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Claims Specialist

  • USA Only
  • Full-Time
  • 0 applicants (0%)

Claims Specialist

United States Remote

Full time

JR05103

This position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned warranty claims in the United States and Canada. The Claims Specialist will provide quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation awareness, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. A claims specialist must have strong analytical and critical-thinking skills to investigate complex and unusual claims. This role is responsible for facilitating communication and resources necessary to ensure a complete and thorough investigation is conducted while aligning our technical resources to our business partners in the field. The Claims Specialist will work closely and proactively with Customer Service, Product Quality, Sales and the other members of the claims team in handling and resolving claims with the interests of both Uponor and its customers in mind.

What will you be doing:

Claim review/validation

  • Responsible for the handling of assigned warranty claims submitted by various external individuals and/or businesses.
  • Reviewing assigned claim files for accuracy, validating installation date using knowledge of Uponor warranty policies and state regulations to ensure accurate application of warranty terms.
  • Requesting additional information/documentation as needed to support and validate the claim.

Claim Investigation/Analysis

  • Conducting investigations in a manner consistent with company standards of objectivity, fairness and reasonableness.
  • Documents and communicates claim process, status and expectations in a clear and organized manner to all interested parties.
  • Provides quality customer service and ensures timely coverage analysis and communication with claimants.
  • Directly investigate each claim through prompt and strategically-appropriate contact with parties such as claimants, plumbing contractors, builders and technical experts to determine the extent of liability and damages.
  • Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively gather information and evaluate claims.
  • Reviews and approves proposed cost estimates and scope of warranty work to ensure alignment with external agencies prior to the work commencing.
  • Maintains claim files and documents claim file activities to ensure accuracy and superior file quality.
  • Utilizes diary management system to ensure that all claims are handled in a timely manner.
  • Establishes and maintains proper claim file reserves.
  • Recognizes cases, based on severity/ complexity that should be transferred to another claim professional and refers on a timely basis.

Claim Resolution

  • Applying the warranty policies to the facts to ensure accurate claim coverage decisions and resolution.
  • Review and interpret evaluation summaries in order to communicate results and resolution.
  • Prepare detailed summary reports on claims over positions limits providing a recommendation on resolution and request scope and/or settlement authority from the President and/or the Vice President of Finance.
  • Develops and employs creative resolution strategies.
  • Prompt review and analysis of invoice detail to ensure proper resolution of all claims within appropriate approval authority (this role has discretionary authority to authorize payments up to position limits).
  • Negotiates settlement and/or communicates denial of claims with claimants and/or their legal representatives.
  • Recognizes and implements alternate means of resolution.

Roundtable Discussions/Collaboration

  • Recommends appropriate cases for discussion at department roundtable meetings.
  • Attends and/or presents at roundtables/ authority discussions for collaboration of expertise resulting in improved claim resolution.
  • Continually shares experience and knowledge of creative resolution techniques to improve the claim results of others.
  • Other duties as assigned.

What will you need:

  • Associates degree, or would accept a combination of equivalent experience and post-secondary education.
  • 3+ years’ experience in property damage, general liability or warranty claims preferred.
  • Ability to demonstrate good interpersonal, listening, and customer service skills to resolve difficult situations.
  • Excellent negotiation and settlement skills
  • A self-starter with the ability to work independently and collaboratively.
  • Strong computer skills including the ability to effectively work over the phone.
  • Must have willingness to gain knowledge of our products
  • Must be detail oriented.

What will you get?

  • Competitive salary and incentive program
  • Generous PTO + paid holidays
  • Paid parental leave
  • 24 hours paid Volunteer time per year
  • 401(k) match
  • Flexible working hours and remote work model
  • Learn more about our employee benefits at uponorcareers.com
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