Summary: This position is based in St. Petersburg FL. The Claims Quality Auditor Analyst position is responsible to participate in the planning and conducting of independent audits of UPC Insurance claims files. The audit results will be used to evaluate compliance with UPC Claims handling guidelines and regulatory requirements, identify training opportunities and operational efficiencies, as needed.
UPC Insurance Claims Overview: Our mission statement is to Keep the Promise® – to our policyholders, our shareholders and to our stakeholders”. The promise to our policyholders is to fairly and timely resolve their claims. Our business practices, processes, objectives and how we conduct ourselves daily is done so from the perspective of our policyholders rather than from our own convenience of how claims should be handled. This embodies the standard that our professional claims department strives to achieve every day, both in daily claims handling and CAT claims. Since the UPC mission is to be the premier provider of homeowner insurance in catastrophe exposed areas, we take our responsibility to Keep the Promise® as one of the fundamental tenets of accomplishing this mission.
The Staff Claims Auditor is responsible for conducting independent Audits of UPC claim files in accordance with UPC Claims handling guidelines and practices. Audits are conducted electronically on a web-based platform. Audit scope includes First Party Property, CAT, Litigation and Third-Party Liability claim files. The Claims Auditor will also be responsible for generating reporting of results to assist with identification of overall performance trends and training opportunities.
Some travel, as appropriate: approximately 10%.
Supervisory Responsibilities: N/A
Education and/or Experience:
To perform the job successfully, an individual should demonstrate the following behaviors:
Physical Demands and Work Environment: While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; and talk or hear. The employee is regularly required to stand; walk; reach with hands and arms and stoop, kneel, or crouch. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus. The noise level in the work environment is usually quiet. The employee may be required to use any, or all of the following, on a daily basis: PC, telephone, cell phone, scanner, fax, printer and other office equipment.