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Claims Negotiation Specialist

Outsource Access

Role overview

Qualifications

  • Resilience: Comfortable with conflict and remains professional
  • Agility: Can switch strategies mid-conversation
  • Sales/Collections DNA: Treats every claim like a deal
  • Coachability: Eager to learn specific processes

Responsibilities

  • Pick Up the Phone: Call adjusters to present findings and advocate
  • Verbal Jiu-Jitsu: Explain why denied line items are valid using data
  • Climb the Ladder: Escalate files to supervisors for movement
  • Close the Loop: Manage file until final check is cut

Key facts

Hard skills

Customer Retention Conflict Resolution Agility

Other skills

  • Negotiation
  • Communication
  • Sales
  • Collections
  • Coaching
  • Problem Solving
  • Resilience

About the company

Outsource Access logo

Outsource Access

We exist to close cultural gaps caused by offshore outsourcing models of the past and to open up opportunities for solopreneurs and small businesses worldwide. By combining the skills of our US team with a network of experts and leads in the Philippines, we help businesses scale at speed without coming up against growth limitations. To make this possible, we’ve created a dedicated solution for entrepreneurs that address common issues in three keys areas:- Risk Management- Lack of Knowledge- Overcoming Setbacks By taking a comprehensive approach to addressing all of these areas for entrepreneurs and growing businesses around the world, we’ve delivered results for our clients that speak for themselves:

Company details

Company typeSME
Company size501 - 1000

Links

Website LinkedIn See all jobs

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Job description

This is a remote position.

Are you the type of person who doesn't take "No" for an answer? Do you thrive in a debate? We are looking for a Claims Negotiation Specialist to act as the voice of our company.

You will pick up where our technical team leaves off. Once our estimators build the file, You are the Closer. Your job is to pick up the phone, engage with insurance adjusters, and ensure our clients get every penny they are owed.

We are not looking for roofing experts; we are looking for fearless communicators. If you have a background in sales, collections, or customer retention, we can teach you the insurance policies. We can’t teach grit—you need to bring that with you.

Why This Role?
  • The Thrill of the Win: Every claim is a negotiation. You get to use logic, facts, and policy rights to turn a $10,000 offer into a $20,000 approval.
  • Clear Career Path: You will master the "Escalation Ladder," learning high-level negotiation tactics that apply to any industry.
  • Autonomy: You own your pipeline. As long as the results are there, you manage your own workflow.
What You Will Do
  • Pick Up the Phone: You are the frontline. You will call adjusters to present our findings and advocate for the scope of work.
  • Verbal Jiu-Jitsu: When an adjuster denies a valid line item, you don’t hang up. You use the data provided by our Estimators to explain why they are wrong and why they need to pay.
  • Climb the Ladder: If a Desk Adjuster stalls, you don't wait. You escalate the file to their Supervisor or the Insurance Agent to get movement.
  • Close the Loop: You manage the file until the final check is cut and the project is fully funded.

Requirements

What We Are Looking For
  • Resilience: You are comfortable with conflict. You remain professional and cool-headed even when the person on the other end is being difficult.
  • Agility: You can switch strategies mid-conversation. If "Strategy A" isn't working, you pivot to "Strategy B."
  • Sales/Collections DNA: You treat every claim like a deal that needs to be closed. You follow up relentlessly.
  • Coachability: You are eager to learn our specific "Process Flow." We have a winning formula; you just need the discipline to follow it


Benefits

Why You’ll Love Being Part of the Team
You’re not just taking a job — you’re stepping into a role where your growth, security, and peace of mind actually matter. Here is the total package we’ve built for you:

Your Wellness & Security
  • Health & Wellness — Covered: You get comprehensive HMO coverage with a top provider so you can focus on work without worrying about medical bills.
  • Security for the “What Ifs”: Our Group Life Insurance benefit gives you added protection — because your future (and your family’s) deserves a safety net.
  • Time to Recharge — Guilt-Free: We support your well-being with paid leave credits that allow you to rest, reset, and show up as your best self — at work and at home.
  • Support You Can Count On: We take care of all government-mandated benefits, so everything is handled properly and on time.
Your Financial Rewards
  • Performance Incentives: Bring results — and you’ll see it rewarded. Simple as that.
  • Premium Pay: When you put in the time, we honor it. You receive Overtime Pay for extra miles and Night Differential for supporting the team during late hours.
  • 13th Month Pay: A well-earned bonus to celebrate the results of your year’s effort.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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