5 days ago
• Oversees and maintains the claims quality assurance (QA) program across all lines of business • Sets the standards and practices within the QA function • Actively leads meetings to discuss QA results • Drives efficiency within the QA team and conducts audits on an as needed basis • Provides analysis to upper management on QA trends, improvement opportunities and training needs • Leads and develops QA team members, following through on performance management expectations
• Bachelor’s degree or equivalent relevant experience • Ten years claims adjusting experience, including at least four years of claims quality audit experience • Insurance designations preferred • Superior knowledge of the theory and practice claims handling • Good knowledge of insurance contracts, coverage, practices, and procedures • Advanced analytical abilities and demonstrated experience of good judgment with respect to coverages and reserving • Excellent knowledge of the quality assurance function • Good leadership qualities with the ability to motivate and develop team members • Strong organizational and written and verbal communication skills
• Outstanding benefits with life, medical, dental, vision and prescription drug coverage • Competitive paid time off plan and a full day of volunteer time off annually • Financial incentives, including a 401(k) plan match, pension plan, OneEMC bonus plan and recognition and anniversary awards • Professional development and growth opportunities, including tuition reimbursement • Wellness initiatives to improve team member well-being and reduce health insurance costs • Flexibility to dress for your day and opportunities for alternative work arrangements
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