About the job
Position: Virtual Assistant - Claims Disputes & Estimating Specialist
Employment Type: Full-time
Working Hours: 8:00 AM – 5:00 PM EDT
Work Week: Monday – Friday
Compensation: $6 - $7 per hour based on experience
About the Role
Join our client's dynamic roofing company servicing Maryland and Virginia, USA, as a detail-oriented Virtual Assistant focused on managing insurance claim disputes and estimating processes. Your efforts will be essential in maximizing revenue by effectively handling claim disputes and ensuring supplement approvals from insurance carriers.
Key Responsibilities
Estimating & Scope Review
- Analyze insurance claim reports to identify justification for full roof replacements.
- Prepare and submit documentation to insurance adjusters.
Supplements & Disputes Management
- Develop comprehensive justifications, including photos and relevant documentation.
- Engage in negotiations with insurance adjusters to resolve disputes.
- Reopen denied claims when warranted.
Effective Communication with Carriers
- Contact insurance adjusters via calls and emails to confirm document receipt.
- Facilitate and expedite approvals.
- Escalate issues to supervisors and managers as needed.
- Maintain a sense of urgency until resolution is achieved.
Documentation & CRM Management
- Ensure all claim notes are well-organized and up-to-date in CRM (e.g., JobNimbus).
- Track the status of claims: submitted, pending, approved, or denied.
- Ensure accessibility of all necessary documentation.
Performance Metrics (KPIs)
- Rate of supplement approvals (% approved vs submitted).
- Average time for supplement approval.
- Revenue recovered per job from supplements.
- Number of claims under active management.
