Quality Reviewer

Reviews low severity 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 an equivalent combination of education and experience.


* Three years experience handling property and/or casualty claims with at least one year of audit/quality control experience.


* Excellent writing and verbal communication skills


* Strong analytical ability


* Attention to detail


* Must possess critical thinking, interpersonal, problem solving, teamwork, and organizational skills


* Demonstrates excellent work ethic and focus on work, tasks, priorities and improving the QA process.


* 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

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* Conducts thorough and accurate testing of claims before submission to clients.

Claims are primary focused on personal lines and large national accounts with some limited commercial assignments.


* Reviews and verifies claims information to ensure the proper processing in accordance with established quality standards.


* Reads and interprets customer and vendor specifications.

Reviews transactions and compares to the source documents to resolve errors and provides proper feedback.


* Verifies corrected material and prepares quality assurance reports as appropriate.


* Analyzes claims and process trends and makes corrective recommendations.


* Assist in the identification of new procedures, methods and/or tools to improve the efficiency of the quality process.


* Provides analysis and consulting support for the development and support of adjusters in the field.

Provides detailed feedback to service centers regarding trends and anomalies in the claim files.


* Continuous monitoring of process performance and reports performance to responsible management


* Remains up-to-date with QA industry standards, principles and practices.


* Continuing education and development of skills


* Upholds the Crawford Code of Conduct.