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Claim examiner • stockton ca
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Full-Service Claim Estimator
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Join Our National Team as a Full-Service Claim Estimator
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 300+ franchise locations across North America, seeks a Full-Service Claim Estimator.
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 Estimator is to complete estimates and documentation on behalf of franchise locations through a centralized, remote estimating program. These estimates will be delivered based on Service Level Compliance to carrier guidelines, estimating platform best practices, and based on industry standards, with work standards focused on accuracy, speed, and customer service. This position will assist with support of the department and network during a catastrophe event.
Position : Full-Service Claims Estimator
Reports to : Director of Estimating
Location : Hybrid
Essential Duties / Responsibilities :
- Complete preliminary estimates, final invoices, support revisions, and supplement creation through accurate and timely estimating practices on 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 efficient remote estimation leveraging subject matter expertise and franchise-provided documentation and commentary for specific job types that include but are not limited to : water, mold, fire, tarping, board-up, biohazard, abatement, other emergency services, contents, and reconstruction.
- Estimates created will 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 write estimates for multiple / all of the job types referenced; serving as a flex estimator to support the daily demands of estimate uploads.
- Communication expectations include inbound and outbound phone calls, Validate, 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 :
Required Education and Experience :
Preferred Education and Experience :
Physical Requirements :
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 provided VPN technology to securely connect remotely. The successful person must be productive with minimal supervision.
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.
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.