Performance Assurance Analyst

Sedgwick

91d

About The Position

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Performance Assurance Analyst. PRIMARY PURPOSE: Performs comprehensive reviews on personal and commercial lines claims of varying degree of severity (up to approximately $300,000) to ensure the highest quality of work product is delivered to our clients; confirm our adjuster’s claim files comply with specific client handling guidelines and company standards; and identifies trends in non-compliance to recommend training opportunities that exist.

Requirements

• Bachelor's degree from an accredited college or university preferred.
• Must be eligible to be a licensed All-Lines adjuster.
• Completion of industry-related training course(s) preferred.
• Five (5) years of related experience, to include three (3) years of claims handling, including three (3) years at an advanced technical level as a file reviewer of personal and commercial claims, or equivalent combination of education and experience required.
• Strong knowledge of claims handling and file review practices and procedures.
• Versed in quality and auditing processes.
• Proficient in electronic estimating using Xactimate or Symbility.
• Excellent oral and written communication skills, including presentation skills.
• PC literate, including Microsoft Office products and digital resources.
• Analytical and interpretive skills.
• Strong organizational skills.
• Ability to learn how to navigate virtual meeting, screen sharing, and collaboration applications.
• Self-motivated with an ability to thrive in a remote work environment.
• Excellent interpersonal skills.
• Ability to create and complete comprehensive, accurate and constructive written reports.
• Ability to work in a team environment.
• Ability to meet or exceed Performance Competencies.

Nice To Haves

• Completion of industry-related training course(s) preferred.

Responsibilities

• Executes the quality assurance program by completing quality reviews of Personal and Commercial Lines claim files using Xactimate and Symbility with varying degree of severity (up to approximately $300,000).
• Interprets policy and client guidelines on personal and commercial lines claims to ensure compliance.
• Guides field colleagues on revisions as required to ensure compliance with client guidelines and company standards.
• Completes revisions as required via Xactimate and/or Symbility as appropriate.
• Documents review findings in accordance with team processes.
• Identifies and provides training and improvement opportunities to the Team Lead to meet established operational and technical audit requirements.
• Coordinates with the Analyst Team in implementing Sedgwick business unit (SBU) and national quality initiatives at the local and/or SBU level.
• Provides feedback to the Team Lead to contribute to the performance management review meetings and group training, as needed.
• Maintains technical claims handling and estimating and jurisdictional expertise.

Benefits

• Caring culture and work-life balance.
• Recognition as a Great Place to Work®.
• Opportunities for career growth.

What This Job Offers

• Career Level: Mid Level
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees