Talent.com
Claims Coordinator

Claims Coordinator

IICRCAmerican Canyon, CA, US
30+ days ago
Job type
  • Full-time
Job description

Claims Coordinator

As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensuring that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. The Coordinator will be responsible to follow up daily with the OPS team to ensure that all required documentation, estimates, and procedures are followed according to required program guidelines.

A successful Coordinator will possess tenacity and thrives in a fast-paced environment. The coordinator who is detail oriented and able to focus with many projects in varying degrees of completion will be most successful in this position.

Job Responsibilities

  • Understanding of the claims flow process Water Mitigation, Reconstruction, Contents, and other Environmental work
  • Manages data entry for each claim from First Notice of Loss through to completion of job in the CRM system
  • Daily review of compliance tasks and all job tasks are completed on time
  • Monitor and update jobs in required operating system making sure the job flows efficiently through the claims process requirements and cycle times
  • Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance / mortgage information not obtained on initial call
  • Creates and or assists with job estimate, reviews final estimate to ensure estimate is complete per company standards
  • Manages Customer Service issues and complaints, documenting actions and resolution
  • Understanding of all company cycle times and SLAs required for each job and phase
  • Client Care Calls ensure constant, often daily, communication with the customer, may communicate with adjuster
  • Ensure daily notes are entered in all jobs, contacting relevant participants and escalating to the department manager as required
  • May be responsible for creating job estimate and or assisting the Estimator / Project Manager with final estimate

Job Requirements

  • High school diploma / GED required
  • Bachelor's Degree or applicable experience preferred, work experience will be considered
  • IICRC Certifications preferred but not required : WTR, ASD, OCT, STC
  • Exceptional Customer Service skills
  • 1-3 years of Xactimate experience required- proficient use Xactimate 28
  • Experience with Microsoft Office application (Word, Outlook, PowerPoint, and Excel) required
  • Personal time management and organizational skills
  • Strong verbal and written communication skills
  • Dependable and adaptable to operate within a fast-paced work environment
  • Ability to manage highly confidential information
  • Strong problem-solving skills
  • Proficient at using Microsoft Office, Outlook, CRM software
  • Experience with customer interaction and conflict resolution
  • Physical Demands and Working Conditions

    The physical demands are representative of those that must be met by an employee to perform the essential function to this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Incumbent must be prepared to :

  • Move up to 20 pounds occasionally, by lifting, carrying, pushing, pulling, or otherwise repositioning objects.
  • Sitting for long periods of time while using office equipment such as computers, phones, etc.
  • Fingering and Repetitive motions; such as movement of wrists, hands, and fingers while picking, pinching, and typing during your normal working environment.
  • Express or exchange ideas with others quickly, accurately, and receive and act on detailed information.
  • Close visual acuity to perform detail-oriented activities at distances close to the eyes, such as preparing and analyzing data, viewing computer screen, and expansive reading.
  • Be exposed to various inside working conditions : The change of building environment such as with or without air conditioning and heating. May be required to travel for short periods of time.
  • Disclaimer : The above statements are intended to describe the general nature and level of work being performed by associates assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. The Company reserves the right to modify this description in the future, with or without notice to the employee. This Job Description does not create an employment contract, implied or otherwise, and employment with the Company remains at will. These responsibilities are subject to possible modification to reasonably accommodate individuals with disabilities.

    Create a job alert for this search

    Coordinator • American Canyon, CA, US

    Related jobs
    • Promoted
    Claims Assistant

    Claims Assistant

    VirtualVocationsConcord, California, United States
    Full-time
    A company is looking for a Claims Assistant - Casualty.Key Responsibilities Support first notice of loss and new claim setup processes and manage the general claims inbox Input and route financi...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Processing Supervisor

    Claims Processing Supervisor

    VirtualVocationsConcord, California, United States
    Full-time
    A company is looking for a Supervisor of Claims.Key Responsibilities Organize and supervise the Claims Processing Department and mail room Set and maintain operational standards for the departme...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Specialist

    Claims Specialist

    VirtualVocationsSanta Rosa, California, United States
    Full-time
    A company is looking for a Claims Specialist to resolve complex claims and advocate for members navigating their healthcare benefits. Key Responsibilities Resolve complex claims issues by investig...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Coordinator

    Claims Coordinator

    ServiceMasterAmerican Canyon, CA, US
    Full-time
    As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs wh...Show moreLast updated: 30+ days ago
    • Promoted
    Healthcare Claims Analyst

    Healthcare Claims Analyst

    VirtualVocationsSanta Rosa, California, United States
    Full-time
    A company is looking for a Claims Analyst (Healthcare) to support their team in a remote capacity.Key Responsibilities Research, resolve, and follow up on rejected or unpaid pharmacy claims for a...Show moreLast updated: 9 days ago
    • Promoted
    Facilities Coordinator

    Facilities Coordinator

    NALS Apartment HomesFairfield, CA, United States
    Full-time
    NALS Apartment Homes believes that an apartment is not simply a place to live, but a place to call home.We embrace opportunities for personal and professional growth, and encourage our employees to...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Claims and Payments Director

    Claims and Payments Director

    VirtualVocationsConcord, California, United States
    Full-time
    A company is looking for a Claims & Payments Director.Key Responsibilities Interface directly with providers on claims policies and disputes Lead the Payment Policy Committee and provide policy ...Show moreLast updated: 18 hours ago
    • Promoted
    Claims Processing Coordinator

    Claims Processing Coordinator

    VirtualVocationsConcord, California, United States
    Full-time
    A company is looking for a Coordinator I, Recoveries.Key Responsibilities Process claims within specified performance guarantee timeframes to mitigate financial liabilities Collaborate with requ...Show moreLast updated: 1 day ago
    • Promoted
    Claims Supervisor

    Claims Supervisor

    VirtualVocationsSanta Rosa, California, United States
    Full-time
    A company is looking for a Claims Supervisor to lead a team of Claims Processors and ensure accurate claims processing for employer-sponsored health plans. Key Responsibilities Oversee claims proc...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Escalation Specialist

    Claims Escalation Specialist

    VirtualVocationsConcord, California, United States
    Full-time
    A company is looking for a Claims Escalation Specialist responsible for reviewing and processing healthcare claims and escalations. Key Responsibilities Review and analyze healthcare claims to ens...Show moreLast updated: 2 days ago
    • Promoted
    Billing Coordinator

    Billing Coordinator

    VirtualVocationsConcord, California, United States
    Full-time
    A company is looking for a Billing Coordinator Remote.Key Responsibilities Coordinate and support billing functions for assigned clinicians, ensuring timely charge completion and billing Act as ...Show moreLast updated: 30+ days ago
    • Promoted
    Claims Team Lead

    Claims Team Lead

    VirtualVocationsConcord, California, United States
    Full-time
    A company is looking for a Team Lead, Claims.Key Responsibilities Manage a team of 12-15 claims examiners and adjusters Ensure adherence to client guidelines and monitor staff productivity and a...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Physical Therapist (PT) - $2,551 per week in Saint Helena, CA

    Travel Physical Therapist (PT) - $2,551 per week in Saint Helena, CA

    AlliedTravelCareersSaint Helena, CA, US
    Full-time
    AlliedTravelCareers is working with Medical Solutions to find a qualified Physical Therapist (PT) in Saint Helena, California, 94574!. A facility in Saint Helena, CA is seeking its next amazing PT (...Show moreLast updated: 30+ days ago
    • Promoted
    Travel CT Tech - $2,488 to $2,759 per week in Saint Helena, CA

    Travel CT Tech - $2,488 to $2,759 per week in Saint Helena, CA

    AlliedTravelCareersSaint Helena, CA, US
    Full-time
    AlliedTravelCareers is working with LRS Healthcare to find a qualified CT Tech in Saint Helena, California, 94574!.Ready to start your next travel adventure? LRS Healthcare offers a full benefits p...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Physical Therapist (PT) - $1,820 to $3,000 per week in Saint Helena, CA

    Travel Physical Therapist (PT) - $1,820 to $3,000 per week in Saint Helena, CA

    AlliedTravelCareersSaint Helena, CA, US
    Full-time
    AlliedTravelCareers is working with CompHealth to find a qualified Physical Therapist (PT) in Saint Helena, California, 94574!. When it comes to finding the perfect locums assignment, sometimes it i...Show moreLast updated: 19 days ago
    • Promoted
    Healthcare Claims Operations Supervisor

    Healthcare Claims Operations Supervisor

    VirtualVocationsSanta Rosa, California, United States
    Full-time
    A company is looking for a Service Operations Supervisor in the Healthcare Claims Department.Key Responsibilities Oversee daily tasks and workflow of a team of associates, ensuring quality manage...Show moreLast updated: 2 days ago
    • Promoted
    Claims Resolution Coordinator

    Claims Resolution Coordinator

    Partnership HealthPlan of CaliforniaSanta Rosa, CA, US
    Full-time
    To research and resolve complex claims issues which cross interdepartmental lines and communicate the outcome to providers and affected PHC managers. Develops and maintains provider training materia...Show moreLast updated: 30+ days ago
    • Promoted
    Travel Telemetry RN

    Travel Telemetry RN

    Medical SolutionsSaint Helena, CA, US
    Full-time
    Medical Solutions is seeking a travel nurse RN Telemetry for a travel nursing job in Saint Helena, California.Job Description & Requirements. We’re seeking talented healthcare professional...Show moreLast updated: 30+ days ago