Claims and Process Specialist Sr. Claims and Process Specialist Sr.

Volkswagen AG

84d•Hybrid

About The Position

Volkswagen Financial Services, a wholly-owned subsidiary of Volkswagen Group, is the trusted key to mobility for its brand partners. We are committed to supporting the Audi, Ducati, and Volkswagen brands and their Dealers, specializing in providing accessible mobility solutions for its Customers. The company’s offerings include Retail Leasing, Retail Financing, Commercial Financing for new and used vehicles, and End-of-Term vehicle disposition. Brief Role Description This position is Career Level 20P, located in Reston, VA, with a Role Classification of Hybrid.Role Summary The Claims and Process Guidelines Sr Specialist is responsible for managing and optimizing the end-to-end insurance claims process. This role ensures that claims are handled efficiently, accurately, and in compliance with internal policies and external regulations. The Sr. Specialist also develops, maintains, and enforces process guidelines to support operational excellence and regulatory adherence across the claims department. This role will support the attainment of yearly revenue and sales targets, for Insurance, through the ongoing operational management of insurance and service products, building and maintaining efficient business processes. Additionally, the Claims and Process Guidelines Sr Specialist will work closely with the internal and external lending organizations as well as hired contract administrators to ensure efficient and compliant, customer-centric business processes for claims operations of the underwritten products. This role will also be responsible in ensuring that the Claims guidelines in our products policies are adhered to and aligned with the Brand claims adjudication guidelines. Ensure that the Adjudication team is adhering to the claim guidelines as set by VWFS program.

Requirements

Ability to conduct large-scale projects and research through all stages: concept formulation, the definition of metrics, determination of appropriate methodology, research evaluation and final research report
Specialized ability to communicate highly technical subjects to senior executives and others who have limited background in mathematics or statistics
Analytical and conceptual thinking – the ability to understand business problems and develop data-driven solutions
Strong problem-solving and decision-making capabilities.
Proficiency in claims management systems (e.g., Guidewire, ClaimCenter).
Strong analytical skills with experience in data analysis and reporting tools.
Knowledge of insurance policy structures and coverage types.
Understanding of fraud detection techniques and litigation processes.
Advanced proficiency in Microsoft Office Suite (Excel, Word, PowerPoint).
7+ years of OEM / Financial Services experience related to automotive and/or financial products and services with a focus on operations, business process management and data management.
Experience in developing and implementing process guidelines or SOPs.
Familiarity with regulatory frameworks such as IFRS 17, privacy laws, and insurance compliance standards.
Minimal travel – 5%
Role may require occasional/seasonal work outside of normal working hours.
Bachelor’s degree in business administration, Finance, Insurance, or a related field.
3-5 years of project management and / or business process modelling experience.

Nice To Haves

FCAS designation
Ability to use SAS/Python
Personal or commercial auto insurance experience
Excellent Excel skills and strong with SQL
3–5 years of experience in insurance claims processing or claims operations.
3-5 years of professional experience specific to operations of automotive financial protection products
Master’s Degree in a related field
Professional certifications such as:
Associate in Claims (AIC)
Certified Claims Professional (CCP)
Chartered Insurance Professional (CIP) (preferred)
Project Management Certification / PMP

Responsibilities

Work closely with VWFS Customer and Dealer Operations to build and effectively run all operational processes of the branded financial protection products for Volkswagen, Audi & Ducati customers in the US market – product activation and lifetime contract management, including issue resolution and case management.
Review and process insurance claims from initiation to resolution, ensuring accuracy and timeliness.
Investigate claims to determine validity, coverage, and liability.
Analyze documentation and data to assess damages and identify potential fraud.
Negotiate settlements with claimants, legal representatives, and other insurers.
Resolve disputes and escalate complex cases as needed.
Maintain detailed records of claims activities and outcomes.
Develop and update claims handling procedures and process documentation.
Ensure compliance with industry regulations (e.g., provincial insurance laws, privacy standards).
Monitor adherence to internal claims guidelines and recommend improvements.
Conduct audits and quality assurance reviews to identify gaps and training needs.
Collaborate with legal and compliance teams to align claims processes with regulatory changes.
Work with third-party administrators (“TPA”), insurance companies, and consultants to develop and maintain solid business structures and processes in line with internal process requirements and maintenance of third-party lender-related processes, including managing Vendor PO’s and Payments, and managing CLIP Fees and Reporting
Program Manual Updates as required by the business unit
Liaise with policyholders, brokers, adjusters, and legal counsel to gather information and resolve claims.
Provide guidance and training to claims staff on process standards and best practices.
Support cross-functional initiatives to improve claims efficiency and customer satisfaction.
Track and report on claims trends, performance metrics, and operational KPIs.
Identify areas for process optimization and automation.
Prepare reports and recommendations for senior management.