Key skills
BI
About this role
Role Overview
- Conduct comprehensive audits of multi-line casualty and property claims
- Evaluate quality, accuracy, compliance, and financial integrity of delegated claim handling
- Perform file-level and program-level audits of GL, auto, and property claims
- Evaluate coverage analysis and coverage decisions
- Assess liability investigation quality and timeliness
- Review damages evaluation including bodily injury valuation
- Evaluate reserve adequacy and reserve rationale
- Audit property claim handling and review litigation management
- Identify fraud indicators and evaluate Medicare compliance
- Document audit results with actionable recommendations
Requirements
- 5+ years of multi-line casualty and/or property claims adjusting and/or claims audit experience (GL, auto, property)
- Strong understanding of coverage analysis, liability assessment, damages/BI evaluation, property estimating, and reserving methodology
- Familiarity with litigation and settlement practices and recovery/subrogation processes
- Adjuster license(s) as required by applicable jurisdictions (or ability to obtain)
- Proficiency with claims and estimating systems (e.g., Xactimate familiarity a plus) and Microsoft Office (Excel, Word)
Benefits
- Equal employment opportunity for all persons
- Reasonable accommodations for qualified individuals with disabilities