Associate Auto Claim Adjuster

Jobtailor; Bengaluru; On-site; INR 350,000 - 550,000; Full time

Job summary

Jobtailor in Bengaluru seeks a capable claims adjudicator to review vehicle service agreements, determine coverage, and adjudicate claims. You will interact with customers and repair facilities, resolve issues, and ensure compliance with industry regulations.

The role requires strong communication skills, the ability to work with time-sensitive data, and experience with mainframe or VPS systems. Spanish bilingualism is a plus, and biometric verification may be required.

Qualifications

• High school diploma or GED required.
• 2 years of customer service and automotive experience.
• 2 years of computer experience using multiple Windows and applications.
• Ability to adapt to change and work independently or in a team.
• Ability to process time-sensitive data from multiple sources and communicate required actions.
• Excellent written and verbal skills.
• If bilingual, ability to speak, read and write Spanish fluently.
• Identity verification may be required, including biometric checks where permitted by law.

Responsibilities

• Determine covered failures by reviewing vehicle service agreements, interpreting policy coverage, and researching facts.
• Determine the need for inspections.
• Interact directly with customers and repair facilities, with occasional contact with clients.
• Provide claim adjudication and problem resolution in the VPS Contact Center.
• Respond to and resolve client issues through inbound/outbound calls, email, fax, and chat.
• Gain and maintain understanding of VPS products, clients, systems, and applications.
• Adjudicate claims with repair facilities, inspection and parts vendors, and other resources.
• Review contracts and web-based applications to confirm coverage and resolve complex issues.
• Refer issues to senior-level adjusters or supervisors as necessary.
• Document claim denial or authorization reasons and seek approval when beyond authority.
• Participate in training, quality assessments, process improvements, and performance management.

Skills

Claims adjudication

Customer service

Compliance

Microsoft Office

Bilingual in Spanish

Education

High School Diploma or GED

Tools

Microsoft Office 2003 or later

Microsoft Windows XP or later

Web-based applications

VPS systems

Job description

• Determine covered failures by reviewing vehicle service agreements, interpreting policy coverage, and researching facts across automobiles, recreational vehicles, and power sports
• Determine the need for inspections
• Interact directly with customers and repair facilities, with occasional contact with clients
• Provide claim adjudication and problem resolution in the VPS Contact Center
• Respond to and resolve client and customer issues through inbound and outbound calls, email, fax, and chat
• Respond to requests timely and propose and implement meaningful solutions
• Gain and maintain in-depth understanding of VPS products, clients, systems, and applications
• Ensure compliance with ISO, SOX, PCI, audits, and contractual obligations
• Adjust and document claims according to departmental standards, applicable laws, policy provisions, and Department of Insurance regulations
• Review contracts and web-based applications to confirm coverage and resolve complex issues
• Refer issues to senior-level adjusters or supervisors as necessary
• Adjudicate claims by working with repair facilities, inspection and parts vendors, and other resources
• Document claim denial or authorization reasons, quote policy language, and seek approval when beyond authority
• Participate in training programs, quality assessments, process improvements, and personal performance management plans

Requirements

• High school diploma or GED
• 2 years of customer service and automotive experience (ex. technician; service writer; parts specialist etc.)
• 2 years of computer experience using multiple windows and applications
• Ability to quickly adapt to change, proactively recognize process improvement opportunities and work independently as well as in a team setting
• Ability to process time-sensitive data and information from multiple sources, including mainframe systems, make decisions based on this data, and effectively communicate required actions to a broad audience
• Ability to work collaboratively with others to generate ideas or resolve problems
• Excellent written and verbal skills
• Ability to work with frequent interruptions and under deadlines
• Ability to present a professional image
• Ability to establish courses of action to ensure efficient completion of work
• Ability to think creatively and make decisions based on incomplete information
• Proficiency in computer navigation and Microsoft Office 2003 or later versions and Microsoft Windows XP or later versions
• If bilingual, ability to speak, read and write Spanish fluently
• Employment contingent upon completion of required identity verification process, which may include biometric technology where permitted by applicable law

Core Competencies

Demonstrates expertise in claims adjudication, customer service, and compliance with industry regulations. Proficient in problem resolution and effective communication, with a strong ability to adapt to changing environments and collaborate with diverse teams.

Highest-signal resume keywords

• Claims Adjudication
• Customer Service Experience
• Compliance with ISO, SOX, PCI
• Microsoft Office Proficiency
• Bilingual in Spanish

ATS Optimization Keywords

Hard Skills

• Claims Adjustment
• Policy Interpretation
• Data Processing
• Contract Review
• Problem Resolution
• Automotive Knowledge
• Mainframe Systems Navigation
• Quality Assessment
• Process Improvement
• Documentation Standards

Soft Skills

• Excellent Written Communication
• Excellent Verbal Communication
• Adaptability
• Team Collaboration
• Creative Problem Solving

Certifications & Qualifications

• High School Diploma or GED

Industry Keywords

• Automotive
• Service Agreements
• Client Interaction
• Repair Facilities
• Department of Insurance Regulations

Tools & Technologies

• Microsoft Office 2003 or Later
• Microsoft Windows XP or Later
• Web-Based Applications
• VPS Systems