• Actively participate in daily planning and assignments of claims. • Assist in mentoring team members - Answer adjuster questions coach on claims processes; Auditing team members claims for accuracy. • Ensure Customer Service Standards are met with regard to Service Level Agreements (SLA's) and Key Performance Indicators (KPI's) • Monitor daily adjuster claims activity to ensure balanced claims loading of adjusters and reassign tickets/claims if necessary • Review and evaluate automotive extended warranty claims submitted by customers, dealerships, and repair facilities. • Verify claim information, including coverage, eligibility, and supporting documentation. • Conduct thorough investigations and assessments to determine the validity of claims and contract coverage. • Collaborate with internal departments and external parties to gather relevant information and resolve claim-related issues. • Ensure compliance with company guidelines, industry regulations, and legal requirements throughout the claims administration process. • Accurately and efficiently process claims within established timelines. • Communicate claim decisions, approvals, and denials to appropriate parties promptly and professionally. • Provide exceptional customer service by promptly addressing inquiries, concerns, and escalations related to warranty claims. • Maintain accurate and organized claim records and documentation. • Identify trends and areas for process improvement and contribute to the development and implementation of enhanced claims-handling procedures.

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• Collaborates with the ECS quality team to accurately review medical records to abstract relevant data for eligible patients utilizing both electronic upload and manual data abstraction of records. • Assures electronic data elements are verified for accuracy and assures data entry of manually abstracted data into a clinical registry. • Develop and maintain effective and collaborative team-focused relationships with the ECS quality team, physicians, advanced practice providers, the quality program clinical coordinating center and external partners to drive optimal quality outcomes within ECS. • Participates in relevant in-person or remote training at assigned sites to develop expertise on tools developed by the clinical registry program center. • Effectively collaborates with assigned sites to review non-concordant cases and identify and present findings to other key stakeholders. • Utilizes clinical knowledge to examine the electronic medical records of emergency department cases to identify patients eligible for inclusion in the clinical registry. • Reviews quarterly reports provided by the clinical registry coordinating center to ensure the quality and reliability of data collected. • Maintain quality control through the identification of suspicious entries, documents and informs the clinical registry coordinating center data auditor and ECS quality leadership of concerning findings. • Actively participates in audits of data entered into the clinical registry. • Serves as the first line of contact for assigned sites, assists with the utilization of tools, responds to queries, and addresses concerns.

• Collaborates with the ECS quality team to accurately review medical records to abstract relevant data • Assures electronic data elements are verified for accuracy • Reviews medical records to abstract relevant data for eligible patients