Claims Quality Assurance and Training Manager

POSITION SUMMARY: 
This position is responsible for managing the Claims Quality Assurance and Training programs. Quality Assurance involves auditing claims to assure accurate coverage analysis, investigation, valuation, reserving, and disposition of claims.  Claims Training involves all Claims specific training of both staff and independent adjusters.  This position supports the Claims Organization in achieving excellence in service quality and claim resolution, in accordance with State and company guidelines. The Quality Assurance and Training Manager assists with the development of business processes and training for same in response to quality results.  The position mandates successful completion of all requirements of Fundamentals Claims School, which includes obtaining an overall passing score.
 
ESSENTIAL FUNCTIONS:
THE FOLLOWING ARE THE USUAL, BASIC AND ESSENTIAL FUNCTIONS OF THE POSITION.  THESE FUNCTIONS ARE NOT TO BE CONSTRUED AS AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, DUTIES, AND SKILLS REQUIRED.

• Manages activities and personnel of the Claims Quality Assurance and Training department including training, development, mentoring, counseling, scheduling, and performance evaluations.
• Works with and supports the Claims Organization for quality assurance and training needs.
• Communicates effectively with internal and external Claims partners, Corporate Training, Underwriting, and Human Resources.
• Administers the Claims Quality Assurance Programs.
• Develops action plans and implements training for quality improvement strategies.
• Oversees effective closed claim file audit review program, reinspection review program, and other quality assurance practices.
• Assists in identifying, monitoring and analyzing quality measurements; conducts trending analysis; identifies leakage; and prepares reports for Claims leadership.
• Provides feedback based on claim quality review results and makes recommendations for improvements to Claims Management.
• Conducts and/or participates in feedback sessions on an on-going basis with Claims management, staff, and external business partners.
• Identifies training opportunities based on claim quality review results.
• Oversees the development and implementation of process-specific, competency-based Claims specific education programs.
• Oversees the creation of training material and presentation of training sessions for Claims staff and external business partners.
• Leverages technology and other resources to achieve greater efficiency and improved results in both quality assurance and training programs.
• Assists management in negotiating and executing contracts for quality assurance and training products and services as necessary.
• Keeps current on industry activity and trends.
• Participates and contributes as an active member of the Claims Organization. 
• Assesses quality results for external business partners involved with handling Citizens’ claims.
• Participates in Catastrophe planning and response, including Catastrophe Orientation.
• Creates and effectively manages department budget.

Required KNOWLEDGE, SKILLS and ABILITIES:

• Strong planning and organizational skills.
• Strong leadership/managerial skills.
• Strong verbal and written communication skills.
• Comprehensive knowledge of property and casualty claims practices.
• Strong analytical skills.
• Ability to effectively manage departmental budget.
• Computer proficiency in Microsoft Word, Excel, Power Point, and Outlook.
• Ability to work in a highly energetic and flexible work environment.
• Knowledge of Xactimate property estimating programs and Xactanalysis.

Required education and experience:

• Bachelor’s degree in Business Administration or related field with skills transferable to insurance OR equivalent years in college education and experience relevant to position.
• Extensive Property and Casualty Claims experience, to include five years of hands-on claims handling experience, three years in a supervisory/managerial role, three years in Property and Casualty claims training, and three years in a Property and Casualty File Quality Assurance and Estimate Reinspection program.
• Active Florida Adjuster license (620 or 644) - Appointment Required.

PREFERRED QUALIFICATIONS:

• 5 years experience in a Property and Casualty File Quality Assurance and Estimate Reinspection program.
• 5 years experience in Property and Casualty claims training.
• 5 years supervisory/managerial experience.
• Insurance designation (AIC, CPCU, etc.)

PHYSICAL REQUIREMENTS:
This position requires the ability to be physically mobile and operate a motor vehicle.    Ability to sit, hear and converse over the telephone, and key frequently on a computer.  Position may require occasional overnight travel including catastrophe response.

Citizens offers competitive compensation. In addition, we have benefits which begin on the first day of employment and include retirement savings with a very generous company match, medical, dental, group life, short term disability, professional development opportunities and educational reimbursement. 

For further details and to apply, please visit our website at http://www.citizensfla.com/jobs.asp
Equal opportunity employer

Work for the nation’s leader in full-service mitigation, restoration, reconstruction and remodeling.

We are seeking an enthusiastic, persuasive, motivated and service-oriented individual to join our team as an Assistant Vice President Sales. This professional will perform a wide range of diverse sales activities directed towards the development of insurance and non-insurance direct repair programs.

The primary duties and responsibilities include:

• Creating new insurance mitigation and repair programs by researching and identifying national, regional and/or local insurers who will benefit from Paul Davis Restoration services
• Cultivating relationships with key claims decision makers
• Growing, managing and maintaining insurance mitigation and repair program accounts
• Developing regional secondary or non-insurance accounts
• Attending regional trade shows
• Preparing effective presentations which assist in projecting the features and benefits of Paul Davis Restoration

Requirements include:

• Three plus years marketing and/or selling experience
• Well-developed understanding of marketing and selling processes
• Proven track-record of success
• Undergraduate college degree
• Knowledge of the insurance industry and/or restoration industry
• Excellent written and verbal communication skills
• Professional presentation skills
• Computer literacy in Microsoft Word, Excel, PowerPoint and Outlook
• Organized and forward planner
• Conceptual, analytical and detail-oriented
• Ability to work independently
• Willingness to travel extensively

Qualified candidates should email cover letter and resume to:
Tracy Bachtell, VP Business Development, Paul Davis Restoration, Inc.
tbachtell@pdrestoration.com

Salary is commensurate with experience. Commission and bonus based on performance and results. Paul Davis Restoration offers excellent benefits, competitive salaries, and continual training and development.

Back to Top

Citizens Property Insurance Corporation was created by Florida’s legislature in 2002 to serve property owners in high-risk areas and provide much-needed property coverage to Floridians who can’t obtain coverage in the voluntary market.    We are the largest P&C carrier in the State of Florida and we are growing!  Currently the following opportunity is available in our Jacksonville office:

Claims Quality Assurance and Training Manager

POSITION SUMMARY: 
This position is responsible for managing the Claims Quality Assurance and Training programs. Quality Assurance involves auditing claims to assure accurate coverage analysis, investigation, valuation, reserving, and disposition of claims.  Claims Training involves all Claims specific training of both staff and independent adjusters.  This position supports the Claims Organization in achieving excellence in service quality and claim resolution, in accordance with State and company guidelines. The Quality Assurance and Training Manager assists with the development of business processes and training for same in response to quality results.  The position mandates successful completion of all requirements of Fundamentals Claims School, which includes obtaining an overall passing score.
 
ESSENTIAL FUNCTIONS:
THE FOLLOWING ARE THE USUAL, BASIC AND ESSENTIAL FUNCTIONS OF THE POSITION.  THESE FUNCTIONS ARE NOT TO BE CONSTRUED AS AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, DUTIES, AND SKILLS REQUIRED.

• Manages activities and personnel of the Claims Quality Assurance and Training department including training, development, mentoring, counseling, scheduling, and performance evaluations.
• Works with and supports the Claims Organization for quality assurance and training needs.
• Communicates effectively with internal and external Claims partners, Corporate Training, Underwriting, and Human Resources.
• Administers the Claim Quality Assurance Programs.
• Develops action plans and implements training for quality improvement strategies.
• Oversees effective closed claim file audit review program, reinspection review program, and other quality assurance practices.
• Assists in identifying, monitoring and analyzing quality measurements; conducts trending analysis; identifies leakage; and prepares reports for Claims leadership.
• Provides feedback based on claim quality review results and make recommendations for improvements to Claims Management.
• Identifies training opportunities based on claim quality review results.
• Oversee the creation of training material and presentation of training sessions for Claims staff and independent adjusters.
• Leverages technology and other resources to achieve greater efficiency and improved results in both quality assurance and training programs.
• Assists management in negotiating and executing contracts for quality assurance and training products and services as necessary.
• Keeps current on industry activity and trends.
• Participates and contributes as an active member of the Claims Organization.
• Assesses quality results for Independent Adjusting Firms handling Citizens’ claims.
• Participates in Catastrophe planning.
• Creates and effectively manages department budget.

Required KNOWLEDGE, SKILLS and ABILITIES:

• Strong planning and organizational skills.
• Strong leadership/managerial skills.
• Strong verbal and written communication skills.
• Comprehensive knowledge of property and casualty claims practices.
• Strong analytical skills.
• Ability to effectively manage departmental budget.
• Computer proficiency in Microsoft Word, Excel, Power Point, and Outlook.
• Ability to work in a highly energetic and flexible work environment.
• Knowledge of Xactimate property estimating programs and Xactanalysis.

Required education and experience:

• Bachelor’s degree OR equivalent years in college education and relevant experience
• 8 years Property and Casualty Claims experience.
• 3 years supervisory/managerial experience.
• 3 years experience in Property and Casualty claims training.
• 3 years experience in a Property and Casualty File Quality Assurance and Estimate Reinspection program.
• Active Florida Adjuster license (620 or 644) - Appointment Required.
• AIC designation.

PREFERRED QUALIFICATIONS:

• 5 years experience in a Property and Casualty File Quality Assurance and Estimate Reinspection program.
• 5 years experience in Property and Casualty claims training.
• 5 years supervisory/managerial experience.
• CPCU coursework or designation.

PHYSICAL REQUIREMENTS:
This position requires the ability to be physically mobile and operate a motor vehicle.    Ability to sit, hear and converse over the telephone, and key frequently on a computer.  Position may require occasional overnight travel including catastrophe response.

Citizens offers competitive compensation. In addition, we have benefits which begin on the first day of employment and include retirement savings with a very generous company match, medical, dental, group life, short term disability, professional development opportunities and educational reimbursement. 

For further details and to apply, please visit our website at http://www.citizensfla.com/jobs.asp

Equal opportunity employer

Citizens Property Insurance Corporation was created by Florida’s legislature in 2002 to serve property owners in high-risk areas and provide much-needed property coverage to Floridians who can’t obtain coverage in the voluntary market.    We are the largest P&C carrier in the State of Florida and we are growing!  Currently the following opportunity is available in our Jacksonville office:

Claims Technical Coordinator

POSITION SUMMARY:  The purpose of the position is to perform internal and external quality reviews to ensure compliance with company policies and procedures.  The position mandates successful completion requirements of Fundamental Claims School, which includes obtaining an overall passing score.

ESSENTIAL FUNCTIONS:  THE FOLLOWING ARE THE USUAL, BASIC AND ESSENTIAL FUNCTIONS OF THE POSITION.  THESE FUNCTIONS ARE NOT TO BE CONSTRUED AS AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, DUTIES, AND SKILLS REQUIRED.

• Uses discretion and independent judgment in making decisions in settling claims up to $150,000.
• Assists in the coordination of workflow of claims examiners.
• Develops audit plans and measurement tools.
• Performs open and closed claim file reviews to evaluate and document overall operational value.
• Analyzes audit results and trends with appropriate reporting to management.
• Identifies training needs and coordinates with trainers to develop training curriculum.
• Provides statistical reports to management.
• Researches, analyzes and interprets policy language and state law as necessary.
• Documents appropriate systems with audit data and maintain databases as required.
• Keeps current on industry activity and trends.
• Participates in training and mentoring of strategic business partners and internal staff.
• Liaison with IT department.
• Effectively interacts with external business partners.
• Trains, mentors, and guides external business partners and less experienced staff.
• May participate in catastrophe response planning.
• Performs other essential duties as assigned.

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES:

• Knowledge of Claims Management Guidelines.
• Comprehensive knowledge of estimating programs for evaluating and determining scope and repair costs.
• Strong communication and organizational skills.
• Ability to evaluate detail with good analytical skills.
• Computer literacy in Microsoft Word, Excel, Access and Outlook.
• Ability to travel overnight

REQUIRED EDUCATION AND EXPERIENCE:

• Bachelor’s degree and/or equivalent experience.
• At least 3 years property claims handling experience.
• Active Florida Adjuster license (620 for all lines) appointment required  within 90 days of employment.
• Within 90 days of employment, must successfully complete all requirements of Citizens Fundamental Claims School which includes obtaining an overall passing score.

PREFERRED EDUCATION AND EXPERIENCE:

• Previous supervisory experience
• Prior experience with Xactimate

PHYSICAL REQUIREMENTS: 
This position requires the ability to sit for long periods of time, hear and converse over the telephone, and key frequently on a computer (2 or more hours per day).  Position also requires the ability to be mobile, operate a motor vehicle, climb roofs, and work in a highly energetic and flexible work environment.  Position also requires overnight travel. 

Citizens offers competitive compensation. In addition, we have benefits which begin on the first day of employment and include retirement savings with a very generous company match, medical, dental, group life, short term disability, professional development opportunities and educational reimbursement. 

For further details and to apply, please visit our website at http://www.citizensfla.com/jobs.asp

Equal opportunity employer

Back to Top

Citizens Property Insurance Corporation was created by Florida’s legislature in 2002 to serve property owners in high-risk areas and provide much-needed property coverage to Floridians who can’t obtain coverage in the voluntary market.    We are the largest P&C carrier in the State of Florida and we are growing!  Currently the following opportunity is available in our Jacksonville office:

Commercial Claims Manager

POSITION SUMMARY:  The position is responsible for managing Commercial Property Claims Desk Adjusters, General Adjusters and field claim operations to ensure attainment of objectives, productivity, adherence to company policies and procedures and fulfillment of customer service expectations.  The position mandates successful completion of all requirements of Fundamental Claims School, which includes obtaining an overall passing score. 

ESSENTIAL FUNCTIONS: THE FOLLOWING ARE THE USUAL, BASIC AND ESSENTIAL FUNCTIONS OF THE POSITION.  THESE FUNCTIONS ARE NOT TO BE CONSTRUED AS AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, DUTIES, AND SKILLS REQUIRED.

• Manages activities and personnel of the internal claims unit and external field claim operations including training, development, counseling and performance evaluations.
• Evaluates claims and addresses policy coverage issues in excess of staff authority.
• Works with insured and external business partners regarding the handling and/or disposition of claims and other issues.
• Communicates effectively with agents, policyholders, Claims Unit personnel, Underwriting, Human Resources, Accounting, Claims Management.
• Exercises sound judgment regarding claim settlement value, settlement negotiations, policy application, legal principles.
• Recognizes need for negotiation, and participates in planning strategy and negotiating within scope of authority.
• Documents in a clear and concise manner all information that is relevant to a claim and runs reports as required.
• Keeps current on industry activity and trends and reports to upper management.
• Participates in training and mentoring of strategic business partners and internal staff.
• Conducts Open and Closed File Reviews to evaluate and document overall operational value.
• Develops and analyzes statistical reports.
• Properly delegates settlement authority and utilizes delegated authority effectively.
• Participates in Catastrophe planning, preparation and response (as outlined in Catastrophe Plan)
• Makes staffing recommendations to Director of Claims.
• Develops and maintains files on adjusting resources, engineers, salvors, and experts for claim investigations.
• Provides the Claims Director claims-related information as it relates to the financial impact of the Company.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

• Strong planning and organizational skills
• Strong leadership and managerial skills
• Strong verbal and written communication skills
• Comprehensive knowledge of property claims practices and legal terminology
• Strong analytical and negotiation skills
• Ability to manage budgets
• Computer literacy in Microsoft Word, Excel and Outlook.

• Bachelor’s degree in Business Administration or related field; OR equivalent combination of education, training and experience. 
• Five years of experience in Personal and/or Commercial Property Claims handling.
• Active Florida Adjuster license (620) - Appointment Required within 6 months of employment.
• Within 90 days of employment, must successfully complete all requirements of Citizens Fundamental Claims School which includes obtaining an overall passing score.
• Two years supervisory/managerial  experience
• Prior experience with computerized estimating programs

PREFERRED QUALIFICATIONS:

• 8 years progressively responsible experience in Commercial Property Claims, three of which in management 
• Prior experience with Xactimate computerized estimating
• Prior Commercial Catastrophe Claims handling & management experience
• CLCS (Commercial Lines Claim Specialist) designation
• Practical understanding of the Florida legal environment

PHYSICAL REQUIREMENTS:
This position requires the ability to sit for long periods of time, hear and converse over the telephone, and key frequently on a computer.  Ability to be mobile, operate a motor vehicle, climb roofs and work in a highly energetic and flexible work environment.

Citizens offers competitive compensation. In addition, we have benefits which begin on the first day of employment and include retirement savings with a very generous company match, medical, dental, group life, short term disability, professional development opportunities and educational reimbursement. 

For further details and to apply, please visit our website at http://www.citizensfla.com/jobs.asp

Equal opportunity employer

Back to Top

Citizens Property Insurance Corporation was created by Florida’s legislature in 2002 to serve property owners in high-risk areas and provide much-needed property coverage to Floridians who can’t obtain coverage in the voluntary market.    We are the largest P&C carrier in the State of Florida and we are growing!  Currently the following opportunity is available in our Jacksonville office:

Disputed Claims Specialist II

POSITION SUMMARY:  The position is responsible for the acknowledgement, review, strategic planning and oversight of the disputed claims assigned from either mediation or appraisal.  As a contingency of continued employment, within 90 days of employment, this position requires successful completion of Citizens Fundamentals Claims School, which includes obtaining an overall passing score.

ESSENTIAL FUNCTIONS: THE FOLLOWING ARE THE USUAL, BASIC AND ESSENTIAL FUNCTIONS OF THE POSITION.  THESE FUNCTIONS ARE NOT TO BE CONSTRUED AS AN EXHAUSTIVE LIST OF ALL RESPONSIBILITIES, DUTIES, AND SKILLS REQUIRED.

• Researches, analyzes and interprets policy language and state law as it applies to submitted claims.
• Demonstrates proficiency in conducting investigations, damage assessments and claim evaluations.
• Demonstrates a strong ability to evaluate, understand and apply policy coverages.
• Works with insured and external business partners regarding the handling and/or resolution of disputed claims.
• Recognizes the need for negotiation and prepares the planning strategy within their scope of authority.
• Calculates settlement payments accurately and effectively within specified time frame.
• Recognizes the need to escalate disputes that are in excess of their authority.
• Documents all information that is relevant to a claim and prepares reports as required.
• Updates the claims system to include documentation of all claim activities.
• Keeps current on industry activity and trends.
• Participates in catastrophe response, as needed
• Represents the company at mediations, appraisals or legal proceedings, as required.
• Demonstrates a solid working knowledge of both subrogation/salvage and SIU issues which may arise.
• Performs other essential duties as assigned.

REQUIRED KNOWLEDEGE, SKILLS AND ABILITIES:

• Proficient in Microsoft Word, Excel and Outlook.
• Demonstrated working knowledge of subrogation, salvage and the Special Investigation Unit processes.
• Excellent verbal and written communication skills.
• Strong leadership, organizational and negotiation skills.
• Ability to negotiate and reach agreed scope and cost of repairs with customers and vendors.

REQUIRED EDUCATION AND EXPERIENCE:

• Associate’s degree in Business Administration or in field with skills transferable to insurance; OR Two years claims adjusting experience.
• Four years of Florida experience handling property claims.
• Active Florida Adjuster license (620) - Appointment Required within 90 days of employment as a contingency of continued employment.
• Within 90 days of employment, this Position mandates successful completion requirements of Fundamental Claims School, which includes obtaining an overall passing score.
• Previous computer estimating experience

PREFERRED QUALIFICATIONS:

• Bachelor’s degree in Business Administration or field with skills transferable to insurance
• Industry certification
• Five to seven years of experience handling complex and a wide variety of property claims.
• Experience in the construction industry
• Proficient in the use of Xactimate or comparable software estimating systems (like SBM Integra)

PHYSICAL REQUIREMENTS:
This position requires the ability to travel overnight, operate a motor vehicle, and climb roofs.  Ability to work in a highly energetic and flexible work environment.  Ability to sit, hear and converse over the telephone, and key frequently on a computer.

Citizens offers competitive compensation. In addition, we have benefits which begin on the first day of employment and include retirement savings with a very generous company match, medical, dental, group life, short term disability, professional development opportunities and educational reimbursement. 

For further details and to apply, please visit our website at http://www.citizensfla.com/jobs.asp

Back to Top

Back to Top