Quality Reviewer

Reviews low severity property and/or casualty claims to ensure quality and compliance with client instructions and service level agreements. Investigates and analyzes quality trends, recommends solutions and ensures corrections are made.

• Conducts thorough and accurate testing of claims before submission to clients. Claims are primary focused on personal lines and large national accounts with some limited commercial assignments.


• Reviews and verifies claims information to ensure the proper processing in accordance with established quality standards.


• Reads and interprets customer and vendor specifications. Reviews transactions and compares to the source documents to resolve errors and provides proper feedback.


• Verifies corrected material and prepares quality assurance reports as appropriate.


• Analyzes claims and process trends and makes corrective recommendations.


• Assist in the identification of new procedures, methods and/or tools to improve the efficiency of the quality process.


• Provides analysis and consulting support for the development and support of adjusters in the field. Provides detailed feedback to service centers regarding trends and anomalies in the claim files.


• Continuous monitoring of process performance and reports performance to responsible management


• Remains up-to-date with QA industry standards, principles and practices.


• Continuing education and development of skills


• Upholds the Crawford Code of Conduct.

• Bachelor's degree or an equivalent combination of education and experience.


• Three years experience handling property and/or casualty claims with at least one year of audit/quality control experience.


• Minimum 2 years of experience in estimating and/or property adjusting


• Active Adjusters license required


• 3 years of experience required in Xactimate and XactAnalysis


• Excellent writing and verbal communication skills


• Strong analytical ability


• Attention to detail


• Must possess critical thinking, interpersonal, problem solving, teamwork, and organizational skills


• Demonstrates excellent work ethic and focus on work, tasks, priorities and improving the QA process.


• Must have or secure and maintain the appropriate license(s) as required by the state(s) at the adjuster level.


• Must complete continuing education requirements as outlined by Crawford Educational Services

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