Senior Claims Quality Analyst
$64.87k - $90kArgonaut Management Services, Inc
Company Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc. Job Description Summary The Quality Improvement job family serves the claims operation in a variety of capacities, most of which are carried out through specialized, technical expertise. The primary functions of this job family are comprised of quality claim audits and quality assurance to maintain claims guidelines, consistent processes, level of quality, etc., of internal staff and external vendors. These jobs may also perform estimate reviews and/or do full reinspection. In other cases, these jobs may be responsible for assisting analyst, specialist, the department, and/or other high-level positions that handle operational functions of the business area. Other key functions of the Quality Improvement job family may be improving process and procedures while maintaining technical bulletins, procedures, policies, practices, guidelines, and official records for the business area. This is a 100% in-office position. Candidates must be able to work on-site at a designated company office during standard business hours. Essential Responsibilities Conduct and document claim audits in the designated audit system within established timelines, completing a minimum of three claim file audits per day. Evaluate claim files for coverage, liability, estimates, reserving, documentation, and compliance with internal standards, regulatory requirements, and quality expectations. Review property estimates for accuracy, completeness, and adherence to guidelines, and identify potential leakage or missed cost controls. Analyze audit results and perform focused audits on specific trends as needed to identify gaps and opportunities for improvement. Provide clear and constructive feedback to claims staff and leadership. Escalate critical findings and provide immediate feedback to leadership when urgent action is needed on a claim. Participate in internal calibration activities within the Quality team to ensure scoring consistency. Partner with leadership to support training initiatives and process improvements. Required Qualifications Minimum of four years of direct property claims handling experience, with emphasis on complex, highseverity commercial property losses Two to four years of handson experience using Xactimat Preferred Qualifications Bachelor's degree in a related field Field claims experience with property inspections and estimate preparation Experience handling liability claims Familiarity with Guidewire and Athenium auditing platforms Salary range is $64,872 - $90,000
PLEASE NOTE:
Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas. If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at View phone number on click.appcast.io. Benefits and Compensation We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program - including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities. Core Values At Clearbrook our Core Values are Integrity, Collaboration, Pursuit of Excellence and Forward Thinking. These values reflect who we are today and who we aspire to be - guiding how we work, how we lead and how we succeed. #J-18808-Ljbffr Argonaut Management Services, Inc$100k - $130k
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