Claims Quality & Training Specialist

OBJECTIVE

Claims Quality & Training Specialist Objective

To serve as an expert for the Claims Division focused on claims systems, processes, file quality and training. To represent Claims on projects to ensure claim systems and processes meet business requirements. To develop, administer and perform examinations on auditable activities. To support all members of management in the effective discharge of their responsibilities by furnishing them with independent reports, analysis, appraisals, recommendations, and pertinent comments concerning the auditable activities reviewed. To monitor and report on vendor performance. To utilize analytics to measure, evaluate, and improve functions. To work with Claims division managers to develop best practices guidelines to drive quality and consistency.

RESPONSIBILITIES

Claims Quality & Training Specialist Responsibilities

Act as a resource for work relating to the implementation of any claims program or process.  Implement standards for production, productivity, quality, and customer-experience. Identify and resolve problems. Determine system improvements and implement change.

 

Develop engaging and informative training materials, online courses, videos, and job-aids.

 

Assist with content development and maintenance by collaborating with teammates and content area experts to ensure training material is current and accurate. Monitor updates to policies and systems and recognize when updates need to be made to training materials.

 

Analyze performance and training challenges to determine business goals, gaps between desired and actual results, and implement improvement methods

 

Act as an organizational change management champion for the Claims division, with an emphasis on training, adaptation and accountability.

QUALIFICATIONS

Claims Quality & Training Specialist Qualifications

Required

Bachelor's degree in accounting, finance, insurance or other related major required, or equivalent experience may be considered.

 

An AIC or CPCU or other insurance designation earned or pursuing required.

 

Five years Insurance Claims experience required.

 

Computer usage and proven skills in Microsoft Office required.

 

Proven knowledge of claims procedures, audit processes, insurance policy coverages and legal defense.

 

Effective writing, keyboarding, telephone and analytical skills required.

 

Must have excellent communication, customer service and strong leadership skills, and ability to deal with people of all levels in all divisions.

 

Must have access to high-speed Internet at home.

 

Must possess a valid driver license with an acceptable driving record.

 

Preferred

Teaching skill for claims technical training preferred.

 

Note: Farm Bureau offers a full benefit package including medical, dental, vision, and 401K.

 

PM19