Resolution/Escalation Specialist

Choice Home Warranty•Sunrise, FL

About The Position

Resolution/Escalations Specialist needed at Choice Home Warranty Exciting opportunities now available for EXPERIENCED Escalations, Resolution Specialist. We are expanding our team and recruiting motivated and professional individuals . The ideal candidate will have experience detailing customer account information and following established policies and procedures to review individual warranty claims. Must be extremely organized, have great communication skills, and the ability to work effectively, independently, and as part of a team!

Requirements

Proficiency in Microsoft Office applications (Word, Excel, PowerPoint, Outlook)
Demonstrated history of relationship management process
Commitment to providing high level customer service
Able to work independently and enjoy a high degree of interaction with team members
Ability to contribute to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior and effort to achieve goals and objectives
Self-motivated and driven
Maintain a sense of urgency and ability to work with and meet deadlines
Demonstrate effective written and verbal communication, including the ability actively listen, and problem solve with minimal assistance
Demonstrates excellent time management and prioritization skills
Attention to detail and commitment to a high level of accuracy
The ability to multi task, prioritize, work independently, and use discretion surrounding sensitive information
Ability to maintain a professional demeanor and positive attitude
Ability to learn new concepts quickly and be open to feedback
Results driven with strong problem solving and analytical skills
College degree or the recognized equivalent in education and experience preferred
2 years of claims related experience in insurance industry preferred

Responsibilities

Develop, investigate, analyze and execute plan of action for pending appeals on claims to determine coverage and eligibility; utilize and manage resources
Prioritize and review new appeals on claims; initial review to identify any missing information prior to submission in order to expedite the claim outcome
Provide excellent customer service while still maintaining regulatory standards; professionally communicate claim status and decisions both verbally and in writing
Act as primary contact for all claim case processing
Maintains ownership of cases during the appeal process; reviews case on a routine basis; Communicate with team regarding case processing issues and discuss resolution as necessary
Perform all other duties as assigned by supervisor
This description is not meant to be all-inclusive and may be modified from time to time at the discretion of management.