Claims Quality Assurance Specialist

About Us:

American Integrity Insurance, the premier writer of Florida homeowners insurance, has more than 300,000 customers and is exclusively represented by more than 1000 independent agents who specialize in this complex and ever-evolving market. We offer sound and comprehensive home, condo, rental property and manufactured home insurance to families throughout the Sunshine State. Comprised of over 250 insurance professionals, most of whom work in our Tampa-area headquarters, we have been recognized as a Top Place to Work in Tampa by the Tampa Bay Times and a Best Places to Work in Insurance by Business Insurance magazine for the past ten years.

A Day in the Life:

Who Says Insurance Can’t Be Fun? From company picnics to charity events, no one can ever say American Integrity Insurance doesn’t understand the importance of having fun, helping others and giving back. Our company culture is priceless, and we hold true to our six core values: integrity, commitment, teamwork, humility, passion and fun. As a team working to provide home insurance solutions to our policyholders, together we aim to achieve greater heights each day and celebrate each other's accomplishments along the way. It is our mission to continue providing reliable, customer-centric homeowners insurance to Florida residents and paying claims in a timely manner when our customers suffer a loss – and to do so with Integrity.

Learn more about American Integrity Insurance at www.aiiflorida.com

This Job: Claims Quality Assurance Specialist

You'll Report To: VP of Claims

The Claims Quality Assurance Specialist will serve as a subject matter expert to the property claims adjusting team, establishing and maintaining high standards of quality claims handling. He/she will be an integral part of the claims team, working to identify opportunities for better claims handling with the ultimate goal of sound claims decisions and compliance. The Claims Quality Assurance Specialist will also utilize data to assess effectiveness of process and procedures and overall file quality. He/she will work with both the inside adjusting staff as well as the field adjusting staff to ensure integrity and accuracy in adjusting processes throughout the organization and will work with both inside and field managers to support training and development for the adjusting team.

Reviews both inside and field adjuster files for coverage application and estimate accuracy and works pro-actively with adjusters and claims management to identify needed adjustments and create resolutions.

Conducts monthly claim audits.

Serves as a subject matter expert for estimating and claims handling.

Assists in the identification of needs for claims compliance, training, and enhancement. 

Provides monthly audit data to claims management to assess trends and improvement of file quality.

Works collaboratively with claims management and litigation teams to enhance file quality and compliance.

Advises training on elements needed for development of adjusting staff.

Manages special projects, as assigned, within the established time and quality guidelines.

Develops and maintains open and trusting working relationships with employees to effectively serve as a coach and mentor to the team.

Performs other related duties as assigned.

Education: Bachelor’s degree from four-year college or university; or equivalent combination of education and experience.

Experience: Seven (7) to ten (10) years prior experience as a claims adjuster (Must have estimating experience and expertise within that role). Two (2) years-experience or more in Claims Quality Assurance role.

Licensure: State of Florida 520 or 620 License required.

Skills:

Ability to analyze facts and coverages in order to evaluate damages.

Proven ability in negotiation and investigation required.

Ability to communicate interpersonally with individuals and groups via telephone and in writing. Ability to communicate effectively with a wide variety of technical / professional / consumer clients.

Advance proficiency in Microsoft Windows and Office Suite experience.

Xactimate level 1 required, level 2 or 3 preferred.

IICRC certification preferred.

Related Insurance designations preferred (CPCU, AIC, etc)

Working Conditions: Normal business office environment. Must be able to remain in a stationary position for periods of time while constantly operating a computer and or other office productivity machinery such as a calculator or telephone. The person in this position needs to occasionally move about inside the office to access, office machinery or communicate with coworkers. The employee must occasionally lift and / or move up to 10 pounds.

#LI-Onsite

Travel: Field travel, as required.

ADA: The above statements cover what are generally believed to be the principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of job duties.

American Integrity Insurance Group is an Equal Opportunity Employer.