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Claims Analyst

2 months ago

Jacksonville, United States Paul Davis Restoration Full time

Do you want to make an Impact in your community in a diverse and inclusive company, working in a dynamic and growing industry, while supporting your personal and professional journey in your career?

Position Summary:

Paul Davis Restoration, Inc. is a national franchise organization that provides property damage emergency services, restoration and reconstruction services for residential and commercial properties due to water, fire, mold, storm and other disasters. The Paul Davis Network is made up of more than 350 franchises across the US and Canada. Since 1966, we have helped more than 2 million property owners restore their properties and lives. Paul Davis Restoration, Inc. is owned by First Service Corporation, a global leader in the rapidly growing real estate services sector. [More information about Paul Davis can be found at www.PaulDavis.com]. In our business, training of local marketing professionals is critical to the continued success of the Network. This Quality Assurance Analyst will serve as a member of the Quality Assurance team. The primary responsibility of the Quality Assurance Analyst is to complete estimate and documentation reviews on mitigation assignments for Service Level Compliance to carrier partner guidelines and based on industry standards, with work standards focused on accuracy, speed, and customer service. This position will also assist with support of the department and network during a Catastrophe Event.

Essential Duties/Responsibilities:

Complete accurate and timely estimate and documentation reviews through our main technology platforms; XactAnalysis, Symbility, CMS (NextGear product), and other estimating/claim management platform

Accuracy of work is measured by internal reinspection

Timeliness of work is measured by automated reporting between documented events

Estimate and documentation reviews for mitigation assignments, which include, but is not limited to: water, mold, tarping, board-up, and other emergency services

These reviews include utilization of knowledge of industry standards, carrier guidelines, and estimating best practices to ensure adherence to carrier service level agreements

Communicate directly with franchisees and insurance carriers, to ensure that these requirements are being met

Communication expectations include inbound and outbound phone calls, claim management system notes, email, MS Teams, and other potential applications

Coach franchises on opportunities to improve their estimating and documentation performance

Identify and communicate trends to Team Managers, Account Managers, and Regional Business Consultants

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

The support provided to the franchise network and carrier partners provides an opportunity for Paul Davis to obtain more jobs through improved scorecard performance

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)

General knowledge of the insurance industry, including mitigation, contents, and reconstruction concepts and verbiage

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 conflict, 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 water, mold, fire, and temporary repair mitigation estimates in a timely manner

Ability to complete multiple reviews within a given time frame

Knowledge of estimating platforms; Xactware Products, 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 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

Required Education and Experience:

High School Diploma or GED

Bachelor’s Degree or equivalent experience in insurance claims or related field

1 plus years’ experience with document review or similar analytical job experience

Preferred Education and Experience:

Experience serving in a customer service role.

Experience in the restoration industry regarding water mitigation, mold remediation, lead and asbestos abatement, contents cleaning, contents packing, structure cleaning, and reconstruction.

Physical Requirement:

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 indoors. The employee will be exposed to air conditioning and heat. The employees will be exposed to normal noises throughout the office.

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.

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.

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.

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