- Complete detailed claims reviews and compare them against industry standards
- Discuss and coordinate activities with adjusters and contractors regarding deviations from industry standards
- Obtain detailed claim information from contractors, including moisture readings, sketches, photos, and other documentation
- Review potential deviations with contractors and determine allowable work
- Create estimates and sketches in Xactimate to facilitate claims settlement
- Reach agreed settlement amounts with contractors
- Prepare written review summaries based on IICRC standards for submission to carriers
- Receive, enter, and manage insured-hired claims, including documentation follow-up
- Work with supervisors and senior team members to ensure claims are handled properly
- Enter claim details and results into company systems for tracking and reporting
- Handle fire and contents claims, mold claims, larger water losses, and commercial claims
- Adhere to company and department policies
Requirements
- High school diploma/GED required
- Associate or bachelor degree preferred, or equivalent combination of education, training, and work experience
- Thorough knowledge of the company’s products, services, and business operations
- Previous call center 24/7/365 experience
- Ability to work overtime or flex schedules during high volume and CAT Events
- Ability to work independently while seeking support as needed
- Problem-solving and critical-thinking ability
- Detail-oriented
- Ability to handle conflict professionally and courteously
- Strong customer service skills
- Excellent verbal, electronic, and written communication skills
- Ability to work with peers and all departments
- Reliable in meeting work commitments
- Flexible and adaptable
- Ability to utilize technology devices, software, and applications
- Previous experience with Microsoft Office Suites and basic computer skills
- Reliable high-speed home broadband internet connection with minimum 25 Mbps download and 10 Mbps upload speeds
- Ability to connect to home internet via ethernet cord when working remotely
Core Competencies
Demonstrates expertise in claims review and settlement processes, including proficiency in Xactimate for estimating and sketching. Strong ability to communicate effectively with contractors and adjusters while adhering to IICRC standards and company policies.
Highest-signal resume keywords
- Xactimate Estimating
- Claims Review
- IICRC Standards
- Customer Service Skills
- Problem-Solving Ability
Hard Skills
- Claims Management
- Detailed Claims Review
- Estimates Creation
- Documentation Follow-Up
- Moisture Readings
- Sketching
- Fire Claims Handling
- Mold Claims Handling
- Water Loss Claims Handling
- Commercial Claims Handling
Soft Skills
- Detail-Oriented
- Conflict Resolution
- Communication Skills
- Flexibility
- Adaptability
Industry Keywords
- Insurance Claims
- Adjusters Coordination
- Contractors Communication
- Industry Standards
- Call Center Experience
Tools & Technologies
- Microsoft Office Suite
- Technology Devices
- Software Applications
- Home Internet Connection
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Technical Review Specialist I Arbeitgeber: Jobtailor
Als Front Office Supervisor in unserem dynamischen Team bieten wir Ihnen die Möglichkeit, in einem unterstützenden und freundlichen Arbeitsumfeld zu wachsen. Wir legen großen Wert auf die berufliche Entwicklung unserer Mitarbeiter und bieten regelmäßige Schulungen sowie die Chance, Verantwortung zu übernehmen. Unsere Lage ermöglicht es Ihnen, Teil einer lebendigen Gemeinschaft zu sein, während Sie gleichzeitig die Standards unseres Franchise-Partners einhalten und unseren Gästen einen unvergesslichen Aufenthalt bieten.
