The Consumer QA QC Fraud & Claims Sr Specialist will be part of the Colleague Coaching and Development (CCAD) team and will be responsible for quality assurance oversight for the Fraud & Claims phone colleagues. The QA QC Sr specialist will be responsible for driving a differentiated customer experience ensuring colleagues are maintaining operational and regulatory compliance. The Consumer QA QC Sr specialist is expected to monitor phone calls, to provide performance feedback and coaching opportunities identified via performance scorecards and manager/colleague calibrations. Primary responsibilities include Review and monitor colleague phone calls to ensure agents are adhering to existing Citizen’s policies and procedures and regulatory guidelines. Escalate violations identified during call monitoring to ensure appropriate and efficient coaching and corrective action may be implemented by business lines. Identify and mitigate any risk potentials associated with call monitoring and daily processes. Aid in building and maintaining meaningful partnerships with the business line colleagues and managers. Facilitate and attend call calibration sessions with business lines/agencies to discuss ensure calibration, provide observations and opportunities for improvements through subject matter expertise. Assist with structure and maintenance of team including training of new team members and providing support where needed. Proactively identify opportunities for change that add value to the achievement of business objectives and enhance the customer experience. Demonstrate flexibility to change initiatives, process/procedure implementations for the team and the business lines being reviewed. Understand and comply with regulatory requirements that impact your work including state and federal laws. Understand the importance of risk management and how it impacts your daily responsibilities. Complete required Regulatory and HR compliance training each quarter by established deadlines. Escalate risk issues to management immediately. Identify opportunities to continuously improve the customer experience and/or internal processes for efficiency and risk mitigation. Bring these ideas to management and assist in driving these to completion when asked to do so.
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Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees