Claims Quality Assurance Specialist
Description:
• The Quality Assurance Specialist serves as a resource and is responsible for the creation, development and administration of consistent reviews of claim files.
• This position also analyzes the data from claim file reviews, compiles related reports and assists in training.
• Exemplify professional and ethical behavior
• Create, develop and administer consistent quality assurance reviews of claim files
• 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 claim handling
• Timely completion of assigned tasks and projects
• Maintain knowledge and compliance of company procedures, claim related statutes and 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
Requirements:
• Bachelor's degree
• Florida 6-20/7-20 Adjuster License
• Ability to obtain adjuster licenses in Alabama, Georgia, North Carolina and South Carolina as well as any other states required within 90 days of hire date
• Minimum of 7 years of property insurance claims experience; field claim handling and/or quality assurance experience is preferred
Benefits:
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• The Quality Assurance Specialist serves as a resource and is responsible for the creation, development and administration of consistent reviews of claim files.
• This position also analyzes the data from claim file reviews, compiles related reports and assists in training.
• Exemplify professional and ethical behavior
• Create, develop and administer consistent quality assurance reviews of claim files
• 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 claim handling
• Timely completion of assigned tasks and projects
• Maintain knowledge and compliance of company procedures, claim related statutes and 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
Requirements:
• Bachelor's degree
• Florida 6-20/7-20 Adjuster License
• Ability to obtain adjuster licenses in Alabama, Georgia, North Carolina and South Carolina as well as any other states required within 90 days of hire date
• Minimum of 7 years of property insurance claims experience; field claim handling and/or quality assurance experience is preferred
Benefits:
Apply Now
Apply Now