The Senior Auto Claims Analyst is a senior individual contributor responsible for governing claim outcomes, coverage interpretation, and operational consistency for vehicle service contract programs and other ancillary products related to the auto industry. This role provides technical authority, analytical leadership, and escalation oversight to ensure claims are handled accurately, consistently, and in full compliance with contract terms, regulatory requirements, and internal controls.
Primary Job Responsibilities
Claims Governance & Technical Authority
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Serve as the technical authority for coverage interpretation, exception handling, and complex claim scenarios.
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Determine appropriate repair measures based on research, peer-to-peer examination, and job experience.
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Act as the final escalation point for high-risk, high-exposure, or precedent-setting claims.
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Establish and maintain adjudication standards, decision frameworks, and interpretation guidance to ensure consistency across teams.
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Ensure alignment between contract intent, regulatory requirements, and operational execution.