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DATE ADDED: Wed 30/10/2019

Claim Auditor

Austin, TX, US


JOB TYPE: Permanent, FullTime

Next Insurance is a well-funded Insurtech start-up that provides simple and affordable products for small businesses. Selling insurance to 28 million small businesses across hundreds of different professions is a huge challenge, so we’re looking for a talented, passionate Claim Auditor that is up to the task. If you’re obsessed with customer acquisition and growth and get excited about acquiring millions of customers and generating billions of dollars in revenue, then we’d love to talk with you. The Claim Auditor will complete tasks to help ensure our Claims Team remains compliant and adheres to procedures and policies. You’ll provide technical feedback to the claim team while developing and implementing technical content and training programs to ensure the understanding of policies, procedures and programs. You will also review and evaluate claims decisions to ensure adherence to the Best Practices. Claim Auditor Position Responsibilities: Develop and implement quality and compliance standards. Partner with the Claims Analyst to develop internal quality and compliance reporting. Complete monthly audits for internal and external claims handling Present findings to leadership and Claims Team. Partner with the Claims Manager to develop and implement training to the claim staff. Review and report on third party administrator performance with regards to quality and compliance. Structure and organize compliance related matters such as letter compliance, timing requirements by state, and review of DOI market conduct exams. Lead the planning, implementation and execution of claims compliance projects from initiation to completion. Ensure claim department assigned projects results meet desired outcomes regarding timeliness and quality. Coordinate with the Claims Team and other functional departments in the development of new products, coverages and forms. Recognize and train staff on any regulatory and claim compliance updates. Perform other job-related duties requiring the same general knowledge, skills and degree of responsibility. Qualifications: Technical expertise in claim processes, procedures and laws as well as a thorough understanding of the assigned specific claim line (i.e., Commercial General Liability, Workers' Compensation, Property, Commercial Auto). Eight plus years in claim handling, auditing, and/or management of claim personnel. Knowledge of property and casualty estimating tools. Bachelor’s Degree required. Insurance coursework (i.e., CPCU, IIA) preferred. Candidates must have and maintain, or be able to promptly obtain a Texas Independent Adjuster License Employment Type: Full Time Years Experience: 5 - 10 years