File Reviewer

Posted 3 Days Ago
Be an Early Applicant
Indianapolis, IN, USA
In-Office
Mid level
Insurance
The Role
Perform commercial and large-loss claim file reviews for accuracy, adherence to client and carrier guidelines, and quality standards. Package interim and final work, audit closed files, advise staff and management on issues or exemplary performance, and help design process improvements.
Summary Generated by Built In

File Reviewer

Property Claims

Commercial / Large Loss

 

Elevate is searching for additional contract review staff to assist with commercial claims quality file reviews.  Hours are flexible within certain time parameters.

This is a part time contract position that varies with the seasons and weather events.  Compensation is on a 1099 basis, per file, for work performed. 

Position Duties & Responsibilities

  • Reviews claim submissions from the field staff and audits work product for accuracy, professionalism, and adherence to Elevate, carrier, and industry requirements.
  • Packages and provides interim and finished work product to the carriers and advances diaries and / or invoices and closes files as necessary.
  • Alerts management of developing or potential issues on claim files as observed.
  • Alerts management to exceptional performance on claim files as observed.
  • Provides direction and guidance to staff to ensure that they have sufficient knowledge and skill to provide exemplary customer service and resolve claims timely and equitably across all lines of business.
  • Reviews client guidelines in order to ensure adherence to client requirements and policyholder expectations.
  • Conducts closed file audits as assigned to ensure that claims are handled according to company policies and procedures.
  • Assists in design of workflows, processes, and techniques with a focus on continual process development.

Requirements & Qualifications

  • Three years minimum experience of increasing claims responsibility.
  • Prior file review experience in a claim handling setting.
  • Experience in both carrier and independent adjusting roles is preferred.
  • Experience in commercial and personal lines claims is required.
  • Demonstrated effective verbal and written communication ability.
  • Effective customer service, organization, influence, critical thinking, conflict management, and teamwork skills.
  • Demonstrated self-motivation with the ability to plan, organize, and complete tasks independently without close supervision.
  • FileTrac experience is preferred.
  • Xactimate / Xactanalysis experience is preferred.
  • Symbility experience is a plus.
  • Complex loss experience is a plus.

 

 



Skills Required

  • Minimum three years of increasing claims responsibility
  • Prior file review experience in a claim handling setting
  • Experience in commercial and personal lines claims
  • Demonstrated effective verbal and written communication ability
  • Effective customer service, organization, influence, critical thinking, conflict management, and teamwork skills
  • Ability to plan, organize, and complete tasks independently without close supervision
  • Experience in both carrier and independent adjusting roles
  • FileTrac experience
  • Xactimate / Xactanalysis experience
  • Symbility experience
  • Complex loss experience
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The Company
HQ: Indianapolis, IN
20 Employees
Year Founded: 2020

What We Do

Elevate is a team of tenured insurance professionals with diverse backgrounds, united through our commitment to Elevate Claim Service and Quality within the Property and Casualty Insurance Industry. Our combined experience yields layers of strong relationships within the industry. We leverage our network to procure tenured talent and develop new talent.

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