Claims Advocate 1

Description

Company Description

One Claim Solution is a fast-growing insurance billing start-up based in Gilbert, AZ. Under the leadership of our CEO, Dan Doud—whose background includes roles at General Electric, Bondcliff Partners, and Bain & Company—we bring innovation and technology to the insurance claims process. Our mission is to support the independent contractors, the backbone of America, who focus on repairing homes damaged by floods and fires, ensuring they get paid faster and more efficiently.

By working directly with property casualty insurance companies, we help contractors maximize their claims and improve their cash flow—allowing them to focus on running their businesses.

About the Role: Claims Advocate 1

As a Claims Advocate, you will play a key role in negotiating and settling claims with insurance adjusters. You’ll be part of a dynamic, tech-driven team focused on securing the highest possible payouts for our contractors, getting them paid as quickly as possible.

OCS rewards high performance, offering generous quarterly bonuses to teams that deliver results. Join us and be part of a company that’s revolutionizing insurance billing for contractors across America.

Role & Responsibilities 

Primary responsibilities include, but are not limited to:

• Manage a desk of revolving claims and tasks effectively
• Accept incoming calls / emails and make outbound calls / emails each day in an effective manner that moves the claims process forward.
• Follow protocol to oversee the settlement process of assigned claims on behalf of contractors, including researching, problem solving and escalating claims to reach resolution.
• Evaluate offers from adjusters, then provides justification for additional payments or settles for awards based on careful analysis
• Collaborate with team members to determine the optimal path to optimize payment and timeline
• Review claim and invoice documentation, insurance policies and internal protocols and strategies to improve justifications and payment outcomes
• Identify and elevate early settlement opportunities and ensures an overall timely and appropriate settlement
• Build positive relationships by going above and beyond with customer service, ensuring that all questions, cancellations, and confirmations are handled appropriately
• Ensure thorough assessment and attention to detail in keeping accurate records of claims and actions taken, utilizing our CRM and other software.
• Meet daily qualitative and quantitative targets for yourself and your team.

Candidate profile and capabilities:

• Eager and curious to learn new things
• Capacity to work and adapt in a growing and changing environment
• Attention to detail with ability to read, absorb and critically evaluate insurance policies
• Professional communication, both written and oral
• Problem solver with a high degree of perseverance and creativity to find solutions
• Self-directed with strong work ethic and ability to manage a high volume of work
• Ability to navigate conflict and de-escalate tension
• Strong negotiation capabilities a plus
• Results orientation with focus on activities that deliver outcomes and meet company, team and individual goals

Experience and qualifications

• Bachelor’s degree preferred but Highschool Diploma or GED acceptable for candidates looking to learn about and start an exciting new career.

Join our team as a Claims Advocate where your expertise will contribute significantly to the efficiency of our claims process while ensuring that our contractors receive the support they need.