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Claims Quality Assurance Specialist

Remote, USA Full-time Posted 2025-11-24
Job Description: • Exemplify professional and ethical behavior • Create, develop and administer consistent quality assurance reviews of claim files • Review and supply timely feedback of estimates utilizing XactAnalysis and other tools • Analyze the handling, investigation, coverage application and payments of claims • Compile metrics and trends regarding claim handling and translate into user-friendly documentation • Recommend processes for greater efficiency and improved claim handling • Identify and recommend training needs for the Claims Department • Work with the Claims Trainers to develop targeted training • Promote consistency of claim handling • Collaborate with other members of the Claims Department and other departments in the organization • Monitor and evaluate all aspects of claim handling • Timely completion of assigned tasks and projects • Maintain knowledge and compliance of company procedures, claim related statutes, insurance regulations and other legal requirements • High level of customer service for internal and external clients/partners • Contribute to the goals and objectives of the team and the organization • Other duties may be assigned Requirements: • Bachelor's degree • Minimum of 7 years of property insurance claims experience; field claim handling and/or quality assurance experience is preferred • Florida 6-20/7-20 Adjuster License • Ability to obtain and maintain adjuster licenses in all states where the Company conducts business within 60 days of hire date. Benefits: • Company-sponsored Medical, Dental, Vision, Life, and Disability Insurance (Short-Term and Long-Term). • 401k Retirement Plan with a generous 9% match • Four weeks of PTO • Pet Insurance for your furry family members. Apply tot his job Apply To this Job

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