Senior Claims Quality Analyst
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Job Summary
Company
Farm FamilyFarm 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 technicalexpertise. The primary functions of this job family arecomprisedof quality claim audits and quality assurance tomaintainclaims guidelines consistent processes level of quality etc. of internal staff and external vendors. These jobs may also perform estimate reviews and/or do full other cases these jobs maybe responsible forassistinganalystspecialist 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 whilemaintainingtechnical 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:
Bachelors 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 $64872 - $90000
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 .
Benefits and Compensation
We offer a competitive compensation package performance-based incentives and a comprehensive benefits programincluding 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 apsire to be - guiding how we work how we lead and how we succeed.
Required Experience:
Senior IC
About Company
Since 1905, American National Insurance Company, founded and headquartered Galveston, Texas, has successfully managed a broad portfolio of insurance and financial products and services, to deliver on our promise to be there for our clients and communities when they need us most. Our ... View more
