Quality Claims Processor in Lake Mary, FL at Sears Home Services

Date Posted: 6/29/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Lake Mary, FL
  • Date Posted:
    6/29/2018
  • Job ID:
    939836BR

Job Description

Req/Job ID: 939836BR
Employing Entity: Sears Home Improvement Products, Inc.
Employment Category: Regular, Full-time
Job Function: Call Center
Store ID: 24626: Lake Mary Call Center-Corp

Job Summary: Responsible for affecting profitability through sound claims management practices and provision of consistent service excellence. Effectively manages (from first advice to settlement and including subrogation) a portfolio of property damage claims. Job Duties/Responsibilities: • Report all claims to Sedgwick with the distinction of 1) Handle or, 2) Report Only • Communication with installer's insurance provider to initiate claims • Research and provide Certificate of Insurance (subcontractor) to Sedgwick • Manage caseload within software management application by using proprietary task queue to prioritize next steps within each case • Facilitates the initiation of the service event and subsequent escalation to local district management • Consistent, ongoing communication with all parties: customer, Sedgwick, subcontractor insurance, field management • Negotiates and defends Sears' position where appropriate • Skillful drafting of correspondence to customers for general follow-up, negotiations, settlements, and closing claims • Maintains follow-up cadence as follows: a) responds to phone calls within 24 hours of receipt, b) responds to emails within 48 hours of receipt, c) updates files every 7-10 days, d) updates higher level files every 3-5 days • Administrative duties including but not limited to: imaging documents, initiating check requests, research, and filing • Other related duties as require


































































Job Requirements

Required Skills: • Strong written and verbal communication skills • Solution oriented • Excellent interpersonal skills • Solid organization and multi-tasking skills • Proficiency in Microsoft Office suite applications as well as overall computer skills • Analytical, negotiation and influencing skills • Ability to organize and maintain detailed filing system Preferred Skills: • Understanding and working knowledge/ experience with property damage concepts • Basic Accounting knowledge • Ability to exceed individual goals as well as team goals











































































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