- 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
Core Competencies
Demonstrates expertise in quality assurance processes and property claims management, with a strong focus on compliance with CA Department of Insurance regulations. Proven ability to lead teams, develop training materials, and implement effective workflows to enhance operational efficiency.
Highest-signal resume keywords
- Quality Assurance Management
- Property Insurance Claims Experience
- Supervisory Experience
- Xactimate Estimating Program
- CA Fair Claims Settlement Practices Certification
ATS Optimization Keywords
Hard Skills
- Quality Assurance
- Claims Review
- File Management
- Coverage Analysis
- Audit Platform Maintenance
- Repair Estimate Review
- Workflow Development
- Data Analysis
- Training Development
- Project Management
Soft Skills
- Organizational Skills
- Time Management
- Attention to Detail
- Decision Making
- Adaptability
Certifications & Qualifications
- CEA Certification
- CA Fair Claims Settlement Practices Certification
Industry Keywords
- Claims Quality
- Subrogation
- Department of Insurance Compliance
- CFP Guidelines
- Audit Calibration
Tools & Technologies
- MS-Office
- Xactimate
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Property Claims Quality Assurance Supervisor Arbeitgeber: Jobtailor
Als Front Office Supervisor in unserem dynamischen Team bieten wir Ihnen die Möglichkeit, in einem unterstützenden und freundlichen Arbeitsumfeld zu wachsen. Wir legen großen Wert auf die berufliche Entwicklung unserer Mitarbeiter und bieten regelmäßige Schulungen sowie die Chance, Verantwortung zu übernehmen. Unsere Lage ermöglicht es Ihnen, Teil einer lebendigen Gemeinschaft zu sein, während Sie gleichzeitig die Standards unseres Franchise-Partners einhalten und unseren Gästen einen unvergesslichen Aufenthalt bieten.
