Quality Assurance Specialist - PMA Companies

As an integral member of the Claims team for our Third Party Administrator, you will ensure the overall quality of Casualty claims handling in the assigned states and will provide technical guidance and expertise to analyze and direct major losses to a cost effective resolution.

Responsibilities:

* Provide claims performance or quality/audit reviews.

* Measure performance opportunities through use of file/reinspection process, calibration process, and/or audit processes.

* Develop and implementing action plans focused on improving identified deficiencies and sharing best practices

* Interact with various levels of claims management to communicate audit findings and recommend solutions to continuous process improvement.

* Provide coaching and direction to field claims staff; assessing individual and group training needs and facilitate training programs

* Communicate and train staff on case law and legislative changes that impact claims handling.

* Demonstrate commitment to Company’s Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.

* #LI-Remote

* 5+ years of Casualty claims handling experience; multiple jurisdictional expertise preferred. Position may cover claims nationwide.

* Adjuster license strongly preferred.

* Prior TPA experience required, and additional Insurance company experience is a plus.

* Extensive knowledge of Commercial Auto, Property, Professional and General Liability claims law is required;

* Excellent verbal and written communication skills will be needed;

* Demonstrated leadership, coaching and teamwork skills are essential.

* Previous supervisor/management experience is strongly preferred.

* Bachelor's Degree or equivalent experience is required; professional designations (CPCU, AIC, etc.) are a plus.

* Ability to travel for business purposes, approximately less than 15%.

#LI-Remote

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled