Aspire General Insurance · 1 day ago
Sr. Claims Quality Control and Training Specialist
United States
Full-time
Remote
Senior Level
$65K/yr - $85K/yr
5+ years exp
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Responsibilities
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.
Qualification
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Required
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
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
Preferred
Five plus years in property/casualty field technical claims operations, supervisory or management experience desired
Multi-state experience desired
Company
Aspire General Insurance
Aspire General Insurance Company is a California domiciled, private passenger auto liability and physical damage carrier with combined management experience of over 100 years, servicing the needs of its customers.
201-500 employees
Funding
Current Stage
Growth StageRecent News
2024-02-22
Company data provided by crunchbase
