Claims Reviewers/Quality Control Analysts

Santa Fe, NM

Full Time

Entry Level

PotomacWave Consulting is seeking junior through senior Claims Reviewers/Quality Control Analysts for a potential contract to support disaster relief in New Mexico.

This position involves receiving, evaluating, and processing claims for compensatory damages for injuries resulting from the Hermit's Peak/Calf Canyon fires. The role requires meticulous attention to detail and adherence to FEMA guidelines. Claims Reviewers/ Quality Control Analysts will objectively review, investigate, process, and evaluate third-party claims.

Responsibilities include but are not limited to:

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.

Travel will be required, lodging and per diem are provided.
This position is contingent on contract award.

Qualifications:

Experience in insurance claims, property inspection/assessment or a related field.
Ability to interpret complex insurance policy language, including exclusions, endorsements, and coverage limits.
Proficiency in assessing property, flooding, and/or fire-related damage accurately, including understanding the extent of damage, required repairs, documentation, and associated costs.
Excellent written and verbal communication skills, with the ability to explain policies and regulations to claimants, FEMA Navigators, and other stakeholders effectively.
Outstanding communication skills, influencing abilities, and client focus.
Demonstrated proficiency in using all Microsoft Office applications.
Ability to pass a federal background investigation including fingerprinting.
Minimum of High School Diploma and five (5) years of experience.
Must be a United States citizen and eligible for a Public Trust.

Preferred Qualifications:

Experience using Xactimate software.
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.).

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