Claims Examiner

Position Description:

Responsible for performing quality assurance reviews, following specific client estimating guidelines/Best Practices, and ensuring all estimates/reports are technically accurate. Must be able to work equally well in both self-directed and team environments, take ownership of the file from assignment to closure and possess the ability to work closely with field resources throughout the claim process.

Duties and Responsibilities:

 Maintain contact with field adjusters to ensure timely inspection and estimate/report submissions.

 Review adjuster reports and estimates to ensure estimates are technically accurate and meet appropriate industry guidelines and standards for repair.

 Understand and follow all Best-Practices guidelines to ensure that all client expectations are met.

 Knowledge of insurance policies and appropriate application of coverage.

 Confirm all appropriate file documentation is included for completion of the review process.

 Interact with adjusters to obtain or make any necessary estimate corrections.

 Respond timely and appropriately to followups/requests for the client.

 Monitor and maintain individual queue to ensure that files are being completed timely.

 Understand and work within multiple client systems, programs and guidelines.

 Ability to work within Symbility and Xactimate estimating platforms.

 Assist with training adjusters on client specific requirements when necessary.

 Responsible for sending company reports as requested.

 All other duties as required.

Requirements:

 Minimum 2 years experience in property adjusting or construction industry knowledge

 Proficient computer skills

 Strong time management and organizational skills

 Excellent written and verbal communication skills

 Experience in both Xactimate and Symbility estimating platforms

 Knowledge of insurance policies/contracts and ability to apply proper coverage

 Secure and maintain appropriate licenses as required

RYZE reserves the right to modify, interpret, or apply this job description in any way the RYZE desires. This job description in no way implies that these are the only duties, including essential functions, to be performed by the Employee occupying this position. This job description is not an employment contract, implied or otherwise. The employment relationship remains at will. RYZE is an Equal Opportunity Employer.