Property Claims Quality Assurance Supervisor

Job not on LinkedIn

🕒 September 11

🏄 California – Remote

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💵 $115k - $125k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔧 QA Engineer (Quality Assurance)

👻 Ghost score 4%

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Logo of California FAIR Plan Association

California FAIR Plan Association

51 - 200 employees

Founded 1968

🛡️ Insurance

Insurance

California FAIR Plan Association is an insurance organization that provides basic fire insurance coverage for high-risk properties in California when traditional insurance companies will not offer coverage. The FAIR Plan includes dwelling coverage for owner- or tenant-occupied dwellings with up to four family units, as well as commercial coverage for business-owned buildings. They also offer earthquake insurance through the California Earthquake Authority. The organization helps Californians access necessary fire insurance via licensed brokers and is essentially a temporary insurance solution when coverage is unavailable from traditional insurers.

📋 Description

• Lead a team of Quality Assurance Representatives or Claims Quality & Subrogation Analysts • Review claim files for accuracy and compliance with CA Department of Insurance Fair Claims Settlement Practices Regulations • Manage communications with the Department of Insurance • Assist claims examiners with coverage analysis • Collaborate with analyst and QA Representative teams to maintain daily workflow • Develop and implement quality assurance policies, procedures, and workflows • Hire, train, mentor, and support QA Representatives and Claims Quality & Subrogation Analysts • Provide file data for reviews and maintain the audit platform • Direct and oversee file reviews and manage responses to CDI complaints • Provide feedback on auditing accuracy and CDI response letters • Make recommendations for training and improvement based on findings • Manage monthly file audit calibrations and summarize results • Review and analyze claim handling practices • Review repair estimates for accuracy and adherence to industry/CFP guidelines and client requirements • Compile estimate revision requests and coordinate with network contractors • Create and maintain workbooks, questionnaires, processes, and training materials • Lead projects including QA software and report implementation

🎯 Requirements

• Bachelor’s degree or equivalent preferred • Strong knowledge of quality assurance and property claims • Minimum of 5-10 years property insurance claims experience • 2+ years of supervisory experience • Strong organizational, file management, and time management skills • Attention to detail; ability to prioritize and make strong decisions • Excellent written and oral communication skills • Adaptability and demonstrated ability to manage change • Working experience with MS-Office is required • Proficient in the Xactimate estimating program • Certified in CEA and CA Fair Claims Settlement Practices Regulations

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