Claims Auditor-Auditing Claims

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. ACIC provides innovative insurance solutions while maintaining a strong financial foundation, reflected in our A.M. We're a team—supporting one another through leadership development, mentorship programs, career certifications, and comprehensive benefits.

Health, Dental & Vision plans (HSA & PPO options)

• 401(k) with company match + financial advisor access
• Tuition reimbursement & student loan assistance
• Flexible work and in-office schedules

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.

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.

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.

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.

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
• Excellent computer skills.
• Prior auditing experience
• Ability to quickly understand and utilize existing and future claims handling systems.

Ability to define problems, collect data, establish facts, and draw valid conclusions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Normal office environment Non-standard hours based on project and system support needs.

Travel: 30%