One Claim Solution · 2 months ago
Claims Resolution Specialist
Gilbert,AZ,US
Full-time
Onsite
New Grad, Entry LevelOne Claim Solution is focused on efficient claims processing and payment collection. The Claims Resolution Specialist is responsible for ensuring timely and accurate payment collection on claims by managing both inbound and outbound communications and collaborating with various stakeholders to resolve payment-related issues.
BillingFinancial ServicesInsurance
Responsibilities
Proactively contact responsible parties (carriers, HOAs, or property owners) to confirm payment details
Follow a structured outreach approach—from gentle follow-ups to assertive escalation—to secure payment quickly and professionally
In cases of denied or partially approved claims, negotiate settlements directly with property owners and, when appropriate, set up payment plans
Process credit card payments accurately using internal tools, ensuring compliance with company standards and security protocols
Collect and intake ACH information
Manage both personal email inboxes and shared team inboxes to monitor and act on incoming settlement awards and payment communications
Respond to inbound emails promptly and ensure clear documentation of all interactions
Handle inbound phone calls with professionalism
Initiate outbound calls to clarify payment status, answer questions, and resolve open issues
Stay current on assigned tasks and close them with complete, accurate documentation
Maintain high utilization and efficiency by balancing communication duties with proactive task management
Prioritize urgent payment needs while ensuring nothing falls behind in the task queue
Partner with Claims Advocates to gather or clarify payment-related information
Collaborate closely with the Accounts Receivable team on ACH processing, discrepancies, or follow-ups
Step in to support teammates and cover reassigned claims or absences as needed
Keep the contractor’s needs front and center while maintaining a courteous, solution-oriented approach with property owners
Represent the company with integrity, empathy, and professionalism in every interaction
Qualification
Required
Eager and curious to learn new things
Capacity to work and adapt in a growing and changing environment
Problem solver with a high degree of perseverance and creativity to find solutions
Self-directed with strong work ethic and ability to manage a high volume of work
Ability to navigate conflict and de-escalate tension
Strong negotiation capabilities a plus
Results orientation with focus on activities that deliver outcomes and meet company, team and individual goals
Bachelor's degree preferred but Highschool Diploma or GED acceptable for candidates looking to learn about and start an exciting new career
Preferred
Call center experience not required but great to have
Collections experience a plus
Company
One Claim Solution
One Claim Solution is a compamny that provides restoration billing services to restoration contractors and restoration franchises.
Founded in 2016
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Dan Doud
Chief Executive Officer
Eric Terry
Chief Technology Officer
Company data provided by crunchbase