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Insurance Specialist

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Job Title: Insurance Specialist

Department: Admin
Division: Restoration
Reports to: CFO, Director of Sales
Location: Asheville, NC (On-site) or Remote

 

Job Summary:

The Insurance Specialist will play a pivotal role in managing and overseeing the insurance claim process for Scroggs Construction Services' restoration projects. This individual will serve as the primary liaison between insurance companies, clients, and internal teams to ensure that claims are processed efficiently and accurately. The Insurance Specialist will work closely with the restoration sales team to estimate and document damage, prepare and submit insurance claims, and follow up throughout the process to maximize recovery for our clients. This position is crucial for maintaining cash flow and ensuring smooth operations in the restoration division.

 

Key Responsibilities:

  • Claims Management:
    • Act as the primary point of contact for all insurance claims related to restoration projects.
    • Review, prepare, and submit detailed documentation for insurance claims, including damage assessments, estimates, and photographs.
    • Track the status of claims and follow up with insurance companies, adjusters, and clients to ensure timely resolution.
    • Ensure compliance with all relevant insurance standards, regulations, and company policies.
  • Damage Assessment and Estimation:
    • Collaborate with restoration sales and project managers to assess property damage and compile accurate repair estimates using Xactimate.
    • Review Matterport scans and other project documentation to identify covered damages and assist in the estimation process.
    • Provide feedback on discrepancies between insurance estimates and project estimates, and negotiate settlements where necessary.
  • Client Relations:
    • Communicate directly with clients to gather necessary information for claims submission, keeping them informed throughout the process.
    • Help clients understand their insurance policies and advocate on their behalf to ensure the best possible outcome.
    • Answer questions and provide updates to clients regarding the status of their claims and any required documentation.
  • Liaison with Internal Teams:
    • Coordinate with the restoration project managers and sales team to gather the information needed for accurate and timely insurance claims.
    • Work closely with the Director of Sales to align insurance claim processes with sales workflows and company goals.
  • Insurance Claim Negotiation:
    • Negotiate settlements with insurance adjusters to ensure adequate coverage for repairs and restoration projects.
    • Identify potential areas for supplementary claims (e.g., additional damage discovered during work) and ensure these are submitted and documented properly.
  • Documentation and Record Keeping:
    • Maintain thorough and organized records of all insurance claims, estimates, communications, and resolutions.
    • Ensure all documentation is stored properly in the company’s CRM (Buildertrend or other systems) and shared with the necessary internal teams.
  • Compliance and Risk Management:
    • Stay updated on changes in insurance regulations and industry standards related to property restoration and construction.
    • Assist in developing best practices for managing insurance claims and mitigating risks to the company.

Required Qualifications:

  • Experience:
    • 3+ years of experience in the insurance industry, specifically related to property claims, or a role within construction focusing on restoration.
    • Experience with insurance claims processes, including working with adjusters and negotiating settlements.
    • Previous experience in using Xactimate or similar estimating software is required.
    • Experience with Matterport or similar documentation tools is preferred.
  • Education:
    • Bachelor’s degree in Business, Insurance, or related field preferred. Relevant experience may be considered in lieu of a degree.
    • Certifications in property insurance or claims management are a plus.
  • Skills and Abilities:
    • Excellent written and verbal communication skills, with the ability to explain complex insurance issues to clients.
    • Strong organizational skills, with the ability to manage multiple claims and follow-ups concurrently.
    • High attention to detail and the ability to review and process claim documentation with accuracy.
    • Problem-solving mindset and the ability to negotiate and advocate for the company and clients during insurance claim disputes.
    • Proficiency with CRM software (such as Buildertrend) and estimating tools (such as Xactimate).
  • Benefits:
    • Competitive salary and bonus structure based on performance and KPIs.
    • Health reimbursement program
    • Paid time off (PTO) and holiday pay.
    • Opportunities for professional development and advancement within the company.
    • Retirement plan options.