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QA Claims Representative - Field

Tower Hill Insurance Group, LLC

QA Claims Representative - Field

Gainesville, FL
Full Time
Paid
  • Responsibilities

    SUMMARY

    Tower Hill Insurance Group has an exciting opportunity for a talented QA Claims Representative who enjoys intellectual challenge and seeks a rewarding career with a company that is experiencing growth. Not only is Tower Hill Insurance one of Florida's most trusted names in homeowners insurance, but it offers great opportunities for career advancement and personal growth, along with very competitive benefits and rewards. We are growing at a consistent pace and seek professional individuals with drive, team mentality, who want to make an impact, and are committed to a long-term career in the insurance industry.

    ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

    Essential duties and responsibilities include but are not limited to the following:

    Reviews claims related work product to verify customer service, investigation, documentation, analysis, estimatics, resolution and leakage avoidance standards are met.

    Conducts detailed file reviews, interviews, audits and other quality verification focused tasks on property & casualty insurance claim files, staff and vendors.

    Reviews existing or prepares comparison damage estimates using computer-estimating software Participates in the Florida DFS Mediation process on behalf of the company

    Makes decisions and recommendations based on objective investigation and documentation

    Maintains documents, notes and materials in accordance with company guidelines.

    As needed, maintains an open claim inventory in accordance with company guidelines.

    Provides prompt service to internal and external customers and other parties by utilizing in-person interaction, telephone, fax, mail and electronic mail. Communicates with all parties in a professional manner.

    Communicates with Supervisors and others consistent with company guidelines.

    Operates in accordance with Florida Statues as well as all other relevant laws, rules, etc.

    Maintains appropriate Adjuster License by adhering to Continuing Education requirements, rules, etc.

    EDUCATION and/or EXPERIENCE

    College degree (four-year college/university) or equivalent professional education and experience combined; minimum 5 - 7 years related adjusting experience; and successful completion of the initial claims training program, advanced training courses as outlined in the extended training catalogue, and/or optional successful completion of a company sponsored insurance designation.

    SUCCESSFUL CANDIDATES ARE EXPECTED TO:

    Contribute to team discussions

    Become proficient with all tools and technologies

    Be open with new ideas or proposals

    Possess strong communication skills

    Adaptable to change

    Excellent customer focus

    TOWER HILL’S TOTAL COMPENSATION PACKAGE INCLUDES:

    Competitive starting salary

    Annual merit reviews and bonus potential

    Medical, Dental, Life and Disability Insurance, and Health Savings Accounts

    Matching 401(k) Plan

    Paid PTO and holidays

    Learning & Development Opportunities

    Tuition Reimbursement

    State of the Art work out facility (Corporate office)

    Business casual dress, and more

    For more information about our company, careers and Total Compensation, visit http://www.thig.com/careers

    Tower Hill Insurance Group, LLC is an equal opportunity employer.