Support representative handling claims, customer inquiries, and documentation in the automotive industry. Ensures resolution and escalates issues as needed in a high-volume environment.
Responsibilities
This position provides support to agents, clients, and customers by adjudicating claims, providing claims status, and resolving or escalating customer issues.
Communicate effectively with all levels of the organizations.
In executing the duties of the role, claims adjuster will ensure the proper documentation, adjudicate per the terms and conditions of the contract, utilizing available resources, and meet schedule expectations informing management of any changes.
Handling claims related calls per work schedule performing within defined metrics
Order inspection when applicable
Follow proper claims procedures as outlined in training and feedback provided by QA or Supervisor
Master understanding of clients, agents, and contract terms and conditions
Understand exceptions based upon dealership, agent, or client as noted in system
Escalate issues to team lead, supervisor, or managers when unable to de-escalate
Notify Supervisor when possible fraud is suspected
Participate in all training as required to perform the duties of the role
Keep record phone calls and transmit claim forms to Dealership or Repair Facility
Drive the status of the claim within the Safe-Guard system
Receive documentation and organize by claim number
Order an appraisal when claim is over threshold amount or possible fraud
Send letters to customers and copy dealership if necessary
Send missing information letters to customers if documents are missing and copy Dealership if necessary
Notate the system
Adhere to Quality Assurance Guidelines
Ensure premium is first received from Dealership before issuing checks
Requirements
High School Diploma or equivalent
Minimum 1-2 years of experience in customer service, insurance claims, call/claims center environment.
Proficient computer skills and the ability to troubleshoot and service policy issues
Strong interpersonal, analytical and problem-solving skills
Superior verbal/written skills and communications skills
Ability to exercise sound judgment when interacting with customers and vendors
Attention to detail and ability to handle complex situations
Proficient in Windows and MS-Office Products (Outlook, Word, PowerPoint & Excel)
High attention to detail, good attendance, spelling, mathematical, grammar
Ability to analyze complex-detailed reports
Must be authorized to work in the U.S
Must be able to successfully pass a background check.
Benefits
Medical, Dental, and Vision Insurance
Flexible Spending Account
Health Savings Account
401(k) Plan with Company Match
Company-paid Short-Term and Long-Term Disability
Company-paid Life Insurance
Paid Holidays and Vacation
Employee Referral Program
Employee Assistance Program
Wellness Programs
Paid Community Service Opportunities
Tuition Reimbursement
Ongoing Training & Personal Development
And More!
Job title
Bi-lingual Customer Support Representative – Spanish
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