Quality Assurance Specialist - Claims

Company

Farm 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

This is a 100% in-office position 5 days per week.

Candidates must be able to work on-site at a designated company office during standard business hours. 

ESSENTIAL FUNCTIONS:

• Conducts quality assurance reviews to maintain compliance and high technical quality according to operational guidelines and internal processes.
• Demonstrates that the focus of quality assurance reviews are proper and handles investigations, evaluations, negotiations and the settlement of claims with moderate to serious severity/complexity.
• Conducts internal staff and external vendor audits/reinspection’s
• Writes estimates and supplements from photos and strengthens estimating and negotiating skills as well as compliance knowledge.
• Reviews and analyzes estimates, supplements and subrogation demand packets, applications of appropriate betterment, and the identifications of prior damage.
• Completes total loss documents and validates total loss evaluation accuracy.
• Negotiate changes to estimates, supplements, and total loss evaluations, as needed.
• Maintains a high level of professional communication and quality of service to customers through monitoring and efficiently handling work queues in claims and estimating systems.
• Follows up, as needed, through systems, phone, etc., to resolve customer needs or assist with inquiries.
• Utilizes claims and estimating systems daily.
• Obtains and maintains required licenses.
• Obtains the resolution of disputed damages, estimates, or supplements from all methods of inspection.
• Provides training to lower-level employees and/or other areas, as needed.
• Maintains vendor relationships to ensure the quality of their respective performance.
• Identifies coverage issues and/or liability, as needed, and brings them to the attention of the claims handler.

QUALIFICATIONS:

• Bachelor's degree.

• Two to four years of experience with Xactimate Software.

PREFERRED QUALIFICATIONS:

• Four years of claims or related technical experience.
• Two years of specialized area of experience, such as auto/salvage, property or construction background, or claims field experience (depends on the claims unit and area of focus).

OCCUPATIONAL REQUIREMENTS:

• The position is physically comfortable and has discretion about walking, standing, sitting, etc.

• A person in this position normally receives little instruction on day-to-day work and receives general instructions on new assignments.

• The position requires physical presence in company office on a full-time basis.

• No adverse working or environmental conditions expected.

Salary range is $56508 - $75800