WHAT YOU’LL BE DOING

• Review claims received in assigned sort groups via Company’s claim payment system (OWS) to determine if claim meetspolicy guidelines.
  o If all policy guidelines are met, the Claims Analyst is responsible for paying the claim to the dealer.

o If claim fails to meet policy, communicate the rationale for why a claim will be denied or adjusted to the dealership.

• Analyze claims that require manual payment to determine eligibility.

o Exercise sound judgment in balancing policy and dealer satisfaction when making determination to pay or reject.

o Recognize system issues and forward to OWS team or leadership for system correction

• Analyze various claims reports to determine if claims are valid. Communicate any claim charge backs to dealer based on business rules.
• Assist the hotline with questions and concerns regarding program guidelines
• Provide backup support to Prior Approval operations when needed
• Identify process improvements and best practices as needed
• Complete additional tasks and projects as assigned

WHAT YOU BRING TO THE ROLE

• High School diploma or equivalent required. Some college coursework desired.
• Mechanical automotive background required
• Familiarity with OASIS and ACESII is desired, but not required
• Excellent time management skills/organizational skills.
• Excellent written and verbal communication skills
• Effective analytical and problem-solving skills
• Attention to detail is required
• Displays professionalism and a positive attitude
• Ability to effectively communicate with customers, managers, and coworkers.
• Ability to multitask and prioritize assignments