Claims Quality Assurance Specialist

Join us if you’re looking for an opportunity to be inspired, challenged, and rewarded! About the Opportunity: We're building a Claims TPA enabled by state-of-the-art, tech-enabled solutions that deliver faster claims services, giving policyholders, brokers, carriers, and MGAs more time to focus on what's important. We are looking for passionate QA Specialists that will embrace the opportunity to address the industry pain points and help build our TPA to a world class claims service leader. If you’re a problem solver with an eye for improving the quality of claims handling, then this role is perfect for you, We are a remote working environment and emphasize work life balance. Position Title: ** Remote ** QA Specialist What you’ll be doing Completing audits of internally handled Xceedance TPA open & closed claim files to measure compliance with claims handling & technical guidelines Completing audits of external QA clients’ open & closed claim files within the client’s claims system and QA software Assist in developing after-audit reporting and action planning to address issues identified in the audits Reviewing & analyzing data trends and identifying claims handling issues Participating in ad hoc claims quality assurance projects based on client needs Coaching & training of new processes based on audit results & action plans What you’ll bring to the team BA/BS degree and/or working towards attaining CPCU, AIC, SCLA and other relevant insurance designations. Individual Independent State Adjuster licenses are preferred, especially in your resident state. If not, can obtain proper licensing as required within 60 days of hire. 3+ years of experience specializing in claims from low to moderate complexity. Injury/casualty claims experience preferred. Preferred background in claims quality assurance and claims auditing Preferred experience in multiple lines of business (Auto, General Liability, Worker’s Compensation, Property) Strong knowledge of customer service principles and practices and a strong passion for creating the best customer experience. Ability to work in a virtual/remote environment utilizing various technology solutions. Good analytical reasoning with ability to make autonomous decisions What You Can Expect from Us A collaborative, entrepreneurial environment where your ideas drive change Opportunities to work with cutting-edge technologies and a worldwide network of insurance experts A culture rooted in teamwork, integrity, continuous learning, and client success At Xceedance, you will discover the possibility to exceed yourself and grow persistently with us. We offer career development opportunities to our members for a well-rounded development throughout their journey with us. Xceedance is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, national origin, disability, protected veteran status, sexual orientation, gender expression, gender identity or any other characteristic protected by law. #J-18808-Ljbffr Xceedance