Resolution Specialist

4 weeks ago


Davao City, Philippines Bulldog Adjusters Full time

About the Role The Resolution Specialist is responsible for reviewing, preparing, and submitting supplements to insurance carriers on behalf of Bulldog Adjusters. This role focuses on addressing discrepancies between insurance company estimates and contractor/adjuster estimates when the differences do not require direct PA involvement. The Resolution Specialist ensures accurate scope alignment, compliance with industry standards, and strong advocacy for clients. Key Responsibilities Supplement Review & Preparation Review initial insurance estimates, photos, claim notes, and contractor feedback. Compare carrier estimates against internal estimates to identify discrepancies. Prepare detailed supplement arguments, supported by justification photos, estimates, and documentation. Revise or request updates to estimates when errors or omissions are identified. Submission & Follow-Up Submit supplements directly to insurance carriers, ensuring professional communication and accuracy. Document all communication in ESPO/CRM and update claim statuses accordingly. Follow up within 48 hours of submission and escalata after 3 unanswered attempts. Escalate unresolved issues to supervisors, POD leaders, or management review. Repair-to-Replace & Line Item Differences Identify whether supplements are due to repair-to-replace or line item differences. Use ITEL/NTS reports, repair tests, and state matching laws as leverage for roof/siding replacements. Ensure building code items, material specifications, and change orders are properly documented. Verify measurements, waste %, O&P, taxes, and other calculation discrepancies. Advocacy & Communication Maintain tenacity when engaging with carriers—pushing for justifications and policy-based responses. Request clarifications on denials, ensuring carriers provide clear reasoning and policy references. Provide GC updates and secure approvals on revised scopes. Documentation & Compliance Update ESPO with argument submissions, approvals, supplemental payments, and depreciation tracking. Tag leadership on important updates and coordinate with ADR specialists as needed. Ensure claim records are accurate, timely, and compliant with company processes. Training of new team members Requirements Qualifications Required: Prior experience in insurance claims, supplementing, or construction estimating. Strong knowledge of property insurance claims, including roofing, siding, and building code requirements. Excellent written and verbal communication skills. Proficiency in CRM systems (ESPO or similar) and digital claims management tools. Ability to work independently with high attention to detail. Preferred: Experience working with Public Adjusters, contractors, or insurance carriers. Familiarity with ITEL/NTS reports, repair tests, and state-specific matching laws. Strong negotiation and advocacy skills with the ability to remain professional under pressure. Key Competencies Tenacity and persistence in claim follow-ups. Analytical skills for reviewing estimates and identifying discrepancies. Strong organizational and time management skills. Professional communication and escalation handling. Problem-solving mindset with the ability to adapt to changing claim scenarios. Benefits Work Environment & Culture 100% remote positions – flexibility to work from anywhere. Collaborative team culture – "we are a team" isn’t just words; you’ll be supported, not siloed. Open communication – we encourage transparency and feedback at all levels. Growth & Development Be part of an innovative environment where new ideas are valued and implemented. Opportunities for professional growth and advancement as the company scales. Exposure to a fast-growing industry with hands-on learning. Recognition & Support A team that celebrates tenacity and results – your effort gets noticed. Inclusive culture – everyone’s voice matters, no matter their role. Strong leadership support while still giving you autonomy. Work-Life Balance Save time and money with remote work (no commute). Focus on outcomes, not just hours – trust-based environment. #J-18808-Ljbffr



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