Litigation & Claims Quality Assurance Analyst

Job Details

Job 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

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

Qualifications

Required Education and Experience :

• 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

Competencies :

• Integrity and Trust
• Functional / Technical Skills
• Decision Quality
• Approachability
• Informing
• Patience
• Interpersonal Savvy
• Intellectual Powerhouse

Preferred qualifications :

• Quality Assurance file review experience
• Training / Mentorship of Others on overall claims handling and field adjusting experience
15 days ago