Auto Claim Quality Assurance Analyst - Miami, FL

Mendota Insurance Company

(Miami, Florida)
Full Time
Job Posting Details
About Mendota Insurance Company
Mendota Insurance is a non-standard insurance company that writes automobile policies to customers that have medium to high risk driving records. Mendota Insurance is a subsidiary of Kingsway Financial.
Summary
Mendota Insurance Company is seeking candidates with 5+ years of claim adjusting experience to conduct QA Claim reviews. We offer a challenging, rewarding work environment where customer service, accountability and positive attitude are the keys to our success.
Responsibilities
* Measure quality of claims handling on each claim file according to published claim handling guidelines. * Conduct comprehensive claim file reviews and identify opportunities for efficiencies and improvements. * Effectively plan, design and execute audits with minimal supervision. * Prepare detailed reports on audit findings. * Diagnose and analyze audit results to detect deficient controls, duplicated effort, and fraud. * Ensure ongoing compliance with state and national standards and legislation. * Assist in the ongoing design and modification of the claims quality review program by helping to create and update all claims review forms to be used in the QA program.
Ideal Candidate
* The candidate must possess strong analytical and problem solving skills. * Ability to clearly and effectively communicate quality assurance findings in a positive and constructive manner. * Must have a strong and proven knowledge of claim department processing procedures and techniques. * Solid teamwork skills * Ability to work well under pressure and independently. * Develops effective working relationships across organizational lines. * Able to meet deadlines while handling multiple priorities effectively. * Demonstrated insurance and systems knowledge across functional areas. * Strong written and verbal communication skills. * Sound organizational and planning skills. * Expertise in using Microsoft Office Package (Excel, Access, PowerPoint, Word)

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