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Claims Quality Specialist Lead
Claims Quality Specialist LeadCanon Recruiting Group • Seattle, WA, US
Claims Quality Specialist Lead

Claims Quality Specialist Lead

Canon Recruiting Group • Seattle, WA, US
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  • [job_card.full_time]
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Job Description

Job Description

Responsibilities :

  • Manages compliance and quality functions whose mission is to provide assistance to Field Operations and Account Management in order to exceed our client's claim handling expectations.
  • Collaborates internally and externally to develop strategic plans for assigned client's customized requirements.
  • Proactively identifies areas for development, conducts training and education and develops special projects to assist the Field with improved performance.
  • Plans, conducts and manages assignments demonstrating a comprehensive knowledge of claim handling requirements.
  • Develops project plans, collects and analyzes data, and presents resulting findings and recommendations.
  • Plans, coordinates and directs training and staff development programs for the client.
  • Conducts needs analysis studies and confers with leadership to determine training needs.
  • Formulates audit and training policies, programs, and schedules, based on knowledge of identified client needs, company production processes, business systems, or changes in products, procedures or services.
  • Organizes and develops training manuals, reference library and other educational materials.
  • Develops special projects designed to increase efficiency and overall claims handling performance.
  • Responsible for special projects.
  • Proven track record in handling and supervising General Liability claims with an emphasis on Premises Liability matters.
  • Interprets internal or external business issues and recommends solutions / best practices.
  • Serves as senior subject matter expert associated with content, processes, and procedures.

Qualifications : Required :

  • Bachelors degree and a minimum of 6 years claims experience.
  • Strong analytical and technical skills;
  • Solid working knowledge of claims handling best practices.
  • Working knowledge of Word, Excel, Adobe Professional, and Power Point.
  • Preferred :

  • Knowledge of accepted industry standards and practices.
  • Solid understanding of insurance companies, third party administrators and the insurance brokerage business.
  • Computer knowledge with related claims and business software experience.
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