Restoration Claims Specialist

CRS is an industry leader with over 35 years of experience in assisting insurance carriers and their policyholders during crises. The Restoration Claims Specialist is responsible for managing the claims process, ensuring accuracy and compliance while providing exceptional customer service throughout the restoration claims process.

Responsibilities

• Work cross-functionally with policyholders, adjusters, and contractors to manage restoration claims effectively
• Serve as the primary point of contact, ensuring clear and timely communication
• Evaluate claims to determine the most appropriate general contractor assignment
• Receive and review incoming claims for completeness, accuracy, and validation of loss details, including affected areas and supporting documentation
• Enter and update policyholder and adjuster details in Salesforce, ensuring accurate tracking and status updates
• Organize and maintain digital claim files, including policyholder agreements, Certificates of Completion (COC), invoices, payment collections and others as required
• Schedule and coordinate claim milestones, ensuring deadlines and key performance indicators (KPIs) are met
• Utilize industry portals and systems to identify and assign qualified general contractors based on geographic area and claim specifics
• Collaborate with the contractor sales team to proactively source and onboard new general contractors when necessary to ensure timely claim resolution
• Review claim estimates and quotes to ensure they align with customer needs before submission to adjusters
• Identify and escalate discrepancies or red flag claims to the Department Head
• Ensure claims data entry and processing adhere to internal standards and compliance regulations
• Maintain comprehensive logs of all claim-related communications and activities
• Conduct self-audits to verify data accuracy and proactively correct any discrepancies
• Update customer contact preferences to align with communication and estimating guidelines
• Performs other related duties as necessary or assigned

Skills

• Strong ability to build rapport and trust with new contacts
• Exceptional customer service skills
• Demonstrated verbal and written communication skills
• Strong work ethic and determination
• Ability to set, meet, and exceed goals
• Intermediate skills with Microsoft Office (Excel, Word, Outlook, PowerPoint)
• Ability to manage multiple claims while maintaining meticulous records
• Problem-solving skills to identify discrepancies and proactively resolve issues
• High School Diploma or equivalent required
• Local Phoenix candidates are preferred
• Typing speed of 40 WPM preferred
• College Coursework preferred
• Experience with the construction industry preferred
• Proficiency in Salesforce and claims management systems preferred

Benefits

• Annual bonus based on company performance

Company Overview