Claims Quality Auditor

The Quality Auditor must possess a clear understanding of the claims process, including interpretation of policy coverage and provisions, departmental standards, and state laws governing compliance. The Auditor's responsibility is to review claims files and provide observations based on departmental standards and laws, making sure any non-compliance issues are discussed with manager. The auditor prepares metric reports monthly. These reports help managers in the development and coaching of their staff.   

What will be my duties and responsibilities in this job?

• Complete internal claim file audits on random selection of closed claims.

• Determine whether claims handling is aligned with the Fair Claims Settlement

Regulations.

• Collaborate with management identifying risk and potential training opportunities

discovered from audits

• Prepares reports and facilitates meetings with Claims Manager on results and

action plans on regulatory risk and outcomes.

• Maintain and update all documents pertaining to audit form, controls, processes,

job aids, and bulletins.

• Assists with internal audits when needed.

What are the requirements needed for this position? 

• High School Diploma or equivalent.

• Adjusters License will be required in all states where adjuster licensing is

applicable. 

• Minimum 3 years in property claims or equivalent related P&C insurance

experience.

• P&C Claims adjusting experience to include a strong level of knowledge in adjusting claims and interpretation of policy coverage and provisions, exposures, evaluation of the compensability of the claim, departmental standards, and state laws governing compliance.

• Strong working knowledge of all currently used estimating platforms

(example Xactimate).

What other skills/experience would be helpful to have?

• Strong verbal and written skills to communicate internally and externally.

• Strong critical thinking skills

• Strong organization and time management skills

• Ability to multi-task in fast-paced environment.

Pay Range:

Any posted pay range considers a wide range of compensation factors, including candidate background, experience and work location, while also allowing for salary growth within the position.

Expected application deadline is

If date is blank then this is a pipeline requisition, and we will continue to collect applications on an ongoing basis.

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For U.S. benefit information, visit myassurantbenefits.com. For benefit information outside the U.S., please speak with your recruiter.

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