Claims Quality Assurance Analyst - Boca Raton, FL (33427)

Position

Summary: The Quality Assurance (QA) Analyst is responsible for performing completing tasks in support of FPM CQA objectives.

This positions primarily function is to conduct systematic quality file reviews of first-party property / third-party casualty claims from internal and external claim operations, in accordance with FPM handling guidelines and best practices.

The QA Analyst also evaluates error trending from audits and recommends areas for Litigation and Claims Department training.

Assists with training efforts as requested.

Essential Functions: Completes open, closed, and double litigation claim file reviews in compliance with established CQA processes and procedures Participates in root cause analysis (5 why's, Kepner-Trego, Fishbone, etc.) Complete ad hoc file reviews to determine extent of issues identified as requested Participates in process improvement efforts to assist with efficiency, development, and implementation of new litigation/claims processes and procedures to ensure compliance with CQA standards Performs process and procedure training - serves as subject matter expert resource in support of training efforts as requested Participates in roundtable weekly discussions as a claims and field adjusting subject matter expert; identify areas for improvement/training opportunities Complete post-review follow-up items as requested Reviews claims and field adjusting departmental materials prior to rollout as requested Other duties as assigned, with or without accommodation Present a professional, transparent, and helpful philosophy Assist in other department areas as requested #LI-Remote