Resolution/Escalation Specialist

Choice Home Warranty; Town of Florida (NY); On-site; USD 48,000 - 64,000; Full time

Benefits offered by this job

Health benefits

Vision benefits

Dental benefits

Paid time off

401k

Job summary

Choice Home Warranty is seeking a Resolution/Escalations Specialist (on site) in Sunrise, FL. The role focuses on appeals for warranty claims, determining coverage, and maintaining communication with customers and team members.

Ideal candidates will be organized, customer-focused, and able to work independently or in a team environment. Education and insurance claims experience are preferred.

Qualifications

• College degree or the recognized equivalent in education and experience preferred.
• 2 years of claims related experience in insurance industry preferred.

Responsibilities

• Develop, investigate, analyze and execute plan of action for pending appeals on claims to determine coverage and eligibility.
• Prioritize and review new appeals on claims; identify missing information to expedite outcomes.
• Provide excellent customer service while maintaining regulatory standards; communicate claim status and decisions.
• Act as primary contact for all claim case processing.
• Maintain ownership of cases during the appeal process and review regularly.
• Communicate with team regarding case processing issues and resolutions.

Skills

Relationship management

Customer service

Organizational skills

Communication skills

Teamwork

Time management

Problem solving

Education

College degree or equivalent

2 years claims experience

Tools

Microsoft Office

Job description

Location: Sunrise, FL

Job Id:1473-4474

# of Openings:10

Resolution/Escalations Specialist needed at Choice HomeWarranty "ON SITE "

Exciting opportunities now available for EXPERIENCEDEscalations, Resolution Specialist.We are expanding our team and recruiting motivated and professional individuals.The ideal candidate will have experience detailing customer account information and following established policies and procedures to review individual warranty claims. Must be extremely organized, have great communication skills, and the ability to work effectively, independently, and as part of a team!

Responsibilities:

• Develop, investigate, analyze and execute plan of action for pending appeals on claims to determine coverage and eligibility; utilize and manage resources
• Prioritize and review new appeals on claims; initial review to identify any missing information prior to submission in order to expedite the claim outcome
• Provide excellent customer service while still maintaining regulatory standards; professionally communicate claim status and decisions both verbally and in writing
• Act as primary contact for all claim case processing
• Maintains ownership of cases during the appeal process; reviews case on a routine basis;
• Communicate with team regarding case processing issues and discuss resolution as necessary
• Perform all other duties as assigned by supervisor
• This description is not meant to be all-inclusive and may be modified from time to time at the discretion of management.

Required Skills and knowledge:

• Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, Outlook)
• Demonstrated history of relationship management process
• Commitment to providing high level customer service
• Able to work independently and enjoy a high degree of interaction with team members
• Ability to contribute to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and objectives
• Self-motivated and driven
• Maintain a sense of urgency and ability to work with and meet deadlines
• Demonstrate effective written and verbal communication, including the ability actively listen, and problem solve with minimal assistance
• Demonstrates excellent time management and prioritization skills
• Attention to detail and commitment to a high level of accuracy
• The ability to multi task, prioritize, work independently, and use discretion surrounding sensitive information
• Ability to maintain a professional demeanor and positive attitude
• Ability to learn new concepts quickly and be open to feedback
• Results driven with strong problem solving and analytical skills

Education and Experience:

• College degree or the recognized equivalent in education and experience preferred
• 2 years of claims related experience in insurance industry preferred

Benefits of working for Choice Home Warranty:

• Rapid and diverse growth opportunities
• a strong and supportive management staff
• fun work environment
• award and recognition programs
• health, vision and dental benefits
• paid time off
• 401k

Compensation structure

Competitive Salary with monthly bonus incentive

Our Mission is to provide property owners with peace of mind by offeringhighquality, easy and affordable ways to protect their most valuable asset - their home

About Choice Home Warranty

Founded in 2008, Choice Home Warranty is the fastest growing privately owned home warranty company in the nation, consistently earning placement on the Inc. 5000 list for the last six years. As we grow, we continue to seek out passionate, driven professionals who share our mission, vision and core values – people looking to bring their insight and abilities to an organization that values intelligence, ingenuity, integrity, and the pursuit of excellence.

Our success is due to the high level of professionalism, dedication, and genuine concern that our Customer Service Representatives provide to each customer that has allowed us to flourish so rapidly. As a company, we recognize the importance of this team and will only consider candidates that possess the same drive and work ethic.