Demo

Sr. Claims Quality Control and Training Specialist

Aspire General Insurance
Rancho Cucamonga, CA Full Time
POSTED ON 1/26/2025
AVAILABLE BEFORE 2/21/2025
Aspire General Insurance Company and its affiliated general agent, Aspire General Insurance Services, are on a mission to deliver affordable specialty auto coverage to drivers without compromising outstanding service.

Our company values can best be described with ABLE: to always do the right thing, be yourself, learn and evolve, and execute. Join our team where every individual takes pride in driving their role for shared success.

About The Role

  • Under the direction of the QC/Training Manager, QC/Training specialist will assist with the development and implementation of claims training programs, including new hire training, training of adjuster trainees, and ongoing training of existing staff. The QC/ Training Specialist will assist and perform the essential functions of the position, which includes but is not limited to:

What You'll Do

  • Assist in the development of training programs for the claims team in response to trends uncovered in the file handling of claims where CDI and consumer complaints arise;
  • Monitor, analyze, and improve claims performance in all areas including, loss control, LAE, customer satisfaction, associate engagement, and development;
  • Assist in the development and implementation of any company customer satisfaction surveys or net promoter scores;
  • Ensuring the company is in regulatory compliance;
  • Complies with state and federal laws, Department of Insurance criteria, insurance carrier criteria and follows and enforces Aspire General Insurance Company/partner’s policies, procedures, and work rules;
  • Assist in the development and maintenance of claim procedure manuals and training manuals;
  • Interact with senior leadership and be responsible for communicating with both internal leaders and external industry personnel, and be able to prepare and present reports to those parties;
  • Work with all levels of claims staff to ensure that the claims department is functioning at its best level of performance;
  • Assist in the recognition of the need for technical improvements in any system used by the claims department and work with I/T in the development of those system enhancements;
  • Assist in the development, implementation, and maintenance of internal quality audits;
  • Perform ad hoc auditing depending on the needs of the company;
  • Regular and predictable punctuality and attendance;
  • Other duties as necessary.

Qualifications

  • Bachelor’s degree required;
  • Five plus years in property/casualty field technical claims operations, supervisory or management experience desired;
  • California experience required, multi-state experience desired;
  • Candidate must be willing to travel- including international travel
  • Experience with 360 learning or D360 preferred
  • Understanding of claims systems, reserving philosophies, and extensive knowledge of organizational and structural aspects of automobile claims handling including but not limited to;
  • Material damage claims handling including salvage and subrogation;
  • Liability claims handling including investigation, evaluation, and negotiation;
  • A thorough understanding of bodily injury claim handling including litigation as well as familiarity with SIU practices;
  • Ability to create and assist with the implementation of best practices for the handling of automobile claims;
  • Ability to interpret coverage as well as a thorough knowledge of California-mandated claims handling regulations with experience implementing these regulations;
  • Demonstrated decision-making skills, including the ability to recognize and improve claims performance;
  • Detail-oriented with organizational management and leadership skills;
  • Ability to work well under tight deadlines in a changing environment with the ability to manage multiple tasks effectively;
  • Ability to work effectively and make sound judgment in decision-making both independently and within a collaborative team environment;
  • Can utilize general business computer skills including Word, Excel, and PowerPoint;
  • Must have a disciplined approach to all job-related activities;
  • Must have a solid foundation of personal organization, sound decision-making and analytical skills, and strong interpersonal and customer service skills.
  • Strong spelling, grammar, and punctuation skills.

Benefits: Medical, Dental, Vision, HSA*, PTO, 401k, Company observed Holidays



Individuals seeking employment at Aspire General Insurance Services LLC are considered without regards to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, gender identity, or sexual orientation in accordance with federal and state Equal Employment Opportunity/Affirmative Action record keeping, reporting, and other legal requirements.

  • dependent on plan(s) selected

The Pay Range For This Role Is

65,000 - 85,000 USD per year(West Hills Office)

65,000 - 85,000 USD per year(Rancho Cucamonga Office)

Salary : $65,000 - $85,000

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