Insurance Claims Specialist

• Conduct comprehensive investigations into auto-related incidents, analyzing potential risks and liabilities for the client and ensuring all relevant details are documented for claims processing.
• Review and process insurance claims, ensuring they are in compliance with policy requirements.
• Analyze each claim to identify potential risks, discrepancies, or areas where the client may be exposed to liability.
• Review repair orders to ensure all work is completed in line with warranty guidelines and insurance requirements.
• Validate charges, ensuring authorized add-on warranty work is properly documented and that the repair order is fully completed before closure.
• Follow up with manufacturers, service advisors, and managers regarding unpaid claims or outstanding issues.
• Assist in the reconciliation of insurance claims by reviewing financial data, ensuring that all discrepancies or risks are identified and addressed.
• Ensure that all service-related correspondence, repair orders, insurance claims, and other relevant documents are accurately filed and maintained.
• Implement a systematic filing process to facilitate easy retrieval and reference for future risk analysis.
• Work closely with accounting, service, and factory teams to ensure smooth processing of claims, warranty work, and invoices.
• Assist in generating and distributing financial reports related to claims and warranty work, including technician time flags and payroll reports, providing risk insights and analysis as needed to support decision-making.

• Ability to create graphs, reports and dashboards for Management related to Risk/Safety/Insurance/Auto Investigation
• Proficient in using computer systems and related software, including insurance management systems to create claims and generate reports.
• Ability to use basic office tools, such as the telephone, copier/scanner, and email, to communicate effectively with team members, manufacturers, and other stakeholders.
• Strong organizational skills to manage warranty documentation, repair orders, and related records, ensuring everything is filed correctly and can be easily retrieved.
• Effective time management skills with a proven ability to meet deadlines.
• Strong analytical skills to identify and resolve discrepancies or issues in warranty claims, ensuring that all claims are processed correctly and efficiently.
• Ability to prioritize tasks based on urgency and importance. Delegates tasks appropriately when necessary to maintain smooth workflow and efficient operation.
• Ability to function efficiently in a fast-paced and deadline-driven environment, handling urgent matters as they arise while maintaining high standards of accuracy.
• Ability to understand operational policy and insurance requirements to make suggestions to client management for possible claims.