Claims Auditor

Atlantic Casualty Insurance Company•Duluth, GA

2d•Hybrid

About The Position

The Claims Auditor will be responsible for completing monthly claim file audits for each adjuster. Audits will assist in assessing each adjuster’s individual level of performance and if department goals and objectives are being met on a consistent basis. The Claims Auditor may also assist in the training and development of current staff.

Requirements

A four-year degree from an accredited institution or equivalent experience.
Knowledge of and adherence to, the state laws and regulations governing the handling of property and casualty claims throughout the United States.
Knowledge of coverage, liability, investigation, litigation, negotiation, salvage, subrogation, of general liability, construction defect, property, garage and auto physical damage claims handling.
An understanding of accounting principles, construction, underwriting, marketing and auto physical damage and/or property estimating.
Experience with WORD and Excel systems.
12-15 plus years successful handling of claims including advanced skills in coverage analysis, investigation, litigation management, negotiation, salvage and subrogation.
Knowledge of medical terms and legal issues.
Excellent writing skills
Advanced communication skills are required to understand, interpret and convey technical information.
Excellent computer skills.
Excellent time management and organizational skills
Prior auditing experience
Ability to quickly understand and utilize existing and future claims handling systems.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to interpret an extensive variety of instructions in written or diagram form.
Reasoning; dealing with problems involving a few variables in standard situations.

Nice To Haves

Management/Supervisory experience is a plus.
A North Carolina resident adjuster’s license is preferred.

Responsibilities

Conduct 10 claim file audits each quarter for each adjuster in the department.
Provide feedback to management and adjustment staff based on audit results.
Assist in quarterly and annual performance reviews.
Perform other similar or related duties as assigned.
Maintain confidentiality.
Provide unit managers copies of the quarterly individual file audits for each of their direct reports, along with a unit assessment and a spreadsheet that list the adjuster’s scores for each unit of the audit form, along with the overall audit score for each individual.