Product Warranty Specialist/Claims

OmniForce Solutions; Lehi (UT); On-site; USD 42,000 - 64,000; Full time

Job summary

OmniForce Solutions is seeking an Authorization Specialist to support the Claims Operations channel and adjudicate coverage eligibility. You will interpret terms and conditions, evaluate product details, and communicate outcomes to homeowners.

The role emphasizes high-volume processing, contract interpretation, and collaboration across teams. The ideal candidate brings 2–4 years in claims or a call center, strong negotiation skills, and proficiency with Microsoft Office while maintaining

Qualifications

• 2–4 years in claims authorization or contact center environments.
• Ability to prioritize multiple tasks under strict timeliness standards.
• Strong communication, negotiation, and conflict management skills.
• Proficiency in Microsoft Office applications.

Responsibilities

• Respond to a high volume of claim authorization requests promptly.
• Analyze claims for eligibility by evaluating diagnosis, product details, tenure, and terms.
• Interpret contract language to determine coverage eligibility.
• Process cash settlements and contractor dispatch requests; communicate with homeowners.
• Support other departments with claim reviews and closure decisions.
• Provide escalation support and guidance to contact center teams.
• Execute timely follow ups to drive claims to completion.
• Identify opportunities to curate add-on plans to maximize customer benefits.

Skills

Claims authorization

Communication

Microsoft Excel

Microsoft Word

Microsoft PowerPoint

Negotiation

Team player

Time management

Contract interpretation

Upselling

Conflict resolution

Education

High school diploma

Tools

Excel

PowerPoint

Word

Job description

Our client operates at the crossroads of energy and home services, fueled by the vision of a smarter, cleaner future. Committed to developing groundbreaking solutions, they aim to streamline their customers’ lives by providing energy, protection, and smart services for their homes and businesses. The Authorization Specialist will support the Claims Operation channel through the claim adjudication journey. The incumbent’s role is to interpret the terms and conditions to validate the contractual obligation of coverage. Predominantly, will capture product failures and recommendations, determine liability and communicate these outcomes with homeowner.

SPECIFIC RESPONSIBILITIES

• Respond to a high volume of claim authorization requests in a professional and efficient manner.
• Analyze claims with regards to eligibility by evaluating diagnosis, product details, tenure, and compare to terms and conditions to properly adjudicate the claim.
• Must be able to interpret and evaluate contract language as it relates to qualifying a claim for coverage.
• Process cash-settlement offers, contractor dispatch requests, enforce contractor pricing agreements, and communicate claim information to homeowners.
• Adhere to call center and quality assurance metrics.
• Create and execute timely follow ups to bring every claim to fruition.
• Assist other departments with claim review and decision making for accurate claim closure.
• Be a part of a focal point team to execute remediation on intense and sensitive claims.
• Provide subject matter expertise, escalation support, communication, and guidance to contact center teams.
• Analyze customer coverage to curate additional add on plans to maximize their benefits.

REQUIREMENTS & QUALIFICATIONS

• High school diploma or equivalent
• Experience of 2-4 years of claims authorization or in contact center environments is strongly preferred.
• Ability to prioritize multiple tasks simultaneously and under strict timeliness standards and guidelines.
• Ability to handle difficult conversations at multiple levels - internal and externally.
• Effectively use diversified approaches when faced with difficult decisions.
• Ability to work in a cohesive team environment.
• Negotiation, mediation, and conflict management skills.
• Ability to concisely articulate complex issues.
• Proficiency in Microsoft applications (Excel, PowerPoint and Word)
• Receptive and flexible with change.
• Welcome challenges in a fast-paced setting.
• Upselling skills to include overcoming objections.

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