What are the responsibilities and job description for the Warranty Claims Specialist position at DataSoft Tech?
Main Responsibilities -
Review the claims/appeals and all documentation supplied by the center, time controls, technician repair notes, customer complaint vs. repair performed, authorizations obtained, technician efficiency, test results, and use sound judgement and decision-making skills to execute the appropriate action on claim payment.
Provide feedback to Warranty Claims Administration Lead and/or other colleagues in the department that assist them with future decisions regarding claim issues, new CAESAR rules or Warranty Parts Return.
Communicate to center/dealers that do not comply with warranty policies and procedures the proper procedure to submit claims.
Research documentation (Repair instructions, bulletins, Repair Orders, etc), systems (AIR, FBM, etc), and CAESAR rules to detect inaccuracy and inefficiency; identify actions to take to align the disputes.
Identify claims in review that could potentially be paid automatically by the system. Notify the Claims Administration Lead of findings.
Internal communication with various departments to verify parts availability, product trends and technical repair instructions.
Responsible for processing warranty claim submissions according to the applicable policies and procedures, including (but not limited to): Warranty department procedural documentation, technical service bulletins and repair instructions, applicable warranty coverage, etc.
Warranty claims are submitted from the dealer service provider to the claims department via CAESAR (claims management system).
Using queries in CAESAR, according to daily allocation, claims are presented and assessed individually using all applicable data to substantiate the claim – vehicle service records, repair instructions, service information bulletins (SIBs), requesting additional information (repair orders, parts orders, etc.), and anything else available, as needed. Individual claims are processed accordingly based on the information assessment, within the scope of Policy. Where additional information is needed, contacting Center Warranty Administrators directly, requesting additional paperwork, talking to Policy Group, or technical experts for clarification on the requirements or instructions, to more accurately process claims.
Position Requirements: Education - High School Diploma – preferred bachelor’s degree or equivalent work experience. Work experience, Leadership experience 1-2 years of: Wholesale/Retail automotive experience with good working knowledge of automotive technology or OEM Warranty knowledge. Intermediate proficiency with Microsoft Office (Outlook in particular, Excel, OneNote, and Word preferred) Demonstrated ability to independently research topics to resolution and determine the best path forward for the Company, based on applicable Policies and Procedures.
Proficient user of Outlook, Word, Excel, Visio and PowerPoint applications. Must be able to use FASTA, PuMA systems, AIR, ETK. ISPA Next, CAESAR, INFONET and all other systems needed to make sound judgements in claim payment decisions.
Hours of Operation: M-F, 8:30 – 4:30 PM / Hybrid Work: 3 days per week in-office required / 2 days remote - Location: Woodcliff Lake, NJ
Job Type: Contract
Pay: $38.00 - $42.00 per hour
Schedule:
- Day shift
- Monday to Friday
Ability to Commute:
- Woodcliff Lake, NJ 07677 (Preferred)
Ability to Relocate:
- Woodcliff Lake, NJ 07677: Relocate before starting work (Preferred)
Work Location: In person
Salary : $38 - $42