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Claims Service Representative 3 – Quality Assurance
Location
Rhode Island
Posted
81 days ago
Salary
$72.7K - $96.8K / year
Seniority
Lead
Job Description
Claims Service Representative 3 – Quality Assurance
AAA
• Conduct audits of property files to identify trends, patterns, or anomalies in the claims handling process • Communicate and interact with a variety of individuals including insureds and claimants • Explain benefits, coverages, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements • Evaluate and determine claim values upon receipt and assessment of property, bodily injury and liability data • Produce clear, concise audit write-ups that summarize findings and actionable recommendations for claim handling • Control expenses for areas of responsibility • Verify and interpret / resolve coverage by gathering necessary information to ensure policy applicability • Coordinate with internal and external departments as required. • Determine policy obligations by assessing the liability and damage components of the loss • Investigate and differentiate between allegations and facts in each loss • Respond quickly and effectively to customer needs and problems. • Recognize and appropriately address complex coverage issues • Recognize and appropriately address complex subrogation issues
Job Requirements
- Bachelor’s or equivalent combination of education and experience
- 7-9 years of claims handling experience
- Advanced understanding of vehicle repair procedures and issues or building repair procedures and issues or third-party liability issues
- Moderate computer and line of business technical software skills required
- Moderate knowledge of fault assessment and subrogation principles required
- Moderate leadership competencies are necessary
- Advanced organization and planning recognition skills required
- Advanced oral and written communication skills required
- Advanced interpersonal skills required
- Valid Driver's License, acceptable Department of Motor Vehicles record, and minimum liability insurance issued by state is required.
Benefits
- Health coverage for medical, dental, vision
- 401(K) saving plans with company match AND Pension
- Tuition assistance
- Floating holidays and PTO for community volunteer programs
- Paid parental leave
- Wellness programs
- Employee discounts (membership, insurance, travel, entertainment, services and more!)
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