Claims Quality Auditor audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. Selects claims through random processes and/or other criteria. Being a Claims Quality Auditor makes recommendations to improve quality, workflow processes, policies and procedures. Typically requires an associate degree. Additionally, Claims Quality Auditor typically reports to a supervisor or a manager. The Claims Quality Auditor gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Claims Quality Auditor typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Field Adjuster - Property/Casualty - Beaumont, TX
3/6/2024
As a Multi-line Adjuster for Brezina Claim Associates, Inc., you will serve as a field investigation representative knowledgeable of the entire claims process. You will provide claims investigative service and technical expertise regarding physical damage losses and injury claims. You will appraise, evaluate, negotiate and equitably settle first and third party property damage and bodily injury losses in accordance with the terms and conditions of corporate guidelines, policy contracts and existing insurance laws and regulations.
Qualified candidates need to possess:
• High school diploma or equivalent.
• 2 years of relevant adjusting and physical damage appraisal experience.
• Experience and/or working knowledge of estimating and total loss evaluation systems.
• Current knowledge of property damage repair process.
• Computer literacy in a Windows operating environment.
• Texas P&C adjuster’s license.
• General understanding of liability assessment and relevant claims processes.
• Driving record verifiable through MVR.
• Ability to regularly lift 30 lbs.
Preferred experience includes:
• Bachelor’s degree
• Knowledgeable of Xactimate estimating platform.
• Ability to complete on site inspections in most weather conditions.
• Willingness to handle volume in outlying areas that may deem extended hours.
• ICAR certification.
Qualified applicants must successfully complete a pre-employment background.
Brezina Claim Associates, Inc. is an Equal Opportunity Employer.
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