EMC Insurance Companies logo
EMC Insurance Companies

Keeping insurance human

Casualty Claims Quality Assurance Consultant

QA EngineerQA EngineerFull TimeRemoteLeadTeam 1,001-5,000Since 1911H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

11 days ago

Salary

$85.8K - $130.4K / year

Seniority

Lead

Bachelor Degree8 yrs expEnglish

Job Description

Casualty Claims Quality Assurance Consultant

EMC Insurance Companies

• Strengthening the quality and consistency of casualty claims handling across the organization • Partnering closely with Casualty, Complex, and Specialty teams to review claim files • Evaluating performance against best practices and KPIs • Identifying opportunities to improve outcomes through targeted audits and broader claims reviews • Preparing and delivering audit reports, summaries, and presentations • Recommending process improvements and future audit focus areas • Supporting implementation of new audit processes and continuous improvement efforts • Collaborating with leadership to shape audit standards and support training efforts

Job Requirements

  • Bachelor’s degree, preferably in insurance, finance, accounting, business administration or related field or equivalent relevant experience
  • Eight years of commercial lines casualty claim handling experience, including experience with litigated claims or related experience
  • Prior audit experience preferred
  • Insurance industry designations (e.g. INS, AIC, CPCU) preferred
  • Excellent understanding of the casualty claims function
  • Strong understanding of casualty claims handling procedures, principles, standards and best practices
  • Strong knowledge of medical and legal terminology and legal aspects of court procedures affecting legal liability
  • Ability to audit claim files for consistency
  • Strong ability to gather facts, analyze alternatives and recommend solutions
  • Excellent organizational and analytical skills
  • Excellent customer service and communication skills
  • Strong computer skills, including Microsoft Office Suite
  • Ability to manage multiple tasks and meet deadlines.

Benefits

  • Health insurance
  • 401(k) matching
  • Paid time off plan
  • Volunteer time off
  • Professional development opportunities
  • Wellness initiatives
  • Flexibility in dress code and work arrangements

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