Manager, Mechanical Claims Adjuster

We are seeking a Manager, Mechanical Claims Adjuster to manage a team of Mechanical Claims Adjusters, communicate job expectations, plan, monitor and appraise job results; coaching, and counseling staff; initiating, coordinating, and enforcing systems, policies, and procedures.  Maintaining workflow by monitoring steps of the process; create and revise systems and procedures to both streamline and increase productivity.  Oversee quality control and reporting, monitoring claims and phone queues. Assist the Director of Operations with various projects with an emphasis on increasing the accuracy and efficiency of the claims department.

 

Essential Functions:

• This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.

• Claims Supervision/Management, Reviewing Objectives, and Monitoring Results

• Maintaining employees by interviewing, selecting, orienting, training, and developing 

• Communicate job expectations, planning, monitoring and appraising job results; coaching, counseling, initiating, and coordinating.

• Enforcing systems, policies, and procedures. Carry out disciplinary measures when necessary

• Creating and maintaining job descriptions of Claims Adjusters

• Ensure all claim handling and communication is handled within our desired metrics 

• Enforce utilization/procedures of Credit Card payments of claims reimbursements 

• Monitor phone queues to ensure coverage 

• Oversee and provide support for incoming claims calls, emails, faxes, and voicemails and ensure delivery and/or a response is made within daily metrics  

• Escalated claim handling, both verbal and written

• Maintain professional and technical knowledge and properly communicate any new processes to Claims Adjusters

• Perform monthly quality control checks for each administrator with 100% accuracy targeted 

Analyzing Data & Reporting:

• Maintaining workflow by monitoring steps of the process; create and revise systems and procedures to both streamline and increase productivity   

• Review all new claims to ensure they are assigned and authorized

• Monitor claims payments to ensure they are accurately calculated and in accordance with the applicable agreement terms and state requirements

• Inspect claims to ensure they have all the required documents, images and/ or approvals for processing

• Monitor claims inboxes to ensure they are being handled accurately and within target

• Frequently think of strategies to improve efficiency and flow of claims

• Work with the Director of Operations to analyze data, identify trends and forecast

• Assist the Director of Operations with various projects

Be a Team Player with Other Global Departments:

• Support other teams

• Work with the Compliance Department on contract updates

• Cross train to gain basic knowledge of all departments within our organization

• Share ideas that may help with organizational productivity

Education and Qualification Requirements:

• Bachelor’s degree or equivalent work experience (see below)

• 3+ years of supervisor or managerial experience

• 3+ years of customer service experience

• 5+ year with automotive repairs

• Plan, organize, prioritize, and complete projects and assignments in a timely manner

• Detail oriented, accurate and highly organized

• Ability to coach, mentor, and lead

• Interact effectively with applicants, associates, management, and internal and external customers

• Active listener with ability to adapt/respond to various types of personalities

• Maintain confidentiality of sensitive company information and use judgment and tact in applying policies, solving problems, and communicating standards

• Superior communication skills, both written