Claims Quality Control Specialist
AI Summary
Reviews and validates claims submitted by servicers to the client, ensures compliance with customer standards and agency rules, determines reimbursement amounts, and resolves conflicts through auditing and database checks.
About this role
Claims Quality Control Specialist
Randstad US is a wholly owned subsidiary of Randstad Holding nv, an $18.8 billion global provider of HR services and the second largest staffing organization in the world. We play a pivotal role in shaping the world of work, leveraging the true value of human capital for the benefit of our clients, candidates, employees and investors.
Randstad is currently recruiting a Claims Quality Control Specialist for one of the leading global property information, analytics and data-enabled services provider. The ideal candidate would have at least 1 year of mortgage experience in the past 2-4 years.
Duties or Responsibilities:
• Focuses on the validation process, reviewing the claims submitted by servicers to the client
• Familiar with the claims processes/rules of government sponsored agencies
• Ensures claim is in compliance with customer standards through regular auditing, process checks, conflict resolution and database review. Validates claims for accuracy and completeness, knowing what triggers to look for according to client/agency specifications.
• Reviews and determines reimbursement amounts to client.
• May interact with employees/supervisors at the client site to gather more information or validate processes.
• Uses expertise of more senior level team members and leverages additional resources to confirm solutions.
Qualifications
• High school diploma or equivalent required.
• Minimum of 1 year of mortgage experience
• Knowledge of claim process guidelines (such as HUD-home and urban development, private investors, Fannie Mae, etc) preferred.
Additional Information
For further details contact:
Cenla Ganzon
Executive Recruiter
Randstad General Staffing
Office: +1(602) 903-7343
Extension Number: 4347
Email: cenla.ganzon@randstadusa_.com
Skills
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