Estimate Review Specialist Sr.
Sedgwick
By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Estimate Review Specialist Sr. PRIMARY PURPOSE : To review all estimates and supporting documentation submitted by contractors/adjusters, using various estimating applications; to ensure estimates follow client and regulatory requirements and meet Property guidelines; to serve as a subject matter expert on property restoration scope. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Conducts quality reviews of contra ctor documentation for repair estimates to ensure it meets local area codes, industry and manufacturer requirements, and is within the guidelines of the carrier and Property Repair Solutions. Negotiates with adjusters, contractors, and others as necessary to reach agreement on final scope. Creates, reviews, and sends fair and accurate estimates through various platforms. Records data around initial estimates reviewed, number of reviews, and rejections on all files. Identifies any differences and validates that any differences are justified in accordance with standard industry practices or code. Reviews justifications and uses independent judgment and discretion Aides contractors on how to handle specific types of repairs. Writes estimates including but not limited to: supporting items to meet safety and/or other local/state/federal agency requirements, type and content of supporting documentation for accounts receivable, and scope differences. Receives and responds to e-mails/communications from Contractors or from Carriers regarding questions. Provides input for the establishment and update of storm guidelines. Determines if emergency repairs are appropriate to be made (met technical requirements for temporary repairs) and authorizes Contractors to perform the justified services. Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required.
QUALIFICATIONS
Education & Licensing Bachelor's degree in building construction from an accredited college or university preferred. Experience Five (5) years of experience in insurance adjusting or construction background or equivalent combination of education and experience required. Experience using Xactimate estimating software preferred. Skills & Knowledge Strong working knowledge of repair practices/construction estimating Excellent oral and written communication skills PC literate, including proficiency in Microsoft Office products Analytical and interpretive skills Good interpersonal skills Ability to perform multiple tasks and set priorities Strong customer service skills Ability to work independently or in a team environment Ability to meet or exceed Performance CompetenciesWORK ENVIRONMENT
When applicable and appropriate, consideration will be given to reasonable accommodations. Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical : Must be able to stand and/or walk for long periods of time. Must be able to kneel, squat or bend. Must be able to work outdoors in hot and/or cold weather conditions. Have the ability to climb, crawl, stoop, kneel, reaching/working overhead, Be able lift/carry up to 50 pounds Be able to push/pull up to 100 pounds. Be able to drive up to 4 hours per day. Auditory/Visual : Hearing, vision and talking NOTE : Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Sedgwick is the world’s leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company’s expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see sedgwick.com #J-18808-Ljbffr Sedgwick- ...Utilization Review Specialist Senior At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians...SeniorReliefWeekend work
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