Full-Service Reviewer (QA Specialist)
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 reputed company - 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 reputed company Office applications (Outlook, Teams, OneDrive, SharePoint, Forms, PowerPoint, Word, Excel) reputed company reputed company 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 reputed company, with a focus on estimating accuracy Ability to complete multiple reviews within a given time frame Knowledge of estimating platforms; reputed company, reputed company, Symbility, and other estimating software Knowledge of estimating principles for the insurance industry Ability to learn and operate our primary
