Claims Quality Assurance Specialist

Job Description

Job Description

At Frontline Insurance, we are on a mission to Make Things Better, and our Claims Quality Assurance Specialist plays a pivotal role in achieving this vision. We strive to provide high quality service and proactive solutions to all our customers to ensure that we are making things better for each one.

What makes us different? At Frontline Insurance, our core values – Integrity, Patriotism, Family, and Creativity – are at the heart of everything we do. We’re committed to making a difference and achieving remarkable things together. If you’re looking for a role, as a Claims Quality Assurance Specialist, where you can make a meaningful impact and grow your career, your next adventure starts here!

Our Claims Quality Assurance Specialist enjoys robust benefits:

• Work from home!
• Health & Wellness: Company-sponsored Medical, Dental, Vision, Life, and Disability Insurance (Short-Term and Long-Term).
• Financial Security: 401k Retirement Plan with a generous match.
• Work-Life Balance: Four weeks of PTO and Pet Insurance for your furry family members.

What you can expect as a Claims Quality Assurance Specialist:

• Exemplify professional and ethical behavior.
• Review documents provided by our independent field adjusters for accuracy and compliance with policy terms, estimating guidelines, and statutory requirements.
• Conduct file reviews and analyze the claim handling, investigation, coverage application, and payments of claims.
• Compile metrics and trends and create accurate and professional reports.
• Identify training needs and promote consistency of claim handling.
• Provide feedback to members of the Claims Department and other departments in the organization.
• Complete assigned projects in a timely manner and contribute to department goals.
• Maintain up to date knowledge and compliance with Company procedures, claim related statutes, insurance regulations, and other legal requirements.
• Deliver high quality customer service to our internal and external partners.
• Overnight travel and/or extended work hours beyond regular business hours may be required, including weekends, holidays, during a catastrophe response and/or as needed.
• Other duties may be assigned.

What we are looking for as a Claims Quality Assurance Specialist:

• Bachelor's degree
• 7+ years of experience in property and casualty claims
• Quality assurance experience is preferred
• Field claim handling experience is preferred
• If residing in a state where an adjuster license is required, must maintain Designated Home State license in good standing at all times.
• Must maintain adjuster license in all non-resident states where Frontline operates and an adjuster license is required.
• Must obtain required adjuster license in new states commensurate with company expansion.
• Excellent verbal and written communication skills
• Strong analytical skills and attention to detail
• Skilled in utilizing Adobe, Xactimate, XactAnalysis, and XactContents; knowledge in the use of Guidewire is beneficial
• Sound knowledge and understanding of Company procedures, claim processes, construction, and repair methods, claim related statutes, insurance regulations, and other legal requirements
• Strong comprehension of policy contracts and proper application of policy coverages
• Ability to maintain confidentiality and uphold ethical standards
• Self-motivated and adaptable

Why work for Frontline Insurance?

At Frontline Insurance, we’re more than just a workplace – we’re a community of innovators, problem solvers, and dedicated professionals committed to our core values: Integrity, Patriotism, Family, and Creativity. We provide a collaborative, inclusive, and growth-oriented work environment where every team member can thrive.

Frontline Insurance is an equal-opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.