Claims Auditor

Claims Auditor Position

Atlantic Casualty Insurance Company (ACIC) is a recognized Excess and Surplus Lines carrier and proud affiliate of the Auto-Owners Insurance Group since 2016. With authority in all 50 states and Washington, D.C., ACIC provides innovative insurance solutions while maintaining a strong financial foundation, reflected in our A.M. Best rating of A+ (Superior).

Our strength comes from our people. For six consecutive years, we've been certified a Great Place to Work and consistently ranked among Fortune's "100 Best Small and Medium Workplaces". At ACIC, we foster a culture where everyone belongs. We're a team—supporting one another through leadership development, mentorship programs, career certifications, and comprehensive benefits.

Our benefits include:

• Health, Dental & Vision plans (HSA & PPO options)
• 401(k) with company match + financial advisor access
• Tuition reimbursement & student loan assistance
• Paid parental leave
• Counseling and mental wellness support
• Flexible work and in-office schedules

Whether you're just starting your career or looking to grow it, Atlantic Casualty is where talent thrives, and teamwork drives success.

Summary: The Claims Auditor will be responsible for completing monthly claim file audits for each adjuster. Audits will assist in assessing each adjuster's individual level of performance and if department goals and objectives are being met on a consistent basis. The Claims Auditor may also assist in the training and development of current staff.

Essential Duties and Responsibilities:

• Conduct 10 claim file audits each quarter for each adjuster in the department.
• Excellent communication skills to provide feedback to management and adjustment staff based on audit results.
• Demonstrate advanced knowledge of coverage, liability, investigation, litigation, negotiation, salvage, subrogation, of general liability, construction defect, property, garage and auto physical damage claims handling.
• Assist in quarterly and annual performance reviews.
• Regular contact with managers, examiners, adjusters and other department personnel.
• Perform other similar or related duties as assigned.
• Maintain confidentiality.
• Provide unit managers copies of the quarterly individual file audits for each of their direct reports, along with a unit assessment and a spreadsheet that list the adjuster's scores for each unit of the audit form, along with the overall audit score for each individual.

Required Education/Experience:

• A four-year degree from an accredited institution or equivalent experience.
• Management/Supervisory experience is a plus.
• A North Carolina resident adjuster's license is preferred.
• Knowledge of and adherence to, the state laws and regulations governing the handling of property and casualty claims throughout the United States.
• Knowledge of coverage, liability, investigation, litigation, negotiation, salvage, subrogation, of general liability, construction defect, property, garage and auto physical damage claims handling.
• An understanding of accounting principles, construction, underwriting, marketing and auto physical damage and/or property estimating.
• Experience with WORD and Excel systems.

Required Skills:

• 12-15 plus years successful handling of claims including advanced skills in coverage analysis, investigation, litigation management, negotiation, salvage and subrogation.
• Knowledge of medical terms and legal issues.
• Excellent writing skills
• Advanced communication skills are required to understand, interpret and convey technical information.
• Excellent computer skills.
• Excellent time management and organizational skills
• Prior auditing experience
• Ability to quickly understand and utilize existing and future claims handling systems.

Mental Requirements:

Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of instructions in written or diagram form. Reasoning; dealing with problems involving a few variables in standard situations.

Physical Requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to use hands to finger, handle controls and talk or hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. The employee must frequently lift and/or move up to 25 pounds, sometimes as much as 50 pounds. Specific vision abilities required by this job include close vision, color vision, and the ability to adjust focus.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate. Works primarily indoors. Normal office environment Non-standard hours based on project and system support needs.

Travel: 30%