QA Claims Auditor
$64.87k - $90kArgonaut Management Services, Inc
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.The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.
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., 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.
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.
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.
Minimum of four years of direct property claims handling experience, with emphasis on complex, highseverity commercial property losses
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
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.
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.
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