Serve as the technical authority for coverage interpretation, exception handling, and complex claim scenarios, determining appropriate repair measures based on research and job experience
Job Summary
Serve as the technical authority for coverage interpretation, exception handling, and complex claim scenarios, determining appropriate repair measures based on research and job experience.
Provide indirect oversight and technical direction to offshore claims adjudication teams, conducting targeted case reviews and calibration sessions to assess quality and consistency.
Analyze claims data to identify trends in frequency, severity, leakage, repair practices, and operational performance, translating findings into actionable recommendations.
Matching Summary
Serve as the technical authority for coverage interpretation, exception handling, and complex claim scenarios, determining appropriate repair measures based on research and job experience.
Skills & Requirements
Must-have
coverage interpretation expertise
claims data analysis
automotive repair diagnostics
contractual compliance
influence without authority
Nice-to-have
systems thinking
continuous improvement mindset
analytical judgment
clear communication
Key Requirements
Bachelor’s degree in Engineering, Business, Finance, Accounting, Risk Management or Insurance
5+ years of experience in auto claims or vehicle service contract administration
Familiarity with state regulatory requirements
Proven ability to influence outcomes across distributed or offshore teams