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: Apply tot his job Apply To this Job