Claims Supervisor - Quality Assurance

Remote: 
Full Remote
Contract: 
Work from: 
United States

Offer summary

Qualifications:

Minimum 5 years of experience in P&C claims handling and front-line management., Extensive knowledge of Florida Homeowners Claims and Litigation., Strong analytical, communication, and project management skills., Bachelor's degree or higher in a relevant field is preferred..

Key responsibilities:

  • Conducts quality reviews of open and closed claims files.
  • Supports claims quality assurance initiatives and calibration processes.
  • Collaborates with leadership to identify and implement quality improvements.
  • Serves as the business owner of claims quality management systems.

Florida Peninsula Insurance Company logo
Florida Peninsula Insurance Company Insurance SME https://www.floridapeninsula.com/
201 - 500 Employees
See all jobs

Job description

Job Details
Job Location:    Corporate Office - Boca Raton, FL
Salary Range:    Undisclosed
Description

Position Summary:

As part of an industry-leading team, you will help empower results for our firm by driving industry leading best practices in front line claims adjusting. This role engages directly with all levels of the Claim operation in maintaining best practices, performing quality reviews of open and closed files, supporting QA analytics, facilitating ongoing training programs, and collaborating with senior management in ongoing strategic initiatives.  Additional Litigation QA responsibilities may be involved at times.

 

Essential Functions:

  • The Claims Quality Assurance Supervisor works closely with Claims leadership to monitor performance trends and ensure adherence to claims best practices in front line adjusting.
  • Supports QA reviews of both open and closed files
  • Assists in developing and adhering to claims review schedules
  • Completes accurate and valid file reviews according to schedule, and in a timely manner
  • Administers home office and supervisory claim reviews (sampling, deployment, file, and review management)
  • Oversees ongoing QA calibration of management team
  • Oversees or participates in supporting the QA program for catastrophe events
  • Provides subject matter expertise in special projects and initiatives
  • Collaborates with senior leadership in the identification and creation of new quality opportunities; and successfully support the delivery of internal quality initiatives
  • Where applicable, provides consistent, high quality claims quality, training, governance analysis to staff, and able to deliver distinctive work
  • Serves as business owner of quality management software and reporting system(s), coordinating with internal IT and external software vendor(s) as needed
  • Creates a collaborative team environment with colleagues
  • Communicates in a collaborative and partnering focused manner including drafting presentations and reports
  • Demonstrates commitment to personal and professional development
  • Supports senior leadership and front-line management through relationship building, improvement plan development and tracking, and quality results presentations and tracking
Qualifications

Required Education and Experience:

  • Minimum 5 years’ experience in P&C claims handling and front-line operational management or claims quality management.
  • Minimum 5 years’ experience in Florida Homeowners Claims
  • Fluency in field estimating
  • Experience in originating or participating in successful claims transformation projects or initiatives is preferred

Preferred Education and Experience

  • Bachelors or advanced degree (MA, MS, MBA)
  • Experience with Florida Homeowners Claims Litigation

 

 

Competencies and Preferred Qualifications

  • Deep expertise in Florida Homeowners Claims and Litigation
  • Experience in business strategy, quality management, process improvement and analytics related to P&C claims
  • Experience completing claim file reviews
  • Excellent analysis, communication, presentation, and project management skills
  • Works collaboratively to effectively implement claims quality and / or transformation strategies
  • Proven track record in supporting the development and implementation of claims strategies, best practices, handling processes, programs, and controls leading to increased productivity and quantifiable loss cost and expense savings
  • Ability to work in a team environment, and demonstrates a keen attention to detail 
  • Ability to support creation and presentation of high-quality work products suitable for senior executives
  • Strong internal customer focus with ability to develop and manage relationships with claims personnel, and claims project team members
  • Strong interpersonal skills – team leadership, relationship building, communication
  • Strong performance management, financial awareness, and colleague development skills
  • Demonstrates personal qualities of sound planning, deep claims domain expertise, problem dissection and resolution, commitment to excellence, and decisiveness
  • Fluency in Microsoft Office applications-excel, ppt, MS word etc.

Required profile

Experience

Industry :
Insurance
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Analytical Skills
  • Quality Assurance
  • Communication
  • Relationship Building
  • Detail Oriented
  • Team Leadership
  • Problem Solving

Related jobs