Claims Quality Auditor jobs in Georgia

Atlantic Casualty Insurance Company (ACIC), formed by Strickland Insurance Group (SIG) in 1983 and acquired by Auto-Owners Insurance Group in 2016, maintains an A.M. Best rating of A . ACIC has been certified a “Great Place to Work” for the last 3 years and on Fortune’s “Best Place to Work” list of the top 100 best small and medium companies to work.

With offices in Goldsboro, NC; Hartford, CT; Scottsdale, AZ; Richmond, VA; Atlantic Casualty has authority in fifty states and Washington, DC. We value our employees and believe embracing diversity of thought aides in fostering a culture of belonging; where all are seen, heard, and valued. At Atlantic Casualty, we are family! We care about our associates physical, emotional, and professional health and emphasize wellness benefits, charity, and training programs offered. We offer employee development opportunities through Cornerstone Learning Management System, Franklin Covey, the Institutes and Pluralsight.

Benefits of Atlantic Casualty include:

• Health, Dental, Vision, and Pet Insurance
• 401(k) Plan Company Match
• Student Loan Assistance and Tuition Reimbursement
• Parental Leave
• Career Growth and Opportunities for Promotions

Please visit our Careers Page for more information on the benefits and programs you will enjoy by joining the team at Atlantic Casualty Insurance Company.

www.atlanticcasualty.net/about-acic/our-careers/

Job Summary:

The 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 Auditor may also assist in the training and development of current staff.

Essential Functions:

1. Conduct 10 claim file audits each quarter for each adjuster in the department.
2. Excellent communication skills to provide feedback to management and adjustment staff based on audit results.
3. Demonstrate advanced knowledge of coverage, liability, investigation, litigation, negotiation, salvage, subrogation, of general liability, construction defect, property, garage and auto physical damage claims handling.
4. Assist in quarterly and annual performance reviews.
5. Regular contact with managers, examiners, adjusters and other department personnel.
6. Perform other similar or related duties as assigned.
7. Maintain confidentiality.
8. 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.

Required Knowledge & Skills

1. A four-year degree from an accredited institution or equivalent experience.
2. Knowledge of and adherence to, the state laws and regulations governing the handling of property and casualty claims throughout the United States.
3. Knowledge of coverage, liability, investigation, litigation, negotiation, salvage, subrogation, of general liability, construction defect, property, garage and auto physical damage claims handling.
4. An understanding of accounting principles, construction, underwriting, marketing and auto physical damage and/or property estimating.
5. Experience with WORD and Excel systems.

Advanced

1. 12-15 plus years successful handling of claims including advanced skills in coverage analysis, investigation, litigation management, negotiation, salvage and subrogation.
2. Knowledge of medical terms and legal issues.
3. Excellent writing skills
4. Advanced communication skills are required to understand, interpret and convey technical information.
5. Excellent computer skills.
6. Excellent time management and organizational skills
7. Prior auditing experience
8. Ability to quickly understand and utilize existing and future claims handling systems.

Licensing

A North Carolina resident adjuster’s license is preferred.

Mental Requirements

The ability to define problems, collect data, establish facts, and draw valid conclusions. The ability to think independently, to collect, compile and organize facts and figures in accordance with established procedures. The ability to interpret an extensive variety of instructions in written or diagram form. Reasoning; dealing with problems involving a few variables in standard situations.

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to use hands to finger, handle controls and talk or hear. The employee frequently is required to sit and reach with hands and arms. The employee is occasionally required to stand and walk. The employee must frequently lift and / or move up to 25 pounds. Specific vision abilities required by this job include close vision, color vision and the ability to adjust focus.

Work Environment
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Works indoors at a cubicle with a computer. The noise level is usually moderate.

Travel 30%

"Atlantic Casualty Insurance Company is an equal opportunity employer"