Litigation Quality Assurance Analyst
The Litigation Quality Assurance (QA) Analyst is responsible for completing tasks in support of FPM CQA objectives. This position primarily performs litigation file audits of first-party property / third-party casualty claims to ensure established claims, litigation, and Claims Quality Assurance (CQA) processes/procedures are followed. The Litigation QA Analyst also evaluates error trending from audits and recommends areas for Litigation and Claims Department training. Assists with training efforts as requested.
- 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 litigation/claims subject matter expert; identify areas for improvement/training opportunities Complete post-review follow-up items as requested Reviews litigation/claims 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
Required Education and Experience:
- Bachelor's degree from a regionally accredited university or equivalent insurance background and education 4+ years Florida first-party property litigation claims and litigation knowledge and handling experience including corporate representative deposition, Mediation, and trial attendance experience; previous Litigation QA experience a plus Strong comprehensive subject matter expert knowledge of property/casualty claims handling practices, cause of loss investigation analysis, damage assessment, estimating software platforms, legal billing invoice review, and legal terminology 4+ years property/liability coverage claims and field adjusting (carrier-level) experience specific to lines of business written by Florida Peninsula Managers Florida case law knowledge and strategic planning experience PC literate with a firm understanding of Microsoft Office Programs Ability to communicate effectively both orally and in writing Strong analytical and negotiating skills
- Integrity and Trust Functional/Technical Skills Decision Quality Approachability Informing Patience Interpersonal Savvy Intellectual Powerhouse
- Quality Assurance file review experience Training / Mentorship of Others on overall claims handling and field adjusting experience