Claims Advocate 1

Job Type

Full-time

Description

One Claim Solution is a fast-growing insurance billing company based in Gilbert, AZ. Our contractors are the backbone of America-small, independent businesses that repair homes damaged by floods and fire. These businesses hire OCS to help with insurance claims billing. We use our expertise in working with property casualty insurance companies to help contractors get paid more, faster so they can run their businesses better.

The primary function of the Claims Advocate 1 position is to negotiate and settle claims with insurance adjusters. In this role, you'll be a key part of a small team to deliver results. Your team will aim to get paid as much as possible, as quickly as possible on claims. OCS pays a generous performance bonus to teams that deliver results on a quarterly basis!

Requirements

Primary responsibilities include, but are not limited to:

• Oversee settlement process of assigned claims on behalf of contractors
• Evaluate offers from adjusters, then provides justification for additional payments or settles for awards based on careful analysis
• Collaborate with team members to determine the optimal path to optimize payment and timeline
• Review claim and invoice documentation, insurance policies and internal protocols and strategies to improve justifications and payment outcomes
• Identify and elevate early settlement opportunities and ensures an overall timely and appropriate settlement
• Build positive relationships by going above and beyond with customer service, ensuring that all questions, cancellations, and confirmations are handled appropriately
• Keep accurate and effective records of claims actions taken, using CRM and other software
• Meet daily qualitative and quantitative targets for yourself and your team, and achieve all

Candidate profile and capabilities

• Strong negotiation capabilities
• Attention to detail with ability to read, absorb and critically evaluate insurance policies
• Professional communication, both written and oral
• Problem solver with a high degree of perseverance and creativity to find solutions
• Self-directed with strong work ethic and ability to manage a high volume of claims
• Eager and curious to learn new things
• Ability to navigate conflict and de-escalate tension to create a professional, problem-solving oriented work environment
• Results orientation with focus on activities that deliver outcomes and meet KPI targets

Experience and qualifications

• At least 2 years' experience in insurance claims administrative roles as an adjuster or similar role
• Working towards IICRC or AIC certification preferred

Benefits we offer:

• High growth company with room for internal advancement for employees
• Low cost Medical, Dental, Vision Insurance
• Paid Parental Leave
• 3+ Weeks of Paid Vacation Time
• Paid Sick Time
• Performance bonus

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