Quality Reviewer

Crawford & Company

Atlanta, GA(remote)

JOB DETAILS
JOB TYPE
Full-time
SKILLS
Analysis Skills, Claims Processing, Communication Skills, Consulting, Detail Oriented, Industry Standards, Interpersonal Skills, Maintain Compliance, National Sales, Organizational Skills, Performance Analysis, Performance Management, Presentation/Verbal Skills, Problem Solving Skills, Procedure Development, Process Analysis, Process Improvement, Quality Assurance, Quality Assurance Methodology, Quality Control, Quality Metrics, Service Level Agreement (SLA), Team Player, Testing, Trend Analysis, Writing Skills
LOCATION
Atlanta, GA
POSTED
30+ days ago
We're looking for experienced Quality Reviewers to evaluate estimates and claims files for accuracy, compliance, and consistency. This role is ideal for detail-oriented professionals with strong Xactimate and property claims experience.

?? What We're Looking For
Active Adjuster License required
2+ years of experience in estimating and/or property adjusting
Xactimate: 3+ years of hands-on experience
XactAnalysis: 3+ years of experience
Xactimate Level 2 Certification preferred
️ Strong analytical and documentation skills

?? Role Highlights
100% remote - open to candidates nationwide
Non-driving, non-field role

Reviews low severity property and/or casualty claims to ensure quality and compliance with client instructions and service level agreements. Investigates and analyzes quality trends, recommends solutions and ensures corrections are made.

  • Bachelors degree or an equivalent combination of education and experience.
  • Three years experience handling property and/or casualty claims with at least one year of audit/quality control experience.
  • Excellent writing and verbal communication skills
  • Strong analytical ability
  • Attention to detail
  • Must possess critical thinking, interpersonal, problem solving, teamwork, and organizational skills
  • Demonstrates excellent work ethic and focus on work, tasks, priorities and improving the QA process.
  • Must have or secure and maintain the appropriate license(s) as required by the state(s) at the adjuster level.
  • Must complete continuing education requirements as outlined by Crawford Educational Services

#LI-CB3
  • Conducts thorough and accurate testing of claims before submission to clients. Claims are primary focused on personal lines and large national accounts with some limited commercial assignments.
  • Reviews and verifies claims information to ensure the proper processing in accordance with established quality standards.
  • Reads and interprets customer and vendor specifications. Reviews transactions and compares to the source documents to resolve errors and provides proper feedback.
  • Verifies corrected material and prepares quality assurance reports as appropriate.
  • Analyzes claims and process trends and makes corrective recommendations.
  • Assist in the identification of new procedures, methods and/or tools to improve the efficiency of the quality process.
  • Provides analysis and consulting support for the development and support of adjusters in the field. Provides detailed feedback to service centers regarding trends and anomalies in the claim files.
  • Continuous monitoring of process performance and reports performance to responsible management
  • Remains up-to-date with QA industry standards, principles and practices.
  • Continuing education and development of skills
  • Upholds the Crawford Code of Conduct.

About the Company

C

Crawford & Company

Based in Atlanta, Georgia, Crawford & Company is the world's largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with an expansive global network serving clients in more than 70 countries.

The Crawford System of Claims Solutions(SM) offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines, including property and casualty claims management, workers compensation claims and medical management, and legal settlement administration

The Company's shares are traded on the NYSE under the symbols CRDA and CRDB.

COMPANY SIZE
5,000 to 9,999 employees
INDUSTRY
Insurance
FOUNDED
1941
WEBSITE
http://www.crawfordandcompany.com