Claims Quality Assurance Specialist
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.
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