Claims Quality Assurance Specialist
Posted 2025-08-15
Remote, USA
Full Time
Immediate Start
Claims Quality Assurance Specialist
Remote
At Frontline Insurance, we are on a mission to Make Things Better, and our
Claims Quality Assurance Specialist
plays a pivotal role in achieving this vision. We strive to provide high quality service and proactive solutions to all our customers to ensure that we are making things better for each one.
What makes us different? At Frontline Insurance, our core values – Integrity, Patriotism, Family, and Creativity – are at the heart of everything we do. We’re committed to making a difference and achieving remarkable things together. If you’re looking for a role, as a Business Process Analyst, where you can make a meaningful impact and grow your career, your next adventure starts here!
Our Claims Quality Assurance Specialist enjoys robust benefits:
• Health & Wellness: Company-sponsored Medical, Dental, Vision, Life, and Disability Insurance (Short-Term and Long-Term).
• Financial Security: 401k Retirement Plan with a generous 9% match
• Work-Life Balance: Four weeks of PTO and Pet Insurance for your furry family members.
What you can expect as a Claims Quality Assurance Specialist:
• Exemplify professional and ethical behavior
• Create, develop and administer consistent quality assurance reviews of claim files
• Review and supply timely feedback of estimates utilizing XactAnalysis and other tools
• Analyze the handling, investigation, coverage application and payments of claims
• Compile metrics and trends regarding claim handling and translate into user-friendly documentation
• Recommend processes for greater efficiency and improved claim handling
• Identify and recommend training needs for the Claims Department
• Work with the Claims Trainers to develop targeted training
• Promote consistency of claim handling
• Collaborate with other members of the Claims Department and other departments in the organization
• Monitor and evaluate all aspects of claim handling
• Timely completion of assigned tasks and projects
• Maintain knowledge and compliance of company procedures, claim related statutes, insurance regulations and other legal requirements
• High level of customer service for internal and external clients/partners
• Contribute to the goals and objectives of the team and the organization
• Other duties may be assigned
What we are looking for as a Claims Quality Assurance Specialist:
• Bachelor's degree
• Minimum of 7 years of property insurance claims experience; field claim handling and/or quality assurance experience is preferred
• Florida 6-20/7-20 Adjuster License
• Ability to obtain and maintain adjuster licenses in all states where the Company conducts business within 60 days of hire date
Why work for Frontline Insurance?
At Frontline Insurance, we’re more than just a workplace – we’re a community of innovators, problem solvers, and dedicated professionals committed to our core values: Integrity, Patriotism, Family, and Creativity. We provide a collaborative, inclusive, and growth-oriented work environment where every team member can thrive.
Frontline Insurance is an equal-opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
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Remote
At Frontline Insurance, we are on a mission to Make Things Better, and our
Claims Quality Assurance Specialist
plays a pivotal role in achieving this vision. We strive to provide high quality service and proactive solutions to all our customers to ensure that we are making things better for each one.
What makes us different? At Frontline Insurance, our core values – Integrity, Patriotism, Family, and Creativity – are at the heart of everything we do. We’re committed to making a difference and achieving remarkable things together. If you’re looking for a role, as a Business Process Analyst, where you can make a meaningful impact and grow your career, your next adventure starts here!
Our Claims Quality Assurance Specialist enjoys robust benefits:
• Health & Wellness: Company-sponsored Medical, Dental, Vision, Life, and Disability Insurance (Short-Term and Long-Term).
• Financial Security: 401k Retirement Plan with a generous 9% match
• Work-Life Balance: Four weeks of PTO and Pet Insurance for your furry family members.
What you can expect as a Claims Quality Assurance Specialist:
• Exemplify professional and ethical behavior
• Create, develop and administer consistent quality assurance reviews of claim files
• Review and supply timely feedback of estimates utilizing XactAnalysis and other tools
• Analyze the handling, investigation, coverage application and payments of claims
• Compile metrics and trends regarding claim handling and translate into user-friendly documentation
• Recommend processes for greater efficiency and improved claim handling
• Identify and recommend training needs for the Claims Department
• Work with the Claims Trainers to develop targeted training
• Promote consistency of claim handling
• Collaborate with other members of the Claims Department and other departments in the organization
• Monitor and evaluate all aspects of claim handling
• Timely completion of assigned tasks and projects
• Maintain knowledge and compliance of company procedures, claim related statutes, insurance regulations and other legal requirements
• High level of customer service for internal and external clients/partners
• Contribute to the goals and objectives of the team and the organization
• Other duties may be assigned
What we are looking for as a Claims Quality Assurance Specialist:
• Bachelor's degree
• Minimum of 7 years of property insurance claims experience; field claim handling and/or quality assurance experience is preferred
• Florida 6-20/7-20 Adjuster License
• Ability to obtain and maintain adjuster licenses in all states where the Company conducts business within 60 days of hire date
Why work for Frontline Insurance?
At Frontline Insurance, we’re more than just a workplace – we’re a community of innovators, problem solvers, and dedicated professionals committed to our core values: Integrity, Patriotism, Family, and Creativity. We provide a collaborative, inclusive, and growth-oriented work environment where every team member can thrive.
Frontline Insurance is an equal-opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
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