Sr. Claims Quality Control and Training Specialist

Aspire General Insurance Company and its affiliated general agent, Aspire General Insurance Services, are on a mission to deliver affordable specialty auto coverage to drivers without compromising outstanding service. 

Our company values can best be described with ABLE: to always do the right thing, be yourself, learn and evolve, and execute. Join our team where every individual takes pride in driving their role for shared success.

About the role

• Under the direction of the QC/Training Manager, QC/Training specialist will assist with the development and implementation of claims training programs, including new hire training, training of adjuster trainees, and ongoing training of existing staff.  The QC/ Training Specialist will assist and perform the essential functions of the position, which includes but is not limited to:

What you'll do

• Assist in the development of training programs for the claims team in response to trends uncovered in the file handling of claims where CDI and consumer complaints arise;
• Monitor, analyze, and improve claims performance in all areas including, loss control, LAE, customer satisfaction, associate engagement, and development;
• Assist in the development and implementation of any company customer satisfaction surveys or net promoter scores;
• Ensuring the company is in regulatory compliance;
• Complies with state and federal laws, Department of Insurance criteria, insurance carrier criteria        and follows and enforces Aspire General Insurance Company/partner’s policies, procedures, and work rules;
• Assist in the development and maintenance of claim procedure manuals and training manuals;
• Interact with senior leadership and be responsible for communicating with both internal leaders and external industry personnel, and be able to prepare and present reports to those parties;
• Work with all levels of claims staff to ensure that the claims department is functioning at its best level of performance;
• Assist in the recognition of the need for technical improvements in any system used by the claims department and work with I/T in the development of those system enhancements;
• Assist in the development, implementation, and maintenance of internal quality audits;
• Perform ad hoc auditing depending on the needs of the company;
• Regular and predictable punctuality and attendance;
• Other duties as necessary.

Qualifications

• Bachelor’s degree required;
• Five plus years in property/casualty field technical claims operations, supervisory or management experience desired;
• California experience required, multi-state experience desired;
• Candidate must be willing to travel- including international travel
• Experience with 360 learning or D360 preferred
• Understanding of claims systems, reserving philosophies, and extensive knowledge of organizational and structural aspects of automobile claims handling including but not limited to;
• Material damage claims handling including salvage and subrogation;
• Liability claims handling including investigation, evaluation, and negotiation;
• A thorough understanding of bodily injury claim handling including litigation as well as familiarity with SIU practices;
• Ability to create and assist with the implementation of best practices for the handling of automobile claims;
• Ability to interpret coverage as well as a thorough knowledge of California-mandated claims handling regulations with experience implementing these regulations;
• Demonstrated decision-making skills, including the ability to recognize and improve claims performance;
• Detail-oriented with organizational management and leadership skills;
• Ability to work well under tight deadlines in a changing environment with the ability to manage multiple tasks effectively;
• Ability to work effectively and make sound judgment in decision-making both independently and within a collaborative team environment;
• Can utilize general business computer skills including Word, Excel, and Power