Reviewer (QA Analyst)

Paul Davis Restoration • Jacksonville, FL

4d • $50,000 - $55,000 • Hybrid

About The Position

Join Our National Team as a Reviewer! Are you looking to leverage your expertise to grow a role that offers varied and challenging work? Our company, a leading parent organization that owns and operates 300+ franchise locations across North America, seeks a Reviewer. In this role, you will serve as a member of the Claims Force Team (formerly known as the Quality Assurance). The primary responsibility of the Reviewer is to complete estimate and documentation reviews on direct program assignments for Service Level Compliance to carrier partner guidelines, estimating platform best practices, and based on industry standards, with work standards focused on accuracy, speed, and customer service. This position will assist with support of the department and network during a catastrophe event.

Requirements

• Proficient use of a laptop and operating accessories
• Proficient use of Microsoft Office applications (Outlook, Teams, OneDrive, SharePoint, Forms, PowerPoint, Word, Excel)
• General proficiency-level knowledge of the insurance industry, including but not limited to mitigation, contents, and reconstruction operational practices, and verbiage
• Ability to move through reviews of varying job types, estimate severity, and complexity
• Assertive, professional communication skills - adaptive communication based on the context of the information being conveyed, both verbal and written
• Proficient use of technology applications, including the creation of new documents
• Ability to independently problem solve, resolve conflict, and manage priorities
• Ability to learn and implement new processes related to our industry and the specific duties and responsibilities required to be successful in this role
• Ability to review estimates, documentation, and commentary in a timely manner with a focus on estimating accuracy
• Ability to complete multiple reviews within a given time frame
• Knowledge of estimating platforms; Verisk, CoreLogic, Symbility, and other estimating software
• Knowledge of estimating principles for the insurance industry
• Ability to learn and operate our primary operating systems
• Ability to successfully pass required industry and company certifications on first attempt
• Ability to answer and communicate with PDRI, Independent franchises and PDO offices via phone and email
• Ability to work office equipment (fax, scanner, printer, phone system, computers)
• Ability to work in our main operating systems
• Ability to work independently
• Ability to pass and maintain a satisfactory background check
• Ability to maintain a level of confidentiality
• High School Diploma or GED
• Bachelor’s degree or equivalent experience in insurance claims or related field
• One plus years experience with document review or similar analytical job experience.

Nice To Haves

• Experience serving in a customer service role.
• One plus years experience with industry estimating/estimate review.
• Two plus years’ experience in the restoration industry regarding water mitigation, mold remediation, lead, and asbestos abatement, contents cleaning, contents packing, structure cleaning, and reconstruction.
• Experience in the restoration industry regarding water mitigation/mold remediation, abatement, contents, fire structure cleaning, and reconstruction.

Responsibilities

• Complete accurate and timely estimate and documentation reviews through our main technology platforms; XactAnalysis & Xactimate, Claims Connect & Mobile Claims, Validate, CMS, Mitigate, and other estimating/claim management platforms and software.
• Accuracy of work is measured by estimate reinspection
• Timeliness of work is measured by automated reporting between documented events
• This position focuses on estimate, documentation, and commentary reviews for specific job types that include but are not limited to: water, mold, fire, tarping, board-up, biohazard, abatement, other emergency services, contents, and reconstruction. These reviews include utilization of knowledge of industry standards, carrier guidelines, and estimating best practices to ensure adherence to carrier service level agreements
• Communicate directly with franchisees and insurance carriers, to ensure that these requirements are being met. Communication expectations include inbound and outbound phone calls, Validate, CMS, claim management system notes, email, MS Teams, and other potential software/communication applications
• Coach franchises on opportunities to improve their estimating and documentation performance
• Identify and communicate trends to Team Managers, Account Managers, Regional Business Coaches, and other organizational stakeholders.
• Provide assistance to franchises on estimating requirements and claim expectations, based on carrier guidelines; and support technical claim inquiries across the estimating/claim management platforms. The support provided to the franchise network and carrier partners provides an opportunity for Paul Davis to obtain more jobs through improved scorecard performance.
• Other duties as assigned

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 1,001-5,000 employees