VSC Claims Adjuster

Fortegra; Richardson (TX); On-site; USD 68,000 - 100,000; Full time

Job summary

A well-known insurance firm seeks a VSC Mechanical Claims Adjuster in Richardson, Texas. You will handle incoming claims, evaluate coverage under Vehicle Service Contracts, and negotiate with repair facilities. The ideal candidate has a Bachelor's degree, 2–4 years of automotive claims experience, and strong analytical skills. Join a dynamic team to enhance customer experience and support service goals.

Qualifications

• 2–4 years of experience in automotive claims adjudication, preferably related to VSC or extended warranty claims.
• Prior experience in a dealership service department is valuable.
• Hands-on experience as an automotive technician or mechanic is a strong plus.

Responsibilities

• Investigate, evaluate, and adjudicate vehicle service contract claims.
• Authorize or deny repairs within settlement authority.
• Communicate professionally with repair facilities throughout the claims process.

Education

Bachelor's degree or equivalent work experience

ASE certifications

Job description

1 day ago Be among the first 25 applicants

The VSC Mechanical Claims Adjuster is responsible for handling incoming claims calls, evaluating mechanical failures, and determining coverage under Vehicle Service Contracts (VSC). This role is part of our Claims Assistance Center and requires strong analytical and communication skills to interpret contract terms, assess shop diagnostics and repair estimates, and negotiate with repair facilities. The adjuster will play a key role in delivering a positive customer experience while supporting service level goals.

Minimum Qualifications

• Bachelor's degree or equivalent work experience.
• 2–4 years of experience in automotive claims adjudication, preferably related to VSC or extended warranty claims.
• Prior experience in a dealership service department (e.g., service advisor, technician, warranty administrator) is highly valuable.
• Hands-on experience as an automotive technician or mechanic is a strong plus.
• Experience as a warranty administrator, insurance adjuster, or within a third-party administrator (TPA) is beneficial.
• Background in parts management, fleet maintenance coordination, or service writing is also relevant.
• Familiarity with automotive diagnostics, repair procedures, and labor/parts pricing.
• Comfortable working across multiple claims management and estimating systems.
• ASE certifications, factory training, or other industry certifications are a plus.
• Previous experience in a claim’s assistance center or high-volume claims environment is preferred.
• Industry certifications, factory training, and ASE certifications are a plus.
  
  

Primary Job Functions

• Investigate, evaluate, and adjudicate vehicle service contract (VSC) claims in accordance with contract terms and coverage guidelines.
• Determine coverage based on shop diagnostics, repair estimates, and inspection findings.
• Authorize or deny repairs within settlement authority; escalate claims that exceed authority limits to a supervisor with recommendations.
• Communicate professionally with repair facilities, dealership personnel, and agreement holders throughout the claims process.
• Review labor times and parts pricing to ensure estimate accuracy and cost control.
• Negotiate scope of work and pricing with shops when necessary.
• Escalate any gray-area coverage issues or concerns to management that may impact the customer or dealer experience.
• Work across multiple claims systems to research, document, and adjudicate claims efficiently. Ability to manage tasks across various platforms is essential.
• Review and approve TPA-submitted claims that exceed authority limits, ensuring proper documentation and contract alignment.
  
  

The above-cited duties and responsibilities describe the general nature and level of work performed by people assigned to the job. They are not intended to be an exhaustive list of all the duties and responsibilities that an incumbent may be expected or asked to perform.

Periodic Job Functions

• Other duties and special projects as needed.
• Participate in quality audits or peer reviews to ensure adherence to claims handling standards.
• Provide feedback on claims trends, system issues, or process improvements.
• Assist in onboarding and training new hires, including shadowing and answering procedural questions.
• Help develop and maintain troubleshooting guides and job aids for junior adjusters.
• Follow up on pending claims to ensure timely resolution and customer satisfaction.
• Collaborate with internal departments (e.g., underwriting, compliance, product) on escalated or complex claim issues.
• Support volume spikes or special initiatives, such as new business launches or system migrations.
• Attend refresher training or calibration sessions to stay aligned with current policy and process updates.
  
  

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Finance and Sales

• Industries

  Insurance

Referrals increase your chances of interviewing at Fortegra by 2x

Sign in to set job alerts for “Claims Adjuster” roles.

Independent Insurance Claims Adjuster in Euless, Texas

Claims Specialist/Claims Representative (Fort Worth, TX)

Dallas-Fort Worth Metroplex $68,800.00-$100,000.00 2 days ago

Independent Insurance Claims Adjuster in Rockwall, Texas

Plano, TX $48,500.00-$65,500.00 1 month ago

Independent Insurance Claims Adjuster in Lewisville, Texas

Independent Insurance Claims Adjuster in Little Elm, Texas

General Liability Inside Claim Representative

Richardson, TX $65,300.00-$107,600.00 4 days ago

Addison, TX $47,500.00-$77,800.00 1 week ago

Independent Insurance Claims Adjuster in Mesquite, Texas

Dallas, TX $62,200.00-$105,800.00 2 weeks ago

Independent Insurance Claims Adjuster in Plano, Texas

Independent Insurance Claims Adjuster in Garland, Texas

Claims Representative - Evidence Preservation (Fort Worth, TX)

Dallas-Fort Worth Metroplex $77,600.00-$100,000.00 2 days ago

Independent Insurance Claims Adjuster in Carrollton, Texas

Independent Insurance Claims Adjuster in Coppell, Texas

Independent Insurance Claims Adjuster in Frisco, Texas

Plano, TX $60,000.00-$107,000.00 2 days ago

Independent Insurance Claims Adjuster in Irving, Texas

Independent Insurance Claims Adjuster in Grand Prairie, Texas

Independent Insurance Claims Adjuster in Grapevine, Texas

Dallas, TX $51,807.00-$83,551.00 4 days ago

Independent Insurance Claims Adjuster in Mc Kinney, Texas

Independent Insurance Claims Adjuster in Forney, Texas

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.