Quality Assurance Specialist - Claims

Company

Farm Family specializes in farm and ranch protection with a wide range of products including flexible farm packages, business owner policies, commercial package, workers compensation, commercial auto and select personal auto coverage. Farm Family is a leader in serving the Northeast and Mid-Atlantic markets and is pursuing growth across the U.S. The Farm Family entities are wholly-owned subsidiaries of Clearbrook Group Holdings Inc.

Job Description

This is a 100% in-office position 5 days per week.

Candidates must be able to work on-site at a designated company office during standard business hours. 

ESSENTIAL FUNCTIONS:

• Conducts quality assurance reviews to maintain compliance and high technical quality according to operational guidelines and internal processes.
• Demonstrates that the focus of quality assurance reviews are proper and handles investigations, evaluations, negotiations and the settlement of claims with moderate to serious severity/complexity.
• Conducts internal staff and external vendor audits/reinspection’s
• Writes estimates and supplements from photos and strengthens estimating and negotiating skills as well as compliance knowledge.
• Reviews and analyzes estimates, supplements and subrogation demand packets, applications of appropriate betterment, and the identifications of prior damage.
• Completes total loss documents and validates total loss evaluation accuracy.
• Negotiate changes to estimates, supplements, and total loss evaluations, as needed.
• Maintains a high level of professional communication and quality of service to customers through monitoring and efficiently handling work queues in claims and estimating systems.
• Follows up, as needed, through systems, phone, etc., to resolve customer needs or assist with inquiries.
• Utilizes claims and estimating systems daily.
• Obtains and maintains required licenses.
• Obtains the resolution of disputed damages, estimates, or supplements from all methods of inspection.
• Provides training to lower-level employees and/or other areas, as needed.
• Maintains vendor relationships to ensure the quality of their respective performance.
• Identifies coverage issues and/or liability, as needed, and brings them to the attention of the claims handler.

QUALIFICATIONS:

• Bachelor's degree.

• Two to four years of experience with Xactimate Software.

PREFERRED QUALIFICATIONS:

• Four years of claims or related technical experience.
• Two years of specialized area of experience, such as auto/salvage, property or construction background, or claims field experience (depends on the claims unit and area of focus).

OCCUPATIONAL REQUIREMENTS:

• The position is physically comfortable and has discretion about walking, standing, sitting, etc.

• A person in this position normally receives little instruction on day-to-day work and receives general instructions on new assignments.

• The position requires physical presence in company office on a full-time basis.

• No adverse working or environmental conditions expected.

Salary range is $56508 - $75800

PLEASE NOTE: 

Applicants must be legally authorized to work in the United States. At this time, we are not able to sponsor or assume sponsorship of employment visas.

If you have a disability under the Americans with Disabilities Act or similar state or local law and you wish to discuss potential reasonable accommodations related to applying for employment with us, please contact our Benefits Department at 210-321-8400. 

Benefits and Compensation

We offer a competitive compensation package, performance-based incentives, and a comprehensive benefits program—including health, dental, vision, 401(k) with company match, paid time off, and professional development opportunities.

Core Values

At Clearbrook our Core Values are Integrity, Collaboration, Pursuit of Excellence and Forward Thinking. These values reflect who we are today and who we apsire to be - guiding how we work, how we lead and how we succeed.