CLAIMS QUALITY COORDINATOR FPCS

POSITION SUMMARY:

This position is responsible for providing quality review, file audits, claim assignments, and training for the FPCS team.

ESSENTIAL FUNCTIONS:

• Assist FPCS Management team with the following activities:
• Monitoring desk and field adjuster claim files for accuracy and timely resolution.
• Completing weekly adjuster closed file reviews.
• Ensure FPCS claim handling procedures are followed.
• Developing and delivering claim related training materials.
• Reviewing and approving adjuster assignments for submittal to Florida Peninsula Insurance.
• Assigning or reassigning new claims or task/reopen requests to FPCS desk and field adjusters.
• Providing timely feedback on identified quality issues and monitor adjuster responses for timely corrections.

• Maintain the adjuster claim assignment tracker.
• Oversee and maintain file review database.
• Analyze and provide claims data reporting for management
• Assist adjusters with fee schedule, invoices, and other billing questions.
• Prepare Quality Control reports as needed for FPCS Management for continuous quality improvement.
• May assist with calls to customers regarding FPCS claim matters.
• Will be required to work extended hours helping in the event of a Catastrophe (CAT).
• Apply proper claim handling processes, procedures, and expectations.
• Other duties and projects as assigned.

REQUIRED EDUCATION AND EXPERIENCE:

• High School diploma required, AA degree preferred, or equivalent property claims experience.
• Minimum 5 years in the P&C insurance industry
• At least 3 years of homeowner's property claims adjuster/examiner experience.
• Must maintain a Florida 6-20 Resident All Lines Adjuster License.
• Proficient with Xactimate estimating software.
• Excellent skills with MS Office, including Word, Excel, Access, PowerPoint and Outlook.

ADDITIONAL QUALIFICATIONS:

• Strong communication, organizational, presentational and time management skills.
• High level of attention to detail and accuracy.
• Demonstrated ability to work independently, but also able to work within a team.
• Excellent verbal and written communication skills.
• Proven ability to work with internal and external customers.

Must be able to work within and meet deadlines