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Claims Resolution Specialist

United States, Santa Rosa 32600.00 - 54300.00 USD / Year · Job Posted January 05, 2026

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Job Description

The Claims Resolution Specialist will respond to a high volume of second level incoming calls, resolve service requests and customer inquiries. Provide homeowners with all relevant information pertaining to the contract, claim or work order. Review claim and work order facts; gather, research and document pertinent information; take reports from technicians and homeowners to allow for sound, timely and cost effective decision making while taking action to drive the claim to closure and provide a high level of customer service. Intermediate levels require a solid understanding of functional tasks. Assistance may be required from more experienced team members will vary depending on task complexity. Work may be reviewed for new or more complex tasks.

Job Responsibility

  • Take ownership of an assigned caseload from the investigation of the claim through resolution
  • Make decisions and authorize work orders up to a set level
  • Identify issues, analyze claim and work order facts, gather, review, research and document pertinent information
  • Take reports from technicians and homeowners
  • Answer incoming calls, emails and voicemails from customers, contractors and escalated calls in a timely manner and according to guidelines
  • Purchase necessary parts and equipment within a specified limit and skill set
  • Provide homeowners with all relevant information pertaining to contract, claim or work order
  • Obtain any necessary documentation from the customer and/or technician
  • Offer and explain terms and conditions of claim options, denial, cash out, replacement, reimbursement, outside reimbursement and process payment requests
  • Provide assistance with inbound call volume as needed
  • May purchase parts and equipment within a specified limit

Requirements

  • High School Diploma
  • Must have at least 2 years of customer service experience in a contact center environment
  • Strong understanding of Home Warranty polices and technical expertise with systems and appliances
  • Ability to present data in a clear and understandable manner
  • Excellent verbal and written communications skills
  • Ability to anticipate customer needs
  • Exceptional customer service skills
  • Good organizational skills with the ability to multi-task, prioritize and follow up
  • Ability to effectively manage difficult situations and customers
  • Must be analytical and detail oriented
  • Working knowledge of Microsoft Office and company operating systems

Nice to have

Fluent bilingual Spanish a plus

What we offer

  • medical
  • dental
  • vision
  • 401k
  • PTO/paid sick leave
  • employee stock purchase plan

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