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Sr. Claims Quality Assurance Analyst

Skills
Insurance IndustryOralPresentationsProcedure ManualsProperty DamageQuality AssuranceSubrogation
Role

What the job involves

The main requirements, responsibilities and hiring steps.

Requirements

  • Four plus years experience in the Property and Casualty insurance industry (Non-Standard Preferred)
  • Knowledge of Insurance industry and claims handling trends compliance and law
  • Expertise in technical knowledge of Property and Casualty claim handling
  • Supervisor or management experience preferred
  • Thorough knowledge of Aspires’ best practices and claim processes
  • Excellent interpersonal written and verbal communication and problem-resolution skills
  • Proficient information systems understanding and skills including Microsoft Office programs and the internet
  • Ability to dissect QA data elements identify root causes/trends and quantify the “cost of non-compliance”
  • Ability to provide consultation and expert advice to management
  • Ability to excel independently and in a team environment
  • Must be a self-starter and have the ability to work independently
  • Must be able to effectively manage time projects and resources
  • Must have a clear understanding of insurance industry practices standards and terminology
  • Experience handling subrogation property damage and injury claims is required
  • Must be able to pass a background check
  • Must have the ability to work in a high-volume fast-paced environment while managing multiple priorities
  • Must have a disciplined approach to all job-related activities
  • Must have a solid foundation of personal organization sound decision-making and analytical skills and strong interpersonal and customer service skills

Day to day

  • The Sr. Claims Quality Assurance Analyst will serve as an integral role within the claim’s organization, helping to drive operational efficiencies and improve claim handling by providing insights regarding claim handling, compliance, and customer service.
  • The Analyst is responsible for working collaboratively with members of the claims department and management across the organization while continuously supporting the improvement of the technical quality of the claims product while measuring compliance through the completion of quality reviews.
  • The Analyst will partner with various levels of claims management to analyze and communicate findings, recommend solutions, and assist in the development of meaningful action plans.