Claims Auditor

Job Description

We are seeking an experienced, highly motivated insurance professional to join our claims team. The Claim Auditor is responsible for auditing internal and external claim files for excess reporting compliance, reserving adequacy, quality assurance, adequate resolution plan. This is a position requiring tactful business relationships. The ideal candidate will add to and bolster DMC’s unique culture – a workplace built on enthusiasm, entrepreneurship, integrity, communication, proactive problem solving, and a genuine passion for helping our customers and agents.

RESPONSIBILITIES

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• Conduct audits on internal and external claim files/handling
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• Assess adequacy of reserves
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• Provide reports, analysis and recommendations
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• Effectively communicate results to management, the insured, and TPA
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• Work with internal customers on data governance
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• Make recommendations on claim best practices and loss mitigation
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REQUIREMENTS

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• Minimum of 3 years of multi-state commercial auto liability experience
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• Claim auditing experience required
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• College degree is preferred
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• Excellent written and verbal communication skills
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• Some travel may be required
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• Strong working knowledge of the Microsoft Office suite of programs and an aptitude to learn new programs
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• Will abide by departmental policies and procedures, including authority levels, and to comply with DMC risk management controls
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