Claims Quality Specialist Lead

Responsibilities

• Manages compliance and quality functions whose mission is to provide assistance to Field Operations and Account Management in order to exceed our client's claim handling expectations.
• Collaborates internally and externally to develop strategic plans for assigned client's customized requirements.
• Proactively identifies areas for development, conducts training and education and develops special projects to assist the Field with improved performance.
• Plans, conducts and manages assignments demonstrating a comprehensive knowledge of claim handling requirements.
• Develops project plans, collects and analyzes data, and presents resulting findings and recommendations.
• Plans, coordinates and directs training and staff development programs for the client.
• Conducts needs analysis studies and confers with leadership to determine training needs.
• Formulates audit and training policies, programs, and schedules, based on knowledge of identified client needs, company production processes, business systems, or changes in products, procedures or services.
• Organizes and develops training manuals, reference library and other educational materials.
• Develops special projects designed to increase efficiency and overall claims handling performance.
• Responsible for special projects.
• Proven track record in handling and supervising General Liability claims with an emphasis on Premises Liability matters.
• Interprets internal or external business issues and recommends solutions/best practices.
• Serves as senior subject matter expert associated with content, processes, and procedures.

• Bachelors degree and a minimum of 6 years claims experience.
• Strong analytical and technical skills;
• Solid working knowledge of claims handling best practices.
• Working knowledge of Word, Excel, Adobe Professional, and Power Point.

• Knowledge of accepted industry standards and practices.
• Solid understanding of insurance companies, third party administrators and the insurance brokerage business.
• Computer knowledge with related claims and business software experience.

$85,000-$100,000 per year