CLAIMS QUALITY COORDINATOR FPCS

Employer
Florida Peninsula Insurance Company
Location
Boca Raton, Florida
Salary
$50,000 - $74,999
Posted
Feb 16, 2021
Closes
Mar 20, 2021
Ref
6509865#GIJtoGJS.7
Industry
Insurance
Category
Insurance

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

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