Associate Auto Claim Adjuster

This role is responsible for determining covered failures by reviewing vehicle service agreements, determining the need for inspection, interpreting policy coverage, and researching all facts, for multiple product lines; including but not limited to automobiles, recreational vehicles, and power sports. This position requires direct interaction with customers and repair facilities with occasional contact directly with the client.   Why You Should Consider This Role You love helping and connecting with people You’re a problem solver who likes to think on their feet and enjoy challenges You thrive in a fast-paced and changing environment You enjoy being on the phone and are passionate about customer service   What You Will Like The variety of work - every day and every customer’s situation is unique Being a part of a high performing, collaborative and supportive team The opportunity to demonstrate your exceptional problem-solving abilities Medical benefits begin on your first day Competitive compensation and paid time off Career advancement opportunities The Details Provide claim adjudication and problem resolution in the VPS Contact Center   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 Ensures that all customer/client requests are responded to in a timely manner, and meaningful solutions are proposed and implemented Adheres to standards for effective job performance and development Gains and maintains in-depth understanding of VPS products, clients, systems, and applications Ensures compliance with ISO, SOX, PCI and other applicable internal and external audits and/or contractual obligations 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 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 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 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 If bilingual, the ability to speak, read and write the Spanish language fluently   Process improvements and personal development Partakes in, and adheres to, training programs and quality assessment standards for effectiveness in supporting departmental goals and objectives Actively participates in the development of personal…