Quality Assurance Examiner - General Liability / E&O

Posted Yesterday
Be an Early Applicant
3 Locations
In-Office or Remote
85K-124K Annually
Senior level
Insurance
The Role
Conduct quality assurance reviews of Commercial General Liability and Errors and Omissions claims files. Analyze claim-handling trends, prepare leadership reports with improvement recommendations, lead calibration sessions, communicate findings, coach associates, and support training for claims leadership and frontline staff. Ensure adherence to claims procedures, coverage requirements, legal and regulatory standards, and settlement practices while collaborating with regional and line-of-business leaders.
Summary Generated by Built In

The Company  

At Utica National Insurance Group, 1,400 employees countrywide take our corporate promise to heart every day: To make people feel secure, appreciated, and respected. 

Utica National Insurance Group is an "A" rated $2.0B award-winning, nationally recognized property & casualty insurance carrier. 

Operating along the Eastern half of the United States, our Home Office is based in Central New York, with Regional Office locations in NYC, Dallas and Charlotte.

What you will do

You'll be a key contributor to the company's operational excellence by conducting quality assurance reviews within our Commercial General Liability and Errors and Omissions lines.  With skills in leadership, collaboration, and relationship-building, you'll share file review results and host calibration sessions.  In the spirit of continuous improvement, you'll use your analytical skills to identify claim handling trends and create reports to members of our leadership team with recommendations for improvement.  This position requires advanced industry knowledge and strong technical claims handling acumen.

This is a hybrid role reporting to our Charlotte-Ballantyne, NC; Woodbury, Long Island; or New Hartford, NY location. 

Key responsibilities

  • Ensures timely completion of assigned file reviews, calibration sessions and analysis reports to leadership.
  • Applies advanced knowledge of the claims process, policies & procedures, systems, coverage, liability, damage estimating, and/or settlement and adherence to applicable legal and regulatory compliance standards when conducting file reviews.
  • Identifies claim handling trends by applying advanced industry knowledge to discipline practices to produce recommendations for improvement opportunities.
  • Effectively communicates observations to all levels of leadership and provides substantiate feedback and coaching to associates. Work closely with the Director of Field Claim Operations, line of business Directors and regional leadership to ensure compliance with claim handling, practices and procedures.
  • Provide training and support to the Claims field leadership and frontline Claims staff.
  • Performs other tasks as assigned by the Director of Claims Quality and Strategy.

What you need

  • 4-year college degree preferred.
  • 4-8 years' claims experience, demonstrating expertise in underlying coverages, broad background in litigated matters and development.
  • Strong background in General Liability; background in E&O preferred.
  • People and project leadership experience preferred.
  • Solid understanding and experience with Excel and PowerPoint.

Salary range: $84,600 - $124,000

The final salary to be paid and position within the internal salary range is reflective of the employee’s work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications.

Benefits:                              

We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following:

  • Medical and Prescription Drug Benefit
  • Dental Benefit
  • Vision Benefit
  • Life Insurance and Disability Benefits 
  • 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results)
  • Health Savings Account (HSA) 
  • Flexible Spending Accounts 
  • Tuition Assistance, Training, and Professional Designations
  • Company-Paid Family Leave
  • Adoption/Surrogacy Assistance Benefit
  • Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance
  • Student Loan Refinancing Services
  • Care.com Membership with Back-up Care, Senior Solutions
  • Business Travel Accident Insurance
  • Matching Gifts program
  • Paid Volunteer Day
  • Employee Referral Award Program
  • Wellness programs
  • Personal insurance discount

Additional Information:

This position is a full time salaried, exempt (non-overtime eligible) position.

Utica National is an Equal Opportunity Employer.

Apply now and find out what it’s like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy. 


#LI-HL1

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Skills Required

  • 4-8 years of claims experience
  • Advanced knowledge of claims processes, policies, procedures, systems, coverage, liability, damage estimating, settlement, and legal and regulatory compliance
  • Strong background in Commercial General Liability
  • Broad experience with litigated claims matters and development
  • Background in Errors and Omissions claims
  • Four-year college degree
  • People and project leadership experience
  • Experience with Microsoft Excel and PowerPoint
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The Company
HQ: New Hartford, NY
1,366 Employees
Year Founded: 1914

What We Do

Utica National Insurance Group is a Top 100, nationally recognized insurer providing personal and commercial insurance products and services, with the second-largest errors and omissions business in the United States. Utica National sells its products through more than 2,200 independent insurance agents and employs over 1,200 people countrywide. The company was founded in 1914 and is headquartered in New Hartford, New York, with seven regional offices. Utica Mutual Insurance Company and its affiliated companies, New Hartford, NY.

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