Quality Reviewer II
Reviews property and/or casualty claims to ensure quality and compliance with client instructions and service level agreements.
Investigates and analyzes quality trends, recommends solutions and ensures corrections are made.
* Bachelors degree or equivalent combination of education and experience.
* Five years of experience handling complex property and/or casualty claims and Xactimate experience.
* Audit/quality control experience
* Experience in automated testing of environment is strongly preferred
* Excellent writing and verbal communication skills
* Strong analytical ability
* Attention to detail.
* Ability to work independently in a multi-tasking environment with a sense of urgency
* Must possess critical thinking, interpersonal, problem solving, teamwork, and organizational skills.
* Must have or secure and maintain the appropriate license(s) as required by the state(s) at the adjuster level.
* Must complete continuing education requirements as outlined by Crawford Educational Services
#LI-CB3
* Responsible for the review, testing and analysis of complex claim files to ensure quality work products are sent to clients.
* Manages the tracking, reporting and analysis of quality data.
Makes decisions regarding the depth of testing required based various criteria including: adjuster, client, and previous/common errors.
* Partners across departments and with other claims technical staff to ensure overall product quality.
* Reviews and verifies information regarding complex claims to ensure the proper processing in accordance with established quality standards.
* Reads and interprets complicated customer and vendor specifications.
* Develops and assesses alternative methods to achieve uniform quality including identifying process variables and training opportunities.
* Verifies corrected material and prepares quality assurance reports as appropriate.
* Analyzes claims and process trends and makes corrective recommendations.
* Continuously monitors performance and reports performance issues to appropriate management to coordinate the corrective action process.
* Identifies best practices and applies these to meet efficiency and cost objectives and ensure measurements are applied to demonstrate results.
* Assist in the training of other QA staff through formal classes when new processes are introduced to help ensure consistency throughout the department.
* Upholds the Crawford Code of Conduct.
- Rate: Not Specified
- Location: Atlanta, US-GA
- Type: Permanent
- Industry: Finance
- Recruiter: Crawford & Company
- Contact: Not Specified
- Email: to view click here
- Reference: 2134
- Posted: 2025-06-13 08:48:00 -
- View all Jobs from Crawford & Company
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