Reviewer (QA Analyst)

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. Position : Reviewer

Reports to : Review Team Manager

Location :  Hybrid

Essential Duties / 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.

Competency – Knowledge, Skills, and Abilities :

Required Education and Experience

Preferred Education and Experience

Physical Requirement

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee is occasionally required to sit, climb, or balance, stoop, or kneel. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Work Environment The employee will be working remotely in their home office and will be exposed to normal conditions of air conditioning and heat. Most work will be conducted over email, video conferencing, and telephone. Employee must have access to a stable internet connection when working out of the office. Employee must use provided VPN technology to securely connect remotely. The successful person must be productive with minimal supervision.e.  Travel This position may require up to 10% travel. This position may require travel to franchise locations, trainings, and team meetings. Reasonable Accommodation for Disability Any applicant or employee, who believes that a reasonable accommodation is required for purposes of federal or state disability law is required to contact Human Resources to begin the interactive exchange process.The ADA defines “reasonable accommodation” as a change or adjustment to a job or work environment that allows a qualified individual with a disability to satisfactorily perform the essential functions of a particular job and does not cause an undue hardship for the employer.

Disclaimer

Paul Davis Restoration is an equal opportunity employer. Paul Davis Restoration provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law.The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice.