Claims Adjuster

Determine covered failures by reviewing vehicle service agreements, the need for inspection, interpreting policy coverage, and researching all facts, for multiple product lines. Interact with customers and repair facilities with occasional contact directly with the client. Ensure that all customer/client requests are responded to in a timely manner, and meaningful solutions are proposed and implemented. Adjust and document all claims within departmental standards and in accordance to applicable laws and policy provisions to ensure compliance with all Department of Insurance Regulations. Ensure proper claims adjudication within departmental standards. Document reasons for denial or authorization of claim in accordance with policy conditions and quoting policy language to the correct parties in a timely manner within authority level and seek approval when above authority.