Serve as the technical authority for coverage interpretation, exception handling, and complex claim scenarios, determining appropriate repair measures
Job Summary
Serve as the technical authority for coverage interpretation, exception handling, and complex claim scenarios, determining appropriate repair measures.
Provide indirect oversight and technical direction to offshore claims adjudication teams, identifying systemic gaps and driving corrective actions.
Analyze claims data to identify trends and translate findings into actionable recommendations that improve outcomes, controls, and efficiency.
Matching Summary
Serve as the technical authority for coverage interpretation, exception handling, and complex claim scenarios, determining appropriate repair measures.
Skills & Requirements
Must-have
vehicle service contract interpretation
automotive repair diagnostics
claims data analysis
repair network governance
regulatory compliance
Nice-to-have
influence without authority
systems thinking
continuous improvement mindset
analytical judgment
Key Requirements
5+ years auto claims experience
Bachelor's degree
Familiarity with state regulatory requirements
Proven ability to influence teams without authority