Overview:
As a Claims Audit Administrator you are responsible for accurate processing and auditing of glass and physical damage claim payment requests and post payments through both estimating and glass systems.
You will interacts with customers, performs a variety of auditing duties ranging from minor to moderately complex, and processes payments, financial recoveries, Auto Loss of Use (ALOU) transactions and other related duties. This position requires thorough technical knowledge and an extensive understanding of the policies and procedures related to both estimating and glass repair and replacement processes.
You are responsible for providing service to customers, business partners in glass and automotive repair facilities, and the automotive trade, and contributes to glass claim cost containment. The Claims Audit Administrator has the authority to make decisions on customers' insurance policies and deductibles as well as business partners' accounts within approved guidelines.
Responsibilities:
Completes administrative responsibilities within WorkCentre, including but not limited to preparing Virtual Claim File (VCF) estimates, reviewing notes, uploading documents, and completing corrections, recalculations, recoveries, payments and transfers.
Provides support for business partners, including body shops and repair facilities on systems, account submissions and amendments.
Reviews journal notes and repair facility communications and responds accordingly.
Investigates outstanding payments and provides detailed instructions to the repair facility on what is required to process the payment and when to expect it.
Checks all repair accounts for changes to the original estimate.
Reviews supplement payment requests from Transitional or Legacy repair facilities.
Verifies related approved changes and liaises with repair facilities and Estimators as required.
Provides thorough interpretation and explanation on all aspects of MPI's glass claim policies and procedures to glass claim customers, registered repair facilities and out of province vendors.
Provides system training and technical support to eGlass enabled vendors.
Enters glass claim payment information into the appropriate systems in accordance with the related procedures and business rules.
Ensures accuracy of the vendor databases for repair facility accreditation statuses and location.
Liaises with other corporate departments regarding contentious and non-contentious glass issues and procedures, and enquiries related to glass-only claims.
Determines whether a claim is contentious or non-contentious, directing customers and repair facilities appropriately.
Qualifications:
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