Commercial Claims Quality & Performance Analyst III

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🔥 0 minutes ago

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Logo of AAA

AAA

5001 - 10000 employees

Founded 1902

🚗 Transport

👥 B2C

Transport • B2C • Travel

AAA is a federation of affiliated automobile clubs, offering various travel-related services and products primarily for its members. It provides emergency roadside assistance, travel planning tools, and member discounts both domestically and internationally. Each club operates independently within its own geographical area, serving its local members while adhering to AAA's overarching standards. AAA also sells travel products like maps and guides, offering resources to assist with international travel. The organization facilitates a network where membership benefits, such as global discounts and emergency services, are extended to international members traveling in the United States and vice versa.

📋 Description

• Advanced-level role responsible for auditing and evaluating internal Commercial claims operations and Third-Party Administrator (TPA) claim handling performance • Analyze adherence to claims handling standards, regulatory requirements, SLAs, and KPIs • Identify operational, compliance, and claim quality risks and provide recommendations for improvement • Develop and enhance audit methodologies, scorecards, reporting tools, and operational dashboards

🎯 Requirements

• High School diploma or equivalent certification or 3-year customer service experience in a virtual environment leveraging internet, phone, and chat features industry • 6 years in an insurance and/or Quality Management environment or equivalent business experience • Must hold an Adjuster licensed for all applicable states or obtain license(s) within 90 days of filling position as a condition of employment

🏖️ Benefits

• total compensation package • annual bonus eligibility for most roles • 401(k) with a company match • flexible workplace options

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