Litigation & Claims Quality Assurance Analyst Job at Florida Peninsula Insurance Company, Remote

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  • Florida Peninsula Insurance Company
  • Remote

Job Description

Position Summary: The Litigation Quality Assurance (QA) Analyst is responsible for completing tasks in support of FPM CQA objectives. This position primarily performs litigation file audits of first-party property / third-party casualty claims to ensure established claims, litigation, and Claims Quality Assurance (CQA) processes/procedures are followed. The Litigation QA Analyst also evaluates error trending from audits and recommends areas for Litigation and Claims Department training. Assists with training efforts as requested. Essential Functions: Completes open, closed, and double litigation claim file reviews in compliance with established CQA processes and procedures Participates in root cause analysis (5 why's, Kepner-Trego, Fishbone, etc.) Complete ad hoc file reviews to determine extent of issues identified as requested Participates in process improvement efforts to assist with efficiency, development, and implementation of new litigation/claims processes and procedures to ensure compliance with CQA standards Performs process and procedure training - serves as subject matter expert resource in support of training efforts as requested Participates in roundtable weekly discussions as a litigation/claims subject matter expert; identify areas for improvement/training opportunities Complete post-review follow-up items as requested Reviews litigation/claims departmental materials prior to rollout as requested Other duties as assigned, with or without accommodation Present a professional, transparent, and helpful philosophy Assist in other department areas as requested#LI-Remote

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