Fire Claims Billing Specialist

The Fire Claims Billing Specialist is responsible for end-to-end management of fire incident claims, including retrieving incident data, verifying and submitting claims to insurance carriers, processing payments, and ensuring timely follow-up, and meeting established production quotas.

ESSENTIAL DUTIES AND RESPONSIBILITIES

•  Meet individual production targets for claims processing while maintaining accuracy and compliance.

•  Retrieve and review incident data from clients to ensure all necessary information is collected.

• Communicate effectively with insurance adjusters, insured drivers, and businesses to clarify information and facilitate claim processing.

•  Verify the accuracy and completeness of submitted claims prior to submission.

•  Enter, update, and maintain insurance policy and claim information in the company database.

•  Calculate, prepare, and submit accurate billing to insurance carriers promptly.

•  Process inspection and claim payments, including over-the-phone payments.

•  Monitor claim statuses and follow up on unpaid or delayed claims to ensure timely resolution.

•  Manage appeals and respond to denied claims as needed, providing supporting documentation.

•  Contact responsible parties and insurance companies regarding claims outstanding over 30 days.

•  Maintain accurate and organized records for all assigned accounts.

•  Assist with special projects and perform other duties as assigned.

EDUCATION AND EXPERIENCE

•  High school diploma or equivalent required; associate degree in insurance, business administration, accounting, or a related field preferred.

•  Minimum of one year of experience in fire incident claims processing or a related field required.

•  Familiarity with fire terminology and report structure required.

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES

•  Intermediate or higher proficiency in Microsoft Office (Excel, Outlook, Word).

•  Strong customer service skills and professional demeanor.

•  Excellent verbal and written communication skills.

•  High level of accuracy and attention to detail.

•  Ability to manage multiple priorities and meet deadlines in a fast-paced environment.

•  Strong organizational and time management skills.

Emergicon requires satisfactory pre-employment background check and drug screen.