Claim Review Specialist [United States]


 

Accuserve is an innovative third-party administrator that uses proven science and revolutionary technology to manage property claims. At Accuserve we recognize and reward achievement, while encouraging personal and professional development. Our strength comes from the diversity of the people we employ and the opportunities we offer to them. What if you could join a company with so many opportunities that you have a 93% chance of being promoted within one year? If joining an innovative company and having a career helping others is a path you want to follow, apply today!

Job Summary:

As a member of our Technical Review team, it will be our goal to help develop you into an expert within the property claims industry. You’ll go through rigorous certification courses and a variety of training modules aimed to help you become an expert in the fields of water mitigation and property restoration. Whether you’re new to the industry or a seasoned vet, we’ll help you acquire the skills and knowledge to turn this position into a rewarding, challenging, and fulfilling career.

Upon completing training, our team’s primary responsibility is reviewing invoices of work completed by contractors to ensure all work that was completed was done according to industry standards. If any deviations are identified, our team will work directly with the contractor to gather additional details to support the work that was completed. If deviations still exist after additional information is provided, our team’s job is to work with the contractor further to identify what the standards could allow and don’t allow to reach an agreeable invoice.

Educational Requirements:

A high school diploma/GED is required. An Associate’s or bachelor’s degree is preferable or the equivalent combination of education, training, and work experience.

General Knowledge, Skills & Abilities:

  • Strong customer service skills to allow proper interaction with all stakeholders
  • Thorough knowledge of the company’s products, services, and business operations to assist in reporting process and resolution to customer inquiries
  • Excellent verbal and written communication skills
  • Must be detail-oriented
  • Demonstrated problem solving and analytical skills
  • Ability to work independently while seeking out support as needed
  • Homeowners insurance claims experience preferred
  • Water damage restoration experience is a plus

General Duties and Responsibilities:

  • Complete detailed reviews of claims and compare against industry standards to identify potential deviations
  • Discuss and coordinate activities with adjusters and contractors to identify why work may have been completed outside of the industry standards
  • Work with contractors to obtain detailed information on claim activities including moisture readings, sketches, photos, and other documentation
  • Review potential deviations with contractors to determine what work was completed within the standards and what wasn’t
  • Create estimates and sketches within Xactimate to facilitate the claims settlement process
  • Use the review findings to have a final discussion with the contractor to reach an agreed settlement amount for the claim
  • Provide a written summary of the review based on IICRC standards to submit to the carrier upon completion
  • Receive, enter, and manage insured-hired claims including handling follow-up for documentation until claim can be converted to a Technical Review
  • Work directly with Supervisors or senior team members to ensure claims are handled properly
  • Enter claim details and results into company systems for tracking and reporting purposes
  • Adhere to all company and department policies

Job Type: Full-time

Pay: $16.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Parental leave
  • Referral program
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Overtime

Supplemental pay types:

  • Bonus pay

Application Question(s):

  • I understand that should an offer of employment be extended I will be asked to complete a background check and drug screen. (required)
  • This position is a 40-hour week with paid overtime as business needs dictate. Are you able to work overtime as extended shifts or weekends as needed? (required)
  • The salary range for this position is $16 per hour, plus a performance based incentive. Is that acceptable to you?

Education:

  • High school or equivalent (Required)

Experience:

  • water damage restoration: 1 year (Preferred)
  • HOMEOWNERS claim handling: 2 years (Preferred)
  • remote work: 1 year (Required)
  • Microsoft Word and Excel: 3 years (Required)
  • office based Customer Service or call center: 3 years (Required)

Work Location: Remote

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