Property Claims Quality Assurance Supervisor
California FAIR Plan Association
full-time
Posted on:
Location Type: Remote
Location: California • United States
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Salary
💰 $100,000 - $110,000 per year
About the role
- The Claims Quality Assurance Supervisor leads a team of Quality Assurance Representatives or Quality Analysts.
- Responsible for reviewing claim files for accuracy, compliance with policies and procedures, as well as CA Department of Insurance guidelines.
- Managing communications with the Department of Insurance.
- Assisting with coverage analysis for Claims Examiners.
- Collaborating with and support Claims Quality Analysts and QA Representative teams to maintain the daily workflow across the Quality Assurance Department.
- Hire, train, and coach Quality Assurance Representatives and Claims Quality Analysts.
- Provide file data for file reviews and maintain the audit platform.
- Direct and oversee file reviews and Department of Insurance complaint responses.
- Provide feedback/results/trends to Claims Examiners based on review results and findings.
- Review, analyze, and provide suggestions for claim handling practices.
- Compile estimate revision requests and coordinate with network contractors to obtain estimate corrections.
- Verify file documentation is included for completion of the review process.
- Create and maintain workbooks, questionnaires, processes, and training materials to promote accuracy and consistency.
- Take lead on various projects, including but not limited to QA software and report implementation.
- Manage CEA Liaisons and support CEA training and reporting.
- Adhere to Federal and State laws and regulation.
- Any other duties needed to help fulfill the Associations Mission, abide by the Association’s Values, and fulfill the Association’s Strategic Objectives.
Requirements
- Bachelor’s degree or equivalent preferred.
- Strong knowledge of property claims.
- Minimum of 5-10 years’ property insurance claims experience, 2+ years of Quality Assurance experience and 1 year of supervisory experience.
- Strong organizational, file management and time management skills.
- Attention to detail; ability to prioritize and strong decision-making skills.
- Excellent written and oral communication skills.
- Adaptability and demonstrated ability to manage change.
- Working experience with MS-Office (especially Word and Excel) is required.
- Proficient in the Xactimate estimating program.
- Certified in CEA and Fair Claims Settlement Practices.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
property claimsquality assurancefile managementtime managementdecision-makingXactimate estimating programcoverage analysisaudit platform maintenancefile documentation verificationclaim handling practices
Soft Skills
organizational skillsattention to detailprioritizationadaptabilitycommunication skillsleadershipcoachingcollaborationfeedback provisionproject management
Certifications
Bachelor's degreeCEA certificationFair Claims Settlement Practices certification