AmTrust Financial Services, Inc. · 4 hours ago
TPA Quality Assurance Specialist - Liability Lines
United States
Full-time
Remote
Mid, Senior Level
5+ years exp
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Responsibilities
Conduct Claim File Audits: Regularly review claim files to ensure compliance with company standards and regulatory requirements.
Provide Feedback: Offer constructive feedback on audit results and suggest improvements to enhance claim processing quality.
Develop Quality Improvement Strategies: Assist in creating and implementing strategies to improve the overall quality of claims handling.
Training and Support: Assist in providing training sessions to claims staff to improve their knowledge and skills.
Analyze Data: Create and review reports on claim quality trends to identify areas of opportunity and make recommendations for process improvements.
Customer Relations: Work with claim teams on corrective action plans
Creates consumable reports and delivers assessment results to the appropriate level of leadership and applicable stakeholders.
Analyzes and interprets data to monitor trends, identify root causes, and partners with the business to proactively isolate issues and support the development of measurable action plans.
Prioritizes tasks effectively, meeting assessment/project due dates, and identifies and escalates competing demands and/or dependencies.
Develops and maintains a strong understanding of QA methodologies, tools, and risk management principles.
Keeps current with market trends and demands.
Performs other duties as assigned.
Qualification
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Required
Bachelor’s Degree in related field OR equivalent business experience.
5+ years of related claims experience, with recent background in a quality or compliance oversight role.
Strong oral and written communication skills.
Ability to evaluate, prioritize and make informed decisions to ensure timely and accurate completion of all assignments.
Applicable claims, compliance, risk, and/or legal designations such as ARM, AIC, CRCMP, CLMP, ARC, CPCU, SCLA, or IRES designations desirable.
Licensing: A valid adjuster license may be required, depending on the state and company regulations.
Benefits
Medical & Dental Plans
Life Insurance, including eligible spouses & children
Health Care Flexible Spending
Dependent Care
401k Savings Plans
Paid Time Off
Company
AmTrust Financial Services, Inc.
AmTrust Financial Services, Inc., through its subsidiaries, operates as a multinational property and casualty insurance company.
5001-10000 employees
H1B Sponsorship
AmTrust Financial Services, Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (2)
2022 (6)
Funding
Current Stage
Public CompanyTotal Funding
unknown2019-02-15IPO
Leadership Team
D
Daniel Pacicco
Executive Vice President and Chief Financial Officer
D
David Saks
Executive Vice President and Chief Legal Officer
Recent News
2024-11-08
GlobalFinTechSeries
2023-08-29
Company data provided by crunchbase
