Litigation & Claims Quality Assurance Analyst

Employer
Florida Peninsula Insurance Company
Location
Boca Raton, Florida
Salary
Not Specified
Posted
Jul 03, 2024
Closes
Aug 31, 2024
Ref
6870025#GIJtoGJS.1
Industry
Insurance
Category
Insurance
Workplace
In-Office
Position Summary: 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. 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 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 #LI-Remote

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