Fortegra · 3 weeks ago
VSC Claims Adjuster
Richardson, TX
Full-time
Onsite
Entry, Mid Level
2+ years expFortegra is seeking a VSC Claims Adjuster responsible for handling incoming claims calls and evaluating mechanical failures under Vehicle Service Contracts. The role requires strong analytical and communication skills to assess diagnostics, negotiate with repair facilities, and ensure a positive customer experience.
Insurance
Responsibilities
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
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
Qualification
Required
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
Previous experience in a claim's assistance center or high-volume claims environment is preferred
Preferred
ASE certifications, factory training, or other industry certifications are a plus
Industry certifications, factory training, and ASE certifications are a plus
Company
Fortegra
For more than 45 years, Fortegra and its subsidiaries have delivered risk management solutions that help people and businesses succeed in the face of uncertainty.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
Rick Kahlbaugh
CEO
Edward Peña
Chief Financial Officer
Recent News
2025-10-07
Halper Sadeh LLC
2025-10-01
Company data provided by crunchbase