Field QA Specialist II
About The Position
The Sr Field QA Specialist conducts onsite field inspections and reviews claims or underwriting files for accuracy, completeness, and adherence to company guidelines, industry best practices, and applicable state regulations. The role applies advanced knowledge of property and casualty products, coverage, contracts, and guidelines to support effective quality assurance processes and mentor team members. The position leads quality reviews on designated topics, prepares reports and actionable recommendations, facilitates calibration and process improvement sessions, and partners with leadership and training teams on new-hire and lifecycle training. It also analyzes quality metrics, communicates trends and insights to leadership, represents quality assurance on cross-functional workgroups and strategic projects, and conducts multi-line reviews. Extensive travel, including overnight travel, is required.
Requirements
- College degree or equivalent plus seven years of relevant experience.
- Analytical, problem-solving, decision-making, and organizational skills.
- Keep current with claims or underwriting technologies and systems.
- Stay up to date on legislation, statutes, rules, regulations, and case law for all eight states.
- Valid driver's license and satisfactory motor vehicle record.
- Ability to travel extensively, up to 75%, including overnight travel, and work in all kinds of weather conditions.
- Oral and written communication skills appropriate to the position.
- Ability to read, write, and speak English.
- Training skills, attention to detail, and ability to meet target dates.
- Ability to assist in multiple quality assurance areas or develop toward working with multiple insurance lines.
- Ability to climb ladders, roofs, and other structures to inspect damage and lift at least 75 pounds.
- Obtain Haag Certification within one year of employment.
Nice To Haves
- Multi-line claims or underwriting experience.
- AINS, AIC, API, or AU designation.
Responsibilities
- Conduct onsite field inspections and manage the inspection schedule to complete related desk-based reviews on time.
- Review claims or underwriting files for completeness, accuracy, and compliance with company guidelines, best practices, and applicable state regulations.
- Record review results in quality assurance software and provide clear, concise improvement feedback to claims or underwriting staff.
- Apply advanced knowledge of P&C products, coverages, contracts, guidelines, and best practices to support QA strategies and mentor team members.
- Lead assigned reviews on claims or underwriting topics and prepare reports summarizing findings, insights, and actionable recommendations.
- Lead process improvement and calibration sessions to identify systemic issues and optimize processes, accuracy, and consistency in QA scoring.
- Facilitate mentoring and training efforts related to quality assurance, aligned with training plans and objectives.
- Partner with leadership and training teams to refine claims or underwriting new-hire and lifecycle training programs.
- Monitor and analyze quality performance indicators and metrics, provide actionable insights to leadership, and deliver reports and presentations on QA trends.
- Represent the QA team on claims and underwriting cross-functional workgroups and strategic projects, advising on quality standards, adherence, and process integrity.
- Conduct multi-line quality assurance reviews to improve cross-functional integration and operational scalability.
- Perform other job-related duties or special projects as assigned.
- Progress toward industry education outlined in the career development path.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
