Full-Service Reviewer (QA Specialist)
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Job Location:
Jacksonville, FL - USA
Yearly Salary:
$ 57500 - 65000
Posted on:
3 days ago
Vacancies:
1 Vacancy
Job Summary
Responsive recruiter
Benefits:
- Medical Dental & Vision Benefits Offered
- 401(k) matching
- Opportunity for advancement
- Training & development
Join Our National Team as a Full-Service Reviewer!
Are you looking to leverage your expertise to grow a role that offers varied and challenging work Our company a leading parent organization that owns and operates 340 franchise locations across North America seeks a Full-Service Reviewer.
In this role you will serve as a member of the Claims Force Team (formerly known as Quality Assurance). The primary responsibility of the Full-Service Reviewer is to complete estimate and documentation reviews on direct program assignments for Service Level Compliance to carrier partner guidelines estimating platform best practices and based on industry standards with work standards focused on accuracy speed and customer service. This position leverages previous industry experience to deliver exceptional results. This position will assist in supporting the department and network during a catastrophic event.
Position: Full-Service Reviewer
Reports to: Estimate Review Team Manager
Location: Remote or Hybrid position based on the location of the candidate and will be a
Monday - Friday shift with potential weekend shifts based on the needs of the
company.
Reports to: Estimate Review Team Manager
Location: Remote or Hybrid position based on the location of the candidate and will be a
Monday - Friday shift with potential weekend shifts based on the needs of the
company.
Essential Duties/Responsibilities
- Complete accurate timely estimate and documentation reviews through our main technology platforms: XactAnalysis & Xactimate Claims Connect & Mobile Claims Validate CMS Mitigate and other estimating/claim management platforms and software.
- Accuracy of work is measured by estimate reinspections
- Timeliness of work is measured by automated reporting between documented events
- This position focuses on estimate documentation and commentary reviews for specific job types that include but are not limited to water mold fire tarping board-up biohazard abatement other emergency services contents reconstruction and large losses of all job types.
- These reviews include utilization of knowledge of industry standards carrier guidelines and estimating best practices to ensure adherence to carrier service level agreements
- This position elevates the individual based on skill and expertise to allow full flexibility to review multiple/all of the job types referenced; serving as a flex reviewer to support the daily demands of estimate uploads.
- Communicate directly with franchisees and insurance carriers to ensure that these requirements are being met.
- Communication expectations include inbound and outbound phone calls validation CMS claim management system notes email MS Teams and other potential software/communication applications
- Coach franchises on opportunities to improve their estimating and documentation performance
- Identify and communicate trends to Team Managers Account Managers Regional Business Coaches and other organizational stakeholders.
- Provide assistance to franchises on estimating requirements and claim expectations based on carrier guidelines and support technical claim inquiries across the estimating/claim management platforms.
- Provide support to the Team Manager and other leaders in the onboarding process of new team members and those in new positions acting as a key support role in organizational and departmental success.
- The support provided to the franchise network and carrier partners provides an opportunity for Paul Davis to obtain more jobs through improved scorecard performance.
- Other duties as assigned.
Competency Knowledge Skills and Abilities:
- Proficient use of a laptop and operating accessories
- Proficient use of Microsoft Office applications (Outlook Teams OneDrive SharePoint Forms PowerPoint Word Excel)
- Subject matter expert-level knowledge and performance excellence within the insurance industry including but not limited to mitigation contents and reconstruction concepts operational practices and verbiage
- Ability to move through reviews of varying job types estimate severity and complexity
- Assertive professional communication skills - adaptive communication based on the context of the information being conveyed both verbal and written
- Proficient use of technology applications including the creation of new documents
- Ability to independently problem solve resolve conflicts and manage priorities
- Ability to learn and implement new processes related to our industry and the specific duties and responsibilities required to be successful in this role
- Ability to review estimates documentation and commentary promptly with a focus on estimating accuracy
- Ability to complete multiple reviews within a given time frame
- Knowledge of estimating platforms; Verisk CoreLogic Symbility and other estimating software
- Knowledge of estimating principles for the insurance industry
- Ability to learn and operate our primary operating systems
- Ability to successfully pass required industry and company certifications on first attempt
- Ability to answer and communicate with PDRI independent franchises and PDO offices via phone and email
- Ability to work with office equipment (fax scanner printer phone system computers)
- Ability to work in our main operating systems
- Ability to work independently
- Ability to pass and maintain a satisfactory background check
- Ability to maintain a level of confidentiality
- Ability to follow our Paul Davis Values Vision Mission and 10 Serving Basics
Required Education and Experience
- High school diploma or GED
- Bachelors degree or equivalent experience in insurance claims or related field
- One plus years of experience with industry estimating/estimate review.
- Two plus years of experience with contracting and/or fieldwork for a given trade
Preferred Education and Experience
- Experience serving in a customer service role.
- One plus years of experience with industry estimating/estimate review.
- 5 plus years experience in the restoration industry regarding water mitigation/mold remediation abatement contents fire structure cleaning and reconstruction.
Physical Requirement
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee is occasionally required to sit climb or balance stoop or kneel. Specific vision abilities required by this job include close vision distance vision color vision peripheral vision depth perception and the ability to adjust focus.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee is occasionally required to sit climb or balance stoop or kneel. Specific vision abilities required by this job include close vision distance vision color vision peripheral vision depth perception and the ability to adjust focus.
- Must be able to stay in a stationary position up to 100% of the time
- The person in this position needs to occasionally move about inside the office to access file cabinets office machinery etc.
- Constantly operates a computer and other office productivity machinery such as a calculator fax machine copy machine and computer printer.
- Must be able to observe and perceive information on a computer and documents
- Must be able to communicate and converse with customers over the phone
- Occasionally will lift up to 10lbs
- Ability to safely operate a company vehicle
Work Environment
The employee will be working remotely in their home office and will be exposed to normal conditions of air conditioning and heat. Most work will be conducted over email video conferencing and telephone. Employee must have access to a stable internet connection when working out of the office. Employee must use the provided VPN technology to securely connect remotely. The successful person must be productive with minimal supervision.e.
Travel
This position may require up to 10% travel. This position may require travel to franchise locations trainings and team meetings.
Reasonable Accommodation for Disability
Any applicant or employee who believes that a reasonable accommodation is required for purposes of federal or state disability law is required to contact Human Resources to begin the interactive exchange process.
The ADA defines reasonable accommodation as a change or adjustment to a job or work environment that allows a qualified individual with a disability to satisfactorily perform the essential functions of a particular job and does not cause an undue hardship for the employer.
Disclaimer
Paul Davis Restoration is an equal opportunity employer. Paul Davis Restoration provides equal employment opportunity to all individuals regardless of their race color creed religion gender age sexual orientation national origin disability veteran status or any other characteristic protected by state federal or local law.
Disclaimer
Paul Davis Restoration is an equal opportunity employer. Paul Davis Restoration provides equal employment opportunity to all individuals regardless of their race color creed religion gender age sexual orientation national origin disability veteran status or any other characteristic protected by state federal or local law.
The job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee. Other duties responsibilities and activities may change or be assigned at any time with or without notice.
Flexible work from home options available.
Compensation: $57500.00 - $65000.00 per year
We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability status protected veteran status or any other characteristic protected by law.
Since 1966 Paul Davis has been an industry leader in the areas of property damage mitigation reconstruction and remodeling. With more than 370 offices in our franchise network the company serves residential institutional and commercial customers and clients across the United States and Canada.
We have built our heritage one project at a time establishing a reputation for performance integrity and responsibility among customers and carriers alike. Whether property damage is caused by water fire smoke storms or other disasters we deliver on our promise to deliver excellence expertise and a customer experience that is second to none. At Paul Davis our passion for quality drives everything we do.
Our Vision:
To Provide Extraordinary Care While Serving People In Their Time Of Need.
Our Values:
Deliver What You Promise
Respect The Individual
Have Pride In What You Do
Practice Continuous Improvement
Our Mission:
To provide opportunities for great people to deliver Best in Class results
Required Experience:
IC
About Company
Are you Looking for an exciting opportunity? A problem solver who likes being in control of your own destiny? A person with a ravenous sense of urgency? An opt...
