Claims Examiner Specialist

Express Wash Concepts (EWC), established in 2018, is the parent company of five award-winning express tunnel car wash brands: Moo Moo Express Car Wash, Flying Ace Express Car Wash, Clean Express Auto Wash, Green Clean Express Auto Wash, and Bee Clean Express Car Wash.

Our swift, top-tier, eco-friendly car washes and unwavering focus on exceptional customer service have positioned us prominently in the United States and beyond. Additionally, our leading community relations initiatives proudly contribute hundreds of thousands of dollars annually through EWC CARES, our outreach programs, encompassing both monetary donations and complimentary car washes.

Why Choose Express Wash Concepts? We're not just a car wash; we're a company committed to fast, eco-friendly services, exceptional customer care, and giving back to our communities, all while providing ample opportunities for personal and career growth. Join Express Wash Concepts in our mission to make a difference through the power of clean.

Discover the benefits of joining Express Wash Concepts

• Competitive wages: Enjoy a compensation package reflecting your skills and dedication.
• Discretionary year-end bonus: Receive a year-end bonus based on exceptional performance.
• Unlimited Wash Club Membership: Keep your vehicle looking its best.
• Paid vacation: Take well-deserved breaks as outlined in our Employee Manual.
• Health care benefits: Medical, Vision, Dental, Company-Paid Life, Disability, Accident, Hospital Indemnity, Employee Assistance Program.
• HSA contribution: $1,000/year (with qualifying plan).
• Secure future: 401k with up to 4% company match.
• Educational reimbursement: Up to $2,500 annually to support ongoing learning and development.

Essential duties and responsibilities

We are looking for a skilled and experienced Claims Examiner Specialist to join our team. In this role, you will oversee the entire claims process, ensuring accuracy, efficiency, and outstanding customer service. The ideal candidate will demonstrate strong leadership abilities, exceptional attention to detail, and a dedicated commitment to upholding company policies and procedures. In this dynamic role, your daily tasks will include, but are not limited to:

• Review and assess claims for approval or denial based on policy coverage, investigation findings, and regulatory requirements.
• Ensure timely and accurate processing of claims, adhering to service level agreements (SLAs) and regulatory deadlines.
• Collaborate with external departments such as insurance and legal, as well as internal departments including customer service, operations, and finance, to resolve complex claims issues and mitigate risk.
• Develop and implement strategies to enhance claims processing efficiency and improve customer satisfaction.
• Analyze claims data and trends to identify opportunities for process improvement and cost reduction.
• Stay informed about industry developments, regulatory changes, and emerging technologies to inform claims management strategies.
• Create opportunities for career advancement by establishing and leading a dedicated claims department and nurturing a supportive team environment.
• Foster a culture of continuous learning, professionalism, and teamwork within the claims department when developing the claims team.
• Act as a point of escalation for unresolved or sensitive claims issues, demonstrating empathy and diplomacy in customer interactions.
• Prepare comprehensive reports and presentations for senior management, summarizing claims performance, trends, and initiatives.
• Support operational needs as required.

Job Requirements

• High school diploma required, bachelor’s degree in business, finance, or a related field preferred.
• Minimum 2 years of experience in claims handling, customer service, or an insurance-related role.
• Familiarity with insurance policies, claims regulations, and processing procedures.
• Strong verbal and written communication skills to interact effectively with clients, internal teams, insurance providers, and legal counsel. Ability to de-escalate and resolve customer disputes professionally.
• Ability to assess complex claims information, document details accurately, and make data-driven decisions.
• Strong critical thinking skills to evaluate claims, determine resolutions, and mitigate risks.
• The ability to manage multiple claims simultaneously while meeting deadlines in a fast-paced environment.
• Experience using claims management software and Microsoft Office Suite.

Express Wash Concepts provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, gender identity, sexual orientation, or genetics.