- Excellent health benefits plan, which includes medical, vision and dental options
- 401(k) with company match
- Company profit sharing plan
- Generous paid time-off and paid holidays
- Paid parental leave
- Company-paid mental health benefit through Headspace
- 2 free on-site fitness rooms
- Employee Assistance Program
- Employee Resource Groups
- Personal and professional development program
- Review estimates based on carrier guidelines.
- Manage efficient cycle times and quality of estimate reviews timely and in a fair manner.
- Examine documents for completeness, accuracy, and conformance to carrier guidelines.
- Utilizes current technology to review, and analyze written information and estimate damages.
- Ability to successfully review, at minimum, 40 claims per day at varying stages in the claims process.
- Strong analytical and mathematical ability.
- Exercise objective judgment and critical decision making to resolve issues.
- Note and follow up on discrepancies in files.
- Attend and participate in trainings, team meetings and projects, as needed.
- Knowledge share and assist peers, when needed.
- Execute excellent customer service.
- Effectively communicate with Franchises via phone, email, and internal systems to accurately document claim details.
- Represent the company with a high level of professionalism.
- Maintains expected case load required and a 95% department scorecard average for the year.
- Aid the Franchise Support Phone Group when necessary.
- Aid with the Billing Disputes process when necessary.
- Aid with customer complaint resolution when necessary
- Must reside in the state of Tennessee for payroll purposes.
- Ability to read, write, and speak the English language to communicate with employees, customers, suppliers, in person, on the phone, and by written communications in a clear, straight-forward, and professional manner.
- A minimum of two years of relevant experience to include experience in customer support, quality assurance and/or audit required.
- Six months to one year of experience in insurance, damage evaluation and estimating, or similar backgrounds preferred.
- A basic understanding of loss estimating, homeowner residential, commercial, mitigation and/or construction preferred.
- Ability to utilize technology to review, and analyze written information and scope of estimate damages preferred.
- Ability to understand and have a background that includes an Institute of Inspection Cleaning and Restoration (IICRC), Water Restoration Technician (WRT), and Applied Structural Drying (ASD) certification (or ability to obtain within first year of employment)
- Excellent attention to detail required.
- Self-motivated critical thinker who can work independently to solve problems required.
- Ability to multitask and quickly adapt to changing/conflicting priorities required.
- Strong written and verbal communication skills required.
- Ability to communicate effectively using programs such as Slack & MS Teams. Comfortable sharing screens and video chatting preferred.
- Knowledge of Xactimate / Xactware software applications or other estimating software preferred.
- Strong relationship building skills and ability to work well with others required.
- High level of time management skills required, including the ability to work in a metrics driven claims environment.
- Ability to remain sitting while working on a computer with phone use for extended periods of time required.
- High School Diploma or GED required.
- Fast-paced, high pressure office environment.
- Standard working hours, based on a 40-hour work week.
- Additional working hours required as needed to complete assignments and projects on schedule.
- Minimal travel as required for business needs.
-
Estimate Review Specialist 1
2 weeks ago
SERVPRO Gallatin, United StatesWhat we offer · * Excellent health benefits plan, which includes medical, vision and dental options* 401(k) with company match* Company profit sharing plan* Generous paid time-off and paid holidays* Paid parental leave* Company-paid mental health benefit through Headspace* 2 fre ...
-
Lifepoint Health Support Center Brentwood, United States Full timeReview Specialist, Coding Quality and Education · Who we are: · At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will be an integral part of a group working together to elevate Lifepoint's healthcare delivery network. O ...
-
Utilization Review Specialist
3 weeks ago
Cumberland Heigh Nashville, United StatesJOB TITLE: Utilization Review Specialist DEPARTMENT: Utilization Review REPORTS TO: Utilization Review Coordinator The Utilization Review Specialist supports Cumberland Heights' mission of transforming lives, providing hope and healing to persons and their families affected by th ...
-
Utilization Review Specialist
3 weeks ago
Promises Behavioral Health Llc Brentwood, United StatesJob Description Job Description Position SummaryThe Utilization Review Specialist applies expertise of payer behavior and clinical guidelines to optimize utilization review (UR) outcomes.Primary Duties & ResponsibilitiesReviews medical records for quality clinical documentation a ...
-
Utilization Review Specialist
3 weeks ago
Promises Behavioral Health, LLC Brentwood, United StatesJob Description · Job Description · Position Summary · The Utilization Review Specialist applies expertise of payer behavior and clinical guidelines to optimize utilization review (UR) outcomes. · Primary Duties & Responsibilities · Reviews medical records for quality clinic ...
-
Utilization Review Specialist
2 weeks ago
Promises Behavioral Health, LLC Brentwood, United StatesJob Description · Job Description · Position Summary · The Utilization Review Specialist applies expertise of payer behavior and clinical guidelines to optimize utilization review (UR) outcomes. · Primary Duties & Responsibilities · Reviews medical records for quality clinical ...
-
Utilization Review Specialist
3 weeks ago
Promises Behavioral Health, LLC Brentwood, United StatesJob Description · Job DescriptionPosition Summary · The Utilization Review Specialist applies expertise of payer behavior and clinical guidelines to optimize utilization review (UR) outcomes. · Primary Duties & Responsibilities · Reviews medical records for quality clinical docu ...
-
Utilization Review Specialist
4 weeks ago
Charlie Health Nashville, United StatesJob Description · Job Description · Why Charlie Health? · Young people across the nation are grappling with a mental health crisis characterized by escalating rates of depression, anxiety, trauma, substance use disorders, and suicide. Individuals who seek support are met by ge ...
-
Utilization Review Specialist
2 weeks ago
Charlie Health Nashville, United StatesJob Description Job Description Why Charlie Health? Young people across the nation are grappling with a mental health crisis characterized by escalating rates of depression, anxiety, trauma, substance use disorders, and suicide. Individuals who seek support are met by geographica ...
-
Denial Coding Review Specialist
1 week ago
HCA Nashville, United StatesIntroduction · Do you want to join an organization that invests in you as a Denial Coding Review Specialist? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. · Benefits ...
-
Denial Coding Review Specialist
3 weeks ago
HCA Brentwood, United StatesIntroduction · Do you want to join an organization that invests in you as a Clinical Denials Coding Review Specialist? At Work from Home, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three ye ...
-
Coding Quality Reviewer Specialist
1 week ago
Jenn Nguyen and Friends Nashville, United StatesJob Description · Job DescriptionJoin Parallon: Empowering Healthcare Excellence · Who Are We? HCA Parallon stands at the forefront of the healthcare industry, offering unrivaled revenue cycle services. We collaborate with over 650 hospitals and 2,400 physician practices nationwi ...
-
Coding Quality review Specialist
3 weeks ago
Patterns india Nashville, United StatesJob Description · Job DescriptionCoding Quality review Specialist 100% Remote role · Full time work from home. · Job Summary · As a Coding Quality Review (CQR) Specialist, you will operate in a work from home environment supporting all CQR team related systems and tools. You will ...
-
Denial Coding Review Specialist
3 weeks ago
HCA Healthcare Brentwood, United States Full timeDescription · Introduction · Do you want to join an organization that invests in you as a Denial Coding Review Specialist? At Parallon, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the course of three year ...
-
Coding Quality Reviewer Specialist
2 weeks ago
Jenn Nguyen and Friends Nashville, United StatesJoin Parallon: Empowering Healthcare Excellence · Who Are We? HCA Parallon stands at the forefront of the healthcare industry, offering unrivaled revenue cycle services. We collaborate with over 650 hospitals and 2,400 physician practices nationwide. As a proud member of the HCA ...
-
Coding Quality Reviewer Specialist
3 weeks ago
Jenn Nguyen and Friends Nashville, United StatesWho are we? Parallon is an industry leader in revenue cycle services. We partner with over 650 hospitals and 2,400 physician practices nation-wide. Our parent company, HCA Healthcare, has been consistently named a Worlds Most Ethical Company by Ethisphere and is ranked in the Fo ...
-
Denial Coding Review Specialist
3 weeks ago
HCA Healthcare Brentwood, United States Full timeDescription · Introduction · Do you want to join an organization that invests in you as a Clinical Denials Coding Review Specialist? At Work from Home, you come first. HCA Healthcare has committed up to 300 million in programs to support our incredible team members over the cour ...
-
Lifepoint Health Support Center Brentwood, TN, United StatesReview Specialist, Coding Quality and Education · Who we are: · At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will be an integral part of a group working together to elevate Lifepoint's healthcare delivery network. ...
-
Insurance clerk
4 days ago
Titan Industries Hendersonville, TN, United States FreelanceAs a joint venture between Deutsche Bank and ManpowerGroup, we have been successfully filling vacancies in the banking, finance, and insurance industry since 1998. We create connections and are well-connected within this specialized industry. Benefit from our network We support y ...
-
Ambulatory CDI Specialist
1 week ago
Lifepoint Health Support Center Brentwood, United States Full timeAmbulatory CDI Specialist · Who we are: · At Lifepoint Health, we provide quality healthcare to rural communities. As a valued member of our team, you will be an integral part of a group working together to elevate Lifepoint's healthcare delivery network. Our network includes 60+ ...
Estimate Review Specialist 1 - Gallatin, United States - Servpro
Description
What we offer
The Estimate Review Specialist in the Quality Assurance Department is responsible for performing quality, accurate job file audits to ensure client guidelines are met.
Estimate Review Specialists are expected to maintain flexibility with respect to working overtime and holidays, especially when inundated with job files in the audit queue.
Major Duties and Responsibilities
For more than 50 years, SERVPRO has been a trusted leader in fire and water cleanup and restoration services, mold mitigation, construction, biohazard and pathogen remediation throughout the United States and Canada.
We strive to cultivate a professional community that respects and celebrates the things that make us unique, the things we share, and the collaborative spirit we bring to the work we pursue together.
SERVPRO is an equal opportunity employer.All applicants will be considered for employment without attention to age, race, color, religion, gender, sexual orientation, national origin, veteran or disability status.
