HomeServe USA · 1 month ago
Fraud Claims Analyst
Chattanooga, TN
Full-time
Onsite
Entry, Mid Level
2+ years expHomeServe USA is a leading provider of home repair services, dedicated to putting customers at the heart of their operations. They are seeking a Fraud Claims Analyst to analyze claims data, conduct audits, and develop reports to enhance operational efficiencies and customer experience. This role involves collaboration with various teams to identify trends and implement process improvements.
Home Services
Responsibilities
Utilize claims data to identify unfavorable trends or opportunities in claims performance to determine where additional analysis is necessary
Conduct audits based on findings to analyze the unfavorable trends impacting business claims performance as well as identify and audit any contractors, and/or internal operations team members, not adhering to pre-negotiated rate schedules, processes, and/or policy terms and conditions
Accurately identify, document, and share findings and opportunities for improvement. Create and document action plans for any business process changes identified during audits and assist in guiding the implementation of the changes
Develop clear framework for tracking and monitoring the implementation of business process changes and continually assess the impact of the changes on claims performance
Communicate insightful summaries to key business stakeholders on findings along with recommended actions for improvement tailored to the needs of the department
Responsible for completing various audits monthly, quarterly, or annually within Contractor Management to remain SOX compliant
Keep current on operational processes, contractor rate schedules, repair methods and practices, and policy terms and conditions
Build and maintain excellent relationships with key business stakeholders including but not limited to the Regional Operations Managers, Cost Authorization, Contractor Administration, Repair Management, and Finance
Meet KPI targets established by the company
Perform other duties as assigned
Qualification
Required
Bachelor's degree in business, finance, or related field
At least 2 years of experience in data analysis, reporting, auditing, or related field and demonstrates a good working knowledge of Contractor Operations processes
Advanced knowledge of Microsoft Excel and proficient in other Microsoft applications (Word/PowerPoint)
Strong analytical mind, critical thinking, and logical reasoning with the ability to make solution-oriented decisions that will guide business action
Excellent and accurate data entry skills with strong attention to detail
Self-driven and exceptional organizational, time management, and independent problem-solving skills with the ability to work in a team environment and independently
Feel comfortable working in an autonomous environment where you are expected to be self-managed, while responsible for meeting or exceeding personal and departmental goals
Strong time management and organization skills and the ability to shift priorities based on the needs of the business
Adept at managing multiple priorities and tasks in a fast-paced environment
Excellent written and verbal communication skills
Broad knowledge of home repair methods including plumbing, HVAC, and electrical
Preferred
Experience with field service management applications such as ServiceBench, Service Titan or Dispatch Technologies
Benefits
Competitive compensation
Career development and advancement opportunities
Casual attire throughout the week
Friendly, open and team oriented work atmosphere
Excellent benefits including generous medical, vision, dental and life & disability insurance
401(k) plan with a company match
Eligibility to enroll in up to two HomeServe coverage plans paid for by the company
Company
HomeServe USA
HomeServe USA is a provider of home emergency repair service plans.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Tom Rusin
CEO HomeServe North America
Joseph A Sorisi
CIO, Technology Strategy and Transformation, Board Member
Recent News
Hartford Business Journal
2025-10-24
24-7 Press Release Newswire
2025-06-07
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