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Insurance Claims Manager in Memphis, TN at ServiceMaster

Date Posted: 2/21/2018

Job Snapshot

Job Description

Manages validation of claims and may assist with the more complicated issues, process improvement, call handling statistics, communication with management and vendors, software changes, process/efficiency changes and training.

Responsibilities
• Performs validation of claims submitted to the insurance carriers in the Managed Mitigation Program (MMP) including: validation of equipment sizing and correct invoicing of line items, correctly noted equipment placement, water flow, and psychometric review of data to show grain depression in the record of drying conditions, etc.
• Manages the day to day activities of the Managed Mitigation Program and serves as the escalation point and subject matter expert.
• Assists team in meeting set objectives and goals, while maintaining budget requirements.
• Travels as needed to build and maintain key insurance relationships to ensure compliance to current claims review program and the development of ideas of how to continually improve and expand the relationship with the customer.
• Manages multiple complex projects/business process improvement initiatives simultaneously.
• Assists with data gathering and process improvement.
• Compiles and analyzes call handling statistics and maintains all franchise lead dispute process completion and statistics.
• Provides support and communication to Disaster Restoration team, Regional management team and approximately 650 participating QRV franchises.
• Communicates with vendor to provide job knowledge and productivity consistency.
• Coordinates with IT on software changes and additions.
• Develops communication and training material related to RESPOND/866RECOVER.
• Recommends efficiency improvements for the Claims Capture Unit.
• Presents claims-related overview and training to the QRV academy

Education and Experience Requirements
• Bachelor degree and/or 4+ years of relevant experience in management, operations, or call center experience

Knowledge, Skills, and Abilities
• Ability to autonomously work on multiple, complex and highly important business projects
simultaneously
• Ability to apply and explain psychometric theory
• Ability to manage and direct work flow and continually improve processes
• Ability to manage people
• Ability to focus on detail
• Ability to read and interpret contracts and insurance program guidelines
• Ability to travel up to 25% of the time
• Positive interaction with internal customers and external customers
• Good communication skills, both verbal and written
• Ability to balance multiple objectives
• Knowledge of Microsoft Products

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.

ServiceMaster is committed to Diversity and Inclusion. We encourage diverse candidates to apply to this position.

An Equal Opportunity/Affirmative Action Employer – of Minorities/Females/Veterans/Individuals with Disability/Sexual Orientation/Gender Identity

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