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Position Description

We are looking for a skilled and detail-oriented Claims Appeals Specialist to join our team. The successful candidate will have at least five years of experience in claims processing and evaluation, with a desired background in disaster-related losses. This role involves interpreting federal policies, assessing damages, and providing excellent customer support. If you are proficient in using technology to facilitate claims processing and communication, we want to hear from you.

As a Claims Appeals Specialist, you will:

+ • Conduct detailed evaluations of disaster-related claims, determining the extent of damages and validity of losses.• Ability to match the claims determination baseline to added data & documentation from the claim appeals.• Review appeals information and reassess the claims determination.• Interpret complex federal policy language, including statutes, regulations, and guidelines, to ensure accurate claims processing.• Assist with document retrieval, review of cases under appeal, and developing recommendations.• Assess losses and determine appropriate repair and replacement costs for damaged properties.• Communicate effectively with claimants, FEMA staff, and other stakeholders, offering clear explanations of policies and claim processes.• Employ claims management software and databases to enhance the efficiency of claims documentation and communication.• Provide high-quality customer service by addressing and resolving inquiries related to property claims.• Collaborate with team members and external partners to ensure timely and accurate resolution of claims.• Stay informed of industry trends and regulatory updates affecting the processing of claims.

Candidates must be within commuting distance of Santa Fe, NM or willing to deploy. Hotels and per diem will be provided to those candidates who deploy.

In compliance with state and local laws regarding pay transparency, the target salary is $50,000 - $75,000; however, Serco considers several factors when extending an offer, including but not limited to, the role and associated responsibilities, a candidate's work experience, education/training, and key skills.

Qualifications

To be successful in this role, you must have:

+ High School Diploma.

+ Minimum of five years of combined experience in claim/case processing roles, with a focus on customer service, data entry, and loss evaluation.

+ Ability to understand and interpret complex federal policy language with precision.

+ Proficient in disaster-related assessments and cost evaluations for losses and damages.

+ Strong written and verbal communication skills, able to explain policies and procedures effectively.

+ Proficiency in using claims management software, databases, and tools to enhance documentation and communication.

If you are interested in supporting and working with a passionate Serco team- then submit your application now for immediate consideration. It only takes a few minutes and could change your career!

Serco Inc. is using this posting for the purpose of responding to a proposal. We are seeking qualified candidates in the event of a contract award. This position is not currently funded/active. Should Serco be awarded the contract, and you meet the qualifications of the position, you will be considered in the selection process.

Company Overview

Serco Inc. (Serco) is the Americas division of Serco Group, plc. In North America, Serco’s 9,000+ employees strive to make an impact every day across 100+ sites in the areas of Defense, Citizen Services, and Transportation. We help our clients deliver vital services more efficiently while increasing the satisfaction of their end customers. Serco serves every branch of the U.S. military, numerous U.S. Federal civilian agencies, the Intelligence Community, the Canadian government, state, provincial and local governments, and commercial clients. While your place may look a little different depending on your role, we know you will find yours here. Wherever you work and whatever you do, we invite you to discover your place in our world. Serco is a place you can count on and where you can make an impact because every contribution matters.

To review Serco benefits please visit: https://www.serco.com/na/careers/benefits-of-choosing-serco . If you require an accommodation with the application process please email: [email protected] or call the HR Service Desk at 800-628-6458, option 1. Please note, due to EEOC/OFCCP compliance, Serco is unable to accept resumes by email.

Candidates may be asked to present proof of identify during the selection process. If requested, this will require presentation of a government-issued I.D. (with photo) with name and address that match the information entered on the application. Serco will not take possession of or retain/store the information provided as proof of identity. For more information on how Serco uses your information, please see ourApplicant Privacy Policy and Notice (https://www.serco.com/na/privacy-policy) .

Serco does not accept unsolicited resumes through or from search firms or staffing agencies without being a contracted approved vendor. All unsolicited resumes will be considered the property of Serco and will not be obligated to pay a placement or contract fee. If you are interested in becoming an approved vendor at Serco, please email [email protected] .

Serco is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

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**ID** _69816_

**Recruiting Location : Location** _US-NM-_

**Category** _Customer Service_

**Position Type** _Full-Time_

**Security Clearance** _None_

**Telework** _No - Teleworking not available for this position_