Claims Reviewer

Summary:

The Claims Reviewer will provide technical in support to the FEMA Hermit's Peak/Calf Canyon Claims Office in Sante Fe, New Mexico. This position involves receiving, evaluating, and processing claims for compensatory damages for injuries resulting from the Hermit's Peak/Calf Canyon fires. With 325,340 acres burned and 900 homes/structures destroyed, the role requires meticulous attention to detail and adherence to FEMA guidelines. Utilizing Xactimate software, the claims reviewer will objectively review, investigate, process, and evaluate third-party claims.

Location: Sante Fe, New Mexico

Duties and Responsibilities:

• Provide technical assistance and expertise in support of the Hermit's Peak/Calf Canyon Claims Office (Claims Office), by receiving, evaluating, and processing claims for compensatory damages for injuries from the Hermit's Peak/Calf Canyon Fire.
• Communicate directly with claimants and/or claimant representatives to expedite claim processing, as requested by FEMA Navigators.
• Collaborate with local, state, and federal officials to identify eligible response, recovery, and mitigation activities.
• Advise clients on FEMA Public Assistance policy and documentation requirements.
• Prepare project damage descriptions, scope of work, and supporting documentation.
• Conduct site assessments in the field and prepare project documentation and cost estimates as required.

Qualifications:

Bachelor's degree with 5 years of experience in property inspection/assessment or a related field, OR 10 years of experience in a related field with at least 2 years' experience using Xactimate software.

• Thorough knowledge of FEMA Public Assistance program, eligibility criteria, laws, regulations, and policies, as well as familiarity with other FEMA programs (e.g., Individual Assistance, Hermit's Peak Program, etc.).
• Policy Interpretation: Ability to interpret complex insurance policy language, including exclusions, endorsements, and coverage limits.
• Damage Assessment: Proficiency in assessing property, flooding, and/or fire-related damage accurately, including understanding the extent of damage, required repairs, documentation, and associated costs.
• Clear and Effective Communication: Excellent written and verbal communication skills, with the ability to explain policies and regulations to claimants, FEMA Navigators, and other stakeholders effectively.
• Use of Technology: Proficiency in using Xactimate claims management software and other databases, technology tools to facilitate claim processing, documentation, and communication.

About Us:

The Workforce Group (WFG) is a Great Place to Work®-Certified company. We are a team of dedicated professionals that pull together to meet the needs of communities, partnering with federal, state, and local governments. We are an equal opportunity/affirmative action employer. All qualified applicants will receive consideration without regard to race, color, sex, national origin, age, protected veteran status, or disability status.