Claims Supervisor - Quality Assurance

Florida Peninsula Insurance Co; Boca Raton (FL); On-site; USD 65,000 - 75,000; Full time

Job summary

A prominent insurance company in Boca Raton is seeking a Claims Quality Assurance Supervisor. You will drive best practices in claims adjusting, perform quality reviews of files, and support training initiatives. This vital role requires extensive experience in P&C claims handling and a strong commitment to delivering exceptional quality outcomes.

Qualifications

• Minimum 5 years’ experience in P&C claims handling.
• Fluency in field estimating.
• Experience in claims transformation projects preferred.

Responsibilities

• Monitors performance trends and ensures adherence to best practices.
• Completes accurate and valid file reviews.
• Collaborates with senior management on quality initiatives.

Skills

Quality Assurance

Claims Management

Communication

Analysis

Project Management

Education

Bachelor's or advanced degree (MA, MS, MBA)

Tools

Microsoft Office (Excel, PPT, Word)

Job description

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Position Summary

As part of an industry-leading team, you will help empower results for our firm by driving industry leading best practices in front line claims adjusting. This role engages directly with all levels of the Claim operation in maintaining best practices, performing quality reviews of open and closed files, supporting QA analytics, facilitating ongoing training programs, and collaborating with senior management in ongoing strategic initiatives. Additional Litigation QA responsibilities may be involved at times.

Position Summary

As part of an industry-leading team, you will help empower results for our firm by driving industry leading best practices in front line claims adjusting. This role engages directly with all levels of the Claim operation in maintaining best practices, performing quality reviews of open and closed files, supporting QA analytics, facilitating ongoing training programs, and collaborating with senior management in ongoing strategic initiatives. Additional Litigation QA responsibilities may be involved at times.

Essential Functions

• The Claims Quality Assurance Supervisor works closely with Claims leadership to monitor performance trends and ensure adherence to claims best practices in front line adjusting.
• Supports QA reviews of both open and closed files
• Assists in developing and adhering to claims review schedules
• Completes accurate and valid file reviews according to schedule, and in a timely manner
• Administers home office and supervisory claim reviews (sampling, deployment, file, and review management)
• Oversees ongoing QA calibration of management team
• Oversees or participates in supporting the QA program for catastrophe events
• Provides subject matter expertise in special projects and initiatives
• Collaborates with senior leadership in the identification and creation of new quality opportunities; and successfully support the delivery of internal quality initiatives
• Where applicable, provides consistent, high quality claims quality, training, governance analysis to staff, and able to deliver distinctive work
• Serves as business owner of quality management software and reporting system(s), coordinating with internal IT and external software vendor(s) as needed
• Creates a collaborative team environment with colleagues
• Communicates in a collaborative and partnering focused manner including drafting presentations and reports
• Demonstrates commitment to personal and professional development
• Supports senior leadership and front-line management through relationship building, improvement plan development and tracking, and quality results presentations and tracking
  
  

Required Education And Experience

• Minimum 5 years’ experience in P&C claims handling and front-line operational management or claims quality management.
• Minimum 5 years’ experience in Florida Homeowners Claims
• Fluency in field estimating
• Experience in originating or participating in successful claims transformation projects or initiatives is preferred
  
  

Preferred Education And Experience

• Bachelors or advanced degree (MA, MS, MBA)
• Experience with Florida Homeowners Claims Litigation
  
  

Competencies And Preferred Qualifications

• Deep expertise in Florida Homeowners Claims and Litigation
• Experience in business strategy, quality management, process improvement and analytics related to P&C claims
• Experience completing claim file reviews
• Excellent analysis, communication, presentation, and project management skills
• Works collaboratively to effectively implement claims quality and / or transformation strategies
• Proven track record in supporting the development and implementation of claims strategies, best practices, handling processes, programs, and controls leading to increased productivity and quantifiable loss cost and expense savings
• Ability to work in a team environment, and demonstrates a keen attention to detail
• Ability to support creation and presentation of high-quality work products suitable for senior executives
• Strong internal customer focus with ability to develop and manage relationships with claims personnel, and claims project team members
• Strong interpersonal skills – team leadership, relationship building, communication
• Strong performance management, financial awareness, and colleague development skills
• Demonstrates personal qualities of sound planning, deep claims domain expertise, problem dissection and resolution, commitment to excellence, and decisiveness
• Fluency in Microsoft Office applications-excel, ppt, MS word etc.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Other

Job function

• Job function

  Finance and Sales

• Industries

  Insurance

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