Insurance Claim Reviewer at Service Experts in Richardson, Texas

Job Description:

Job Summary: Service Experts, a leading HVAC company, is seeking an experienced Insurance Claims Reviewer to oversee and manage all insurance claims filed on behalf of our company. The successful candidate will leverage their expertise as a former Insurance Adjuster to ensure the accuracy and validity of claims related to home damages and auto accidents involving Service Experts' personnel or assets.


Key Responsibilities:

• Review and assess all insurance claims filed on behalf of Service Experts, including claims related to home damages and auto accidents.


• Investigate the validity and accuracy of each claim, gathering necessary documentation and evidence to support the claim process.


• Collaborate with various departments within Service Experts, such as Legal, HR, and Operations, to ensure a comprehensive understanding of each claim.


• Communicate with insurance companies, adjusters, and other relevant parties to negotiate fair settlements and resolve any discrepancies or disputes.


• Maintain detailed records of all claims, including documentation, correspondence, and resolution outcomes.


• Identify trends or patterns in claims and provide recommendations to management for risk mitigation and process improvements.


• Stay current with industry trends, regulations, and best practices related to insurance claims management in the HVAC sector.

• Bachelor's degree in Business Administration, Finance, or a related field.


• Minimum of 5 years of experience as an Insurance Adjuster, with a strong understanding of claims processes and procedures.


• Familiarity with HVAC systems and the unique challenges associated with home damages and auto accidents in this industry.


• Excellent analytical and investigative skills, with a keen eye for detail.


• Strong negotiation and communication skills, with the ability to collaborate effectively with various stakeholders.


• Proficient in Microsoft Office Suite and claims management software.


• Knowledge of relevant insurance laws, regulations, and industry best practices.