Abrar Admin

California Fair Plan Association

<div><p><b>POSITION SUMMARY</b><br>
The Claims Operations Manager supports the Claims teams through robust training, accurate data reporting, and efficient processes. This role is also responsible for evaluating and analyzing the Claims department&rsquo;s policies and procedures to recommend streamlining, developing, or eliminating processes, and ensuring efficient claims handling.</p><p></p><div><b><br>
PRINCIPAL DUTIES &amp; RESPONSIBILITIES</b><br>
<ul><li>Continually evaluate Claims processes for efficiency and regulatory compliance.</li><li>Lead and coach staff to elevate performance, foster development, and ensure accountability.</li><li>Monitor, measure, and report on process improvements and training effectiveness.</li><li>Coordinate legal review of training material and document approvals in compliance records.</li><li>Guide and oversee the Claims Business Process Analyst, ensuring efficient collaboration with business partners.</li><li>Oversee the claims data reporting process, ensuring timely, accurate data reporting. Monitor new regulations and industry practices for CFP policy updates.</li><li>Ensure all Department of Insurance compliance training materials are up to date, keeping pace with regulatory changes and other market developments.</li><li>Oversee the creation of Claims unit training materials, delivery methods, and employee development programs to align with unit and company strategy and standards.</li><li>Implement policies to ensure compliance with claim-handling guidelines and to ensure good-faith handling of claims.</li><li>Collaborate with Claims Managers to provide relevant content for training materials.</li><li>Identify and recommend specific training programs to help employees maintain or improve job skills.</li><li>Recommend process modifications to improve quality, workflow, and policies and procedures.</li><li>Develop and manage the Claims training schedule for new hires, current team members, and vendors.</li><li>Report implementation progress and training completion to Claims management.</li><li>Serve as the liaison to the California Earthquake Authority, representing the organization with professionalism and integrity.</li><li>Any other duties needed to fulfill the Association's Mission, Values, and Strategic Objectives.</li></ul></div><p></p><div><b><br>
EDUCATION &amp; EXPERIENCE</b><br>
<ul><li>Bachelor&rsquo;s degree in Business or related field</li><li>10+ years property claims experience, with 2+ years in management</li><li>Claims training and auditing experience preferred.</li><li>Demonstrated communication skills, both written and verbal</li><li>Proven decision-making skills and attention to detail</li><li>Advanced skills in Microsoft Office Suite of products</li><li>Advanced skills in Xactimate and Xactanalysis</li><li>Comprehensive understanding of policy contract/statutes and claims processes</li><li>Experienced handling, producing, and presenting claims data to stakeholders preferred</li><li>Duck Creek experience preferred</li><li>Certified in CEA and Fair Claims Settlement Practices preferred</li></ul></div></div>

Property Claims Operations Manager (Remote)

<div><p><b>POSITION SUMMARY</b><br>
The Claims Quality Assurance Supervisor leads a team of Quality Assurance Representatives or Quality Analysts. This role is responsible for reviewing claim files for accuracy, compliance with policies and procedures, as well as CA Department of Insurance guidelines. This role will also include managing communications with the Department of Insurance as well as assisting with coverage analysis for Claims Examiners.</p><div><br>
<b>
PRINCIPAL DUTIES &amp; RESPONSIBILITIES</b><br>
<ul><li>Assist the Claims Quality Assurance Manager in managing and leading the Quality Assurance Department.</li><li>Collaborate with and support Claims Quality Analysts and QA Representative teams to maintain the daily workflow across the Quality Assurance Department.</li><li>Hire, train, and coach Quality Assurance Representatives and Claims Quality Analysts.</li><li>Provide file data for file reviews and maintain the audit platform.</li><li>Direct and oversee file reviews and Department of Insurance complaint responses.</li><li>Provide feedback/results/trends to Claims Examiners, Supervisor, Managers, and Claims Quality Manager based on review results and findings and make recommendations for training or improvement</li><li>Review, analyze, and provide suggestions for claim handling practices handled by Desk Examiners and Independent Adjusters.</li></ul>
Review repair estimates for technical accuracy and adherence to industry/CFP guidelines/standards, as well as client requirements.<br>
<ul><li>Compile estimate revision requests and coordinate with network contractors to obtain estimate corrections.</li><li>Verify file documentation is included for completion of the review process.</li><li>Create and maintain workbooks, questionnaires, processes, and training materials to promote accuracy and consistency.</li><li>Take lead on various projects, including but not limited to QA software and report implementation.</li><li>Manage CEA Liaisons and support CEA training and reporting.</li><li>Adhere to Federal and State laws and regulation.</li><li>Any other duties needed to help fulfill the Associations Mission, abide by the Association&rsquo;s Values, and fulfill the Association&rsquo;s Strategic Objectives.</li></ul></div><div><br>
<b>
EDUCATION &amp; EXPERIENCE</b><br>
<ul><li>Bachelor&rsquo;s degree or equivalent preferred.</li><li>Strong knowledge of property claims. Minimum of 5-10 years&rsquo; property insurance claims experience, 2+ years of Quality Assurance experience and 1 year of supervisory experience.</li><li>Strong organizational, file management and time management skills.</li><li>Attention to detail; ability to prioritize and strong decision-making skills.</li><li>Excellent written and oral communication skills.</li><li>Adaptability and demonstrated ability to manage change.</li><li>Working experience with MS-Office (especially Word and Excel) is required.</li><li>Proficient in the Xactimate estimating program.</li><li>Certified in CEA and Fair Claims Settlement Practices.</li></ul></div></div>

Property Claims Quality Assurance Supervisor (Remote)

Join California Fair Plan Association and explore 2   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

California Fair Plan Association

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Property Claims Operations Manager (Remote)

Property Claims Quality Assurance Supervisor (Remote)