1 Litigation & Claims Quality Assurance Analyst Job in Boca Raton, FL
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Litigation & Claims Quality Assurance Analyst
$59k-74k (estimate)
Full Time
2 Days Ago
Florida Peninsula Insurance is Hiring a Litigation & Claims Quality Assurance Analyst Near Boca Raton, FL
Job DetailsJob Location
Corporate Office - Boca Raton, FL
Remote Type
Fully Remote
Position Type
Full Time
Salary Range
$85,000.00 - $95,000.00 Salary/year
Job Shift
Day
Description Position Summary: The Litigation Quality Assurance (QA) Analyst is responsible for completing tasks in support of FPM CQA objectives. This position primarily performs litigation file audits of first-party property / third-party casualty claims to ensure established claims, litigation, and Claims Quality Assurance (CQA) processes/procedures are followed. The Litigation QA Analyst also evaluates error trending from audits and recommends areas for Litigation and Claims Department training. Assists with training efforts as requested.
Essential Functions
Corporate Office - Boca Raton, FL
Remote Type
Fully Remote
Position Type
Full Time
Salary Range
$85,000.00 - $95,000.00 Salary/year
Job Shift
Day
Description Position Summary: The Litigation Quality Assurance (QA) Analyst is responsible for completing tasks in support of FPM CQA objectives. This position primarily performs litigation file audits of first-party property / third-party casualty claims to ensure established claims, litigation, and Claims Quality Assurance (CQA) processes/procedures are followed. The Litigation QA Analyst also evaluates error trending from audits and recommends areas for Litigation and Claims Department training. Assists with training efforts as requested.
Essential Functions
- Completes open, closed, and double litigation claim file reviews in compliance with established CQA processes and procedures
- Participates in root cause analysis (5 why's, Kepner-Trego, Fishbone, etc.)
- Complete ad hoc file reviews to determine extent of issues identified as requested
- Participates in process improvement efforts to assist with efficiency, development, and implementation of new litigation/claims processes and procedures to ensure compliance with CQA standards
- Performs process and procedure training - serves as subject matter expert resource in support of training efforts as requested
- Participates in roundtable weekly discussions as a litigation/claims subject matter expert; identify areas for improvement/training opportunities
- Complete post-review follow-up items as requested
- Reviews litigation/claims departmental materials prior to rollout as requested
- Other duties as assigned, with or without accommodation
- Present a professional, transparent, and helpful philosophy
- Assist in other department areas as requested
- Bachelor's degree from a regionally accredited university or equivalent insurance background and education
- 4 years Florida first-party property litigation claims and litigation knowledge and handling experience including corporate representative deposition, Mediation, and trial attendance experience; previous Litigation QA experience a plus
- Strong comprehensive subject matter expert knowledge of property/casualty claims handling practices, cause of loss investigation analysis, damage assessment, estimating software platforms, legal billing invoice review, and legal terminology
- 4 years property/liability coverage claims and field adjusting (carrier-level) experience specific to lines of business written by Florida Peninsula Managers
- Florida case law knowledge and strategic planning experience
- PC literate with a firm understanding of Microsoft Office Programs
- Ability to communicate effectively both orally and in writing
- Strong analytical and negotiating skills
- Integrity and Trust
- Functional/Technical Skills
- Decision Quality
- Approachability
- Informing
- Patience
- Interpersonal Savvy
- Intellectual Powerhouse
- Quality Assurance file review experience
- Training / Mentorship of Others on overall claims handling and field adjusting experience
Job Summary
JOB TYPE
Full Time
SALARY
$59k-74k (estimate)
POST DATE
07/04/2024
EXPIRATION DATE
08/01/2024
WEBSITE
floridapeninsula.com
HEADQUARTERS
Boca Raton, FL
SIZE
200 - 500
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