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Senior Quality Assurance Analyst
Aspire General InsuranceSenior Quality Assurance Analyst at Aspire General Insurance Company improving claims handling and compliance. Collaborating with teams to enhance technical quality and operational efficiency in the insurance sector.
About the role
Key responsibilities & impact- Conduct quality audit file reviews.
- Participate in or lead various claim projects or targeted audits.
- Assist in the sharing and distribution of best practices through written reports, PowerPoint presentations, oral presentations, and various reporting platforms.
- Lead or facilitate the calibration process for claim managers and the audit team.
- Monitor, analyze and improve claims performance in all areas including loss control, LAE, customer satisfaction, associate engagement, and development.
- Actively participate in the development and implementation of any company customer satisfaction surveys or net promoter scores;
- Complies with state and federal laws, Department of Insurance criteria, insurance carrier criteria and follows and enforces Aspire General Insurance Company/partner’s policies, procedure and work rules;
- Performs a thorough analysis of quality review results and translates results into key opportunity areas.
- Assist in the development and maintenance of claim procedure manuals and training manuals.
- Work with all levels of claims staff to ensure that the claims department is functioning at its best level of performance.
- Identify the need for technical improvements in any system used by the claims department and work with I/T in the development of those system enhancements.
- Actively participate in enhancements and serve as an agent of change in the development and enhancement of Aspires’ best practice guidelines.
- Perform ad hoc auditing depending on the needs of the company.
- Assist in testing processes, procedures, systems, and reports.
- Actively participate in training claim handlers on technical claims content and analysis of audit findings.
- A strong contributor to the team, sharing ideas, corrective actions, or other QA collateral with the AQ team and across the claim organization.
- Stay current on compliance laws and insurance regulations in multiple jurisdictions.
- Interact with multiple business partners as required.
- Ensure ongoing adjudication of claims within company standards and industry best practices and regulations.
- Support Aspires’ ongoing digital and process enhancements, providing innovative solutions for utilizing data management.
- Produce grammatically correct and clearly written correspondence including letters, memos, reports and claim file documentation.
Requirements
What you’ll need- Four plus years’ experience in Property and Casualty insurance industry (Non-Standard Preferred)
- Knowledge of Insurance industry and claims handling trends, compliance, and law
- Expertise in technical knowledge of Property and Casualty claim handling.
- Supervisor or management experience preferred.
- Thorough knowledge of Aspires’ best practice and claim processes.
- Excellent interpersonal, written, and verbal communication and problem resolution skills.
- Proficient information systems understanding and skills, to include Microsoft Office programs, and the internet.
- Ability to dissect QA data elements, identify root causes/trends, and quantify the “cost of non-compliance”.
- Ability to provide consultation and expert advice to management.
- Ability to excel independently and in a team environment.
- Must be a self-starter and have the ability to work independently.
- Must be able to effectively manage time, projects, and resources.
- Must have a clear understanding of insurance industry practices, standards and terminology.
- Experience handling subrogation, property damage and injury claims required.
- Must be able to pass a background check.
- Must have the ability to work in a high volume, fast paced environment while managing multiple priorities.
- Must have a disciplined approach to all job-related activities.
- Must have a solid foundation of personal organization, sound decision making and analytical skills, strong interpersonal and customer service skills.
Benefits
Comp & perks- Medical
- Dental
- Vision
- HSA*
- PTO
- 401k
- Company Observed Holidays
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
quality auditclaims performance analysiscustomer satisfaction surveysclaims handlingdata managementsubrogationproperty damage claimsinjury claimstechnical claims contentroot cause analysis
Soft Skills
interpersonal skillswritten communicationverbal communicationproblem resolutiontime managementproject managementself-starterteam collaborationorganizational skillsanalytical skills