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Claims Coordinator, Repair Claims
Reviews, manages, and follows up on multiple claims assigned as part of the Managed Repair Programs. Following program guidelines, determines the course of action for each claim (approval, follow-up, investigation, denial, or revision). Corresponds with insurance companies, customers, and franchisees to ensure timely and effective resolution.
Description
Job Description:
Claims Coordinator, Repair Claims
Reviews, manages, and follows up on multiple claims assigned as part of the Managed Repair Programs. Following program guidelines, determines the course of action for each claim (approval, follow-up, investigation, denial, or revision). Corresponds with insurance companies, customers, and franchisees to ensure timely and effective resolution.
Job Responsibilities
- Review assigned claims and determine necessary actions in line with program guidelines. Follow up with franchisees to obtain claim updates, estimate uploads, and confirm compliance with standards. Deliver world-class customer service through clear, concise, timely, and consistent communication with management, clients, and other stakeholders (e.g., senior leadership, issue requestors). Efficiently and accurately review franchise/vendor estimates to ensure alignment with the scope of work follow program guidelines.
- Collaborate with the franchise network to ensure consistent estimates and invoices are delivered to clients based on the approved scope of work. Educate and train SM franchisees on estimating processes, acting as a resource to improve estimating practices across the network. Resolve and negotiate invoicing disputes with vendors and franchisees. Submit completed estimates to clients for timely payment issuance and help to ensure that payments are made following the program schedule.
- Monitor the entire claim life cycle to ensure customer satisfaction.
- Assist with process improvement initiatives and help create standard operating procedures.
Job Requirements
- Bachelor’s degree and/or 2 years of relevant experience in fast paced environment.
- Construction or restoration experience a plus.
- Experience with restoration industry programs. (DASH, Xactimate, XactAnalysis, Symbility)
- Ability to manage workflow efficiently (time management)
- Detail oriented when analyzing claims
- Ability to multi-task effectively
- Ability to follow processes and have great follow through skills
- Good communication skills, both written and verbal
- Ability to interact with internal and external customers in a positive manner
- Ability to work independently
- Ability to travel up to 10% of the time
- 100% remote position
Physical Demands And Working Conditions
The physical demands are representative of those that must be met by an employee to perform the essential function to this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Incumbent Must Be Prepared To
- Occasionally move up to 10 pounds by lifting, carrying, pushing, or pulling objects. Sit for extended periods while using office equipment such as computers and phones. Perform repetitive hand and finger motions, such as typing or handling office equipment. Express or exchange ideas with others using spoken words, quickly, accurately, and at an easily audible volume, and receive detailed information through oral communication at usual speaking levels without correction, and/or make fine discrimination in sounds in the environment.
- Close visual acuity to perform detail-oriented activities at distances close to the eyes, as well as visual acuity to perform activities at or within arm’s reach with skill, control, and accuracy, such as preparing and analyzing data, viewing computer screen and expansive reading.
- Inside working conditions: The change of building environment such as with or without air conditioning and heating.
Disclaimer
The above statements are intended to describe the general nature and level of work being performed by associates assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
It is the policy of ServiceMaster Brands, in accordance with all applicable laws, to recruit, hire, train, and promote persons in all job titles without regard to race, color, national origin, genetic information, religious beliefs, sex, gender identity, sexual orientation, age, marital status, pregnancy, disability, protected veteran status, or any other protected classifications, activities, or conditions as required by federal, state and local laws.
If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process atweacknowledge@servicemaster.com
California Applicants
Background checks are required, and qualified applicants with arrest or conviction records will be considered for Employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
Privacy Policy:https://www.servicemaster.com/california-applicant-privacy-notice/
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