Job Description
Description
Under moderate or limited direction, may review and analyze Small Commercial Casualty Claims to determine alignment with claims handling standards. Assists, participates, and leads internal and external calibration events, analysis of results and insights, development of QI reporting, and presentation of findings to Field leaders and stakeholders. Participates in and/or facilitates operational problem-solving events and provides support for the implementation of improvements.
*This position is a 6-month short-term assignment.
*This is a lateral position eligible for Grades 13-15. Experience with GLPD/Construction claims handling is strongly preferred.
*Candidates who reside within 50 miles of a claims office will be required to go into the office at least two times a month.
Responsibilities
- Under limited direction, conducts virtual quality reviews of claims files.
- Analyzes all aspects of claims within the Small Commercial organization.
- Determine compliance with claims handling standards, policies and procedures as determined by calibration.
- Under limited direction, analyzes results and develops the necessary detail from reviews conducted to assist the QI team in identifying the trends from a review which, if corrected, would drive improvement.
- Accurately tracks and inputs claim reviews into database.
- Participate in calibration with File Review team and the analysis of overall results.
- Under limited direction, assists in the preparation and leads presentation of results, conclusions and recommendations to field leadership on less complex claims.
- Assists with driving continuous improvements by providing feedback on process and tool changes that will result in a better product being delivered to the line of business.
- Performs other duties as assigned.
Qualifications
- Bachelor`s degree required plus minimum 3-5 years of directly related experience required
- Strong written and oral communication skills required
- Strong interpersonal and analytical skills required
- Comprehensive knowledge of Claims department procedures required
- Knowledge of assigned line of business, general insurance policy coverage and State Tort Law