Vehicle claims specialist

Industry

Insurance

Advert ID

USA_438634

Location

St. Petersburg

Job Type

Contract

Hours

Full-Time

Salary Range

Up to USD16.35/hr

No. of Openings

1

Branch Information

Manpower CORE 100 Manpower Place , WI - 53212 Phone : 414-982-1960

ContactNumber

414-982-1960

Job Description

**Pay Rate: $16.35

**VPS Claims Assessment Test Results required to be considered**



Provide claim adjudication and problem resolution in the VPS Contact Center - 90%

1. Responds to and resolves issues encountered by clients and customers in a timely and positive manner. This involves mostly inbound calls, but may also include outbound calls, email, fax and chat

2. Ensures that all customer/client requests are responded to in a timely manner, and meaningful solutions are proposed and implemented

3. Adheres to standards for effective job performance and development

4. Gains and maintains in-depth understanding of VPS products, clients, systems and applications

5. Ensures compliance with ISO, SOX, PCI and other applicable internal and external audits and/or contractual obligations

6. Adjust and document all claims within departmental standards and in accordance to applicable laws and policy provisions to ensure compliance with all Department of Insurance Regulations

7. Process claims with accuracy to confirm coverage by reviewing all available tools including contract and web based applications to resolve complex issues and refer any issues as necessary to senior level adjusters or supervisor

8. Adjudicate claims with accuracy, by working directly with the repair facility, inspection and parts vendors and multiple other resources to ensure proper claims adjudication within departmental standards

9. Document reasons for denial or authorization of claim in accordance with policy conditions and quoting policy language to the correct parties in a timely manner within authority level and seek approval when above authority



Process improvements and personal development - 10%

1. Partakes in, and adheres to, training programs and quality assessment standards for effectiveness in supporting departmental goals and objectives

2. Actively participates in the development of personal performance management plans

Basic Qualifications:

* High school diploma or GED required

* 2 years of automotive technician or service advisor or parts experience recommended but not required

* 2 years of computer experience using multiple windows applications recommended but not required.



Other Requirements

* Excellent written and verbal skills to communicate with team members, management, customers, counselors and other employees of the organization

* Strong customer service skills

* Ability to work with frequent interruptions and under deadlines

* Ability to work collaboratively with others to generate ideas or resolve problems

* Ability to present a professional image

* Ability to establish courses of action to ensure efficient completion of work

* Ability to think creatively and make decisions based on incomplete information

* Ability to process time sensitive data and information from multiple sources, including data from mainframe systems, makes decisions based on this data, and to effectively communicate the related required actions to a broad audience

* Ability to quickly adapt to change, proactively recognize process improvement opportunities and be able to work independently as well as in a team setting

* Proficiency of computer navigation and Microsoft Office 2003 or later versions & Microsoft Windows XP or later versions

* Ability to pass licensing requirements within 18 months and maintain appropriate licenses