Claim Resolution Specialist at Bulldog Adjusters | Torre

Claim Resolution Specialist

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Full-time

Legal agreement: Employment

Compensation
USD6 - 9/hour
Negotiable
location_on
Remote (for México residents)
Remote (for Colombia residents)
Remote (for Perú residents)
Remote (for Venezuela residents)
flightsmode
Visa sponsorship: No
Posted about 1 year ago

Responsibilities


Job Title: Resolution Specialist Reports to: Claims Manager Location: Remote Job Type: Full-Time Position Overview The Resolution Specialist will work directly with Public Adjusters and insurance carriers to maximize insurance claim payouts by identifying, documenting, and advocating for supplement items. This role is key in preparing and submitting supplements, following up with insurance companies, and facilitating resolutions to ensure fair settlements. The contributions of this position will directly influence success, efficiency, and client satisfaction. Key Responsibilities * File Review and Preparation * Review insurance claims, estimates, and supporting documentation to identify potential supplements. * Ensure all claim details are accurate and compliant with insurance carrier guidelines. * Documentation * Work with the intake and claims team to prepare and submit complete supplement packages, including line-item estimates, photographs, and other required documentation. * Maintain accurate records of claim progress and communication within CRM systems. * Insurance Company Engagement * Contact insurance carriers to present claim differences and obtain payment for supplemental items. * Provide clear explanations of supplement requests to adjusters and claims representatives. * Follow up persistently to resolve outstanding supplements and ensure timely payments. * Communication * Act as a liaison between roofers, contractors, and insurance carriers to facilitate approvals and resolve discrepancies. * Keep contractors informed of claim progress and outcomes with professional communication. * Collaboration * Work closely with Public Adjusters and contractors to coordinate claims and resolve issues effectively. * Share insights and feedback with internal teams to improve workflows and service quality. * Process Improvement * Provide recommendations to enhance supplementing procedures. * Refine internal processes to improve efficiency, accuracy, and client satisfaction. What We’re Looking For Experience: * Minimum of 2 years in supplementing, estimating, or related roles in the roofing or insurance industry. * Experience with insurance claims processes and collaboration with adjusters. Skills: * Proficiency with estimating software (e.g., Xactimate or similar platforms). * Strong negotiation and communication skills. * Organizational skills and attention to detail. * Ability to manage multiple claims and meet deadlines. Mindset: * Tenacious: determined to push claims forward, overcome challenges, and achieve strong outcomes. * Communicative: clear, timely, and professional communication with all parties. * Innovative: ability to find creative solutions to improve processes and deliver results. * Team-oriented: values collaboration, supports colleagues, and works toward shared success. Important Note: This role is 100% remote, but candidates must work American hours. Applicants must already have experience in this role, as training will only cover internal systems and processes.