Corporate Claims Specialist QA - Blue Bell, PA

Provides the highest level of technical direction to the claims staff to ensure appropriate outcomes for claims of the most complex nature. Executes quality assurance programs to evaluate staff adherence to the claim handling standards. Develops and ensures compliance with corporate policies and procedures.

Responsibilities:
* Provides technical direction to the claims staff in the investigation and handling of all major losses. Ensures claim management and case reserves are consistent with company guidelines. Communicates the status of all major losses to all appropriate internal and external parties.\
* Manages the execution of quality assurance programs. Develops and implements strategies focused on opportunities for improvement.
* Extends settlement authority on claims exceeding the claim supervisor's authority.
* Develops, recommends and implements short range objectives consistent with company business goals, guidelines and programs.
* Assembles and analyzes regional claim results data to evaluate status relative to established objectives. Reports on observations and recommends remedial action as needed.
* Maintains technical expertise in all assigned jurisdictions. Monitors judicial and legislative entities to promptly identify, analyze and communicate changes impacting jurisdictional exposures and claim handling impact.
* Develops, communicates and ensures compliance with corporate policies and procedures. Leads project teams focused on resolving corporate claims issues.
* Assesses staff training needs and conducts training focused on improving performance.
* Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.

* Bachelor's' degree or 5 or more years of equivalent work experience in an insurance related industry required.
* Extensive knowledge of WC regulations and applicable law, preferably in multiple jurisdictions.
* Extensive knowledge of insurance contracts and adjusting techniques. Familiarity with medical terminology.
* Demonstrated leadership, coaching, and teamwork skills.
* Advanced skills in applying sound judgment/analysis, decision making/problem solving, planning and organization and negotiation.
* Demonstrated customer service and collaboration skills.
* Excellent verbal and written communication skills.
* Computer literacy, including working knowledge of MS Office Product Suite, i.e. Word, Excel, PowerPoint.
* Previous supervisory experience, Chartered Property Casualty Insurance (CPCU) and Associate in Claims (AIC), or similar professional designation, desired.
* Willingness to travel for business purposes. Travel approximately 25%.
* Obtains and maintains state adjusting licenses, as necessary. Ensures that all state-required Continuing Education Credits are obtained as needed to maintain license.