional Locations: Posted Date: March 2, 2022 **Company Summary**...
-
Senior Claims Investigator
3 weeks ago
Fresno, United States Pacific Gas and Electric Company Full timePosition SummaryThe Claims Investigator, Senior performs complex incident and claim investigations. The Claims Investigator utilizes industry knowledge, experience with claims management and negotiations skills to conducting detailed investigations, to appropriately resolve claim matters while sustaining customer focus within potentially adversarial...
-
Principal Construction Claims Analyst
1 month ago
Fresno, United States Arcadis Full timeArcadis is the world's leading company delivering sustainable design, engineering, and consultancy solutions for natural and built assets. We are more than 36, people, in over 70 countries, dedicated to improving quality of life. Everyone has an important role to play. With the power of many curious minds, together we can solve the worlds most complex...
-
Principal Construction Claims Analyst
4 weeks ago
Fresno, United States Arcadis Full timeArcadis is the world's leading company delivering sustainable design, engineering, and consultancy solutions for natural and built assets. We are more than 36, people, in over 70 countries, dedicated to improving quality of life. Everyone has an important role to play. With the power of many curious minds, together we can solve the worlds most complex...
-
Commercial Account Manager
2 weeks ago
Fresno, California, United States Newman Group Search Full timeCommercial Account Manager Senior Commercial Account Manager Account Manager We are working with a client who is seeking a Commercial Account Manager to join their growing team. This role presents an exciting opportunity to work with middle-market clients, collaborating closely with internal teams and fostering strong client relationships. While primarily...
-
Commercial Account Manager
2 months ago
Fresno, United States Newman Group Search Full timeCommercial Account ManagerSenior Commercial Account ManagerAccount ManagerWe are working with a client who is seeking a Commercial Account Manager to join their growing team. This role presents an exciting opportunity to work with middle-market clients, collaborating closely with internal teams and fostering strong client relationships. While primarily based...
