01Overview
Note: The job is a remote job and is open to candidates in USA. AmTrust Financial Services, Inc. is seeking a TPA Performance Specialist for their Liability Claims department. The role involves executing quality reviews on claims and engaging with claim leadership to enhance compliance and training efforts.
Responsibilities
Conduct Claim File Audits: Regularly review claim files to ensure compliance with company standards and regulatory requirements
Provide Feedback: Offer constructive feedback on audit results and suggest improvements to enhance claim processing quality
Develop Quality Improvement Strategies: Assist in creating and implementing strategies to improve the overall quality of claims handling
Training and Support: Assist in providing training sessions to claims staff to improve their knowledge and skills
Analyze Data: Create and review reports on claim quality trends to identify areas of opportunity and make recommendations for process improvements
Customer Relations: Work with claim teams on corrective action plans Creates consumable reports and delivers assessment results to the appropriate level of leadership and applicable stakeholders
Analyzes and interprets data to monitor trends, identify root causes, and partners with the business to proactively isolate issues and support the development of measurable action plans
Prioritizes tasks effectively, meeting assessment/project due dates, and identifies and escalates competing demands and/or dependencies
Develops and maintains a strong understanding of QA methodologies, tools, and risk management principles
Keeps current with market trends and demands
Performs other duties as assigned
Skills
Bachelor's Degree in related field OR equivalent business experience
5+ years of related claims experience, with recent background in a quality or compliance oversight role
Strong oral and written communication skills
Ability to evaluate, prioritize and make informed decisions to ensure timely and accurate completion of all assignments
Applicable claims, compliance, risk, and/or legal designations such as ARM, AIC, CRCMP, CLMP, ARC, CPCU, SCLA, or IRES designations desirable
A valid adjuster license may be required, depending on the state and company regulations
Benefits
Medical & Dental Plans
Life Insurance, including eligible spouses & children
Health Care Flexible Spending
Dependent Care
401k Savings Plans
Paid Time Off
Company Overview
AmTrust Financial Services, Inc., through its subsidiaries, operates as a multinational property and casualty insurance company. It was founded in 1998, and is headquartered in New York, New York, USA, with a workforce of 5001-10000 employees. Its website is https://amtrustfinancial.com/.
Company H1B Sponsorship
AmTrust Financial Services, Inc. has a track record of offering H1B sponsorships, with 3 in 2025, 3 in 2023, 5 in 2022. Please note that this does not guarantee sponsorship for this specific role.
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Company : AmTrust Financial Services, Inc.
Salary : Work from home
