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Bodily Injury Quality Assurance Auditor
Aspire General Insurance. Conduct detailed claim file quality audits across multiple claim disciplines .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates strong technical knowledge of Property & Casualty claims handling, with expertise in conducting quality audits, compliance evaluations, and performance improvement initiatives. Proficient in developing reports and presentations while ensuring adherence to regulatory requirements and best practices.
Highest-signal resume keywords
Property & Casualty Claims HandlingClaims AuditingRegulatory ComplianceAnalytical SkillsMicrosoft Office Suite
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Claims File ReviewsSubrogation HandlingBodily Injury ClaimsQuality Assurance ActivitiesProcess Improvement InitiativesTraining Material DevelopmentPerformance Metrics CreationTechnical Claims ExpertiseDocumentation StandardsCustomer Service Best Practices
Soft Skills
Excellent CommunicationOrganizational SkillsProject ManagementCollaborationDetail-Oriented
Tools & Technologies
Claims Management SystemsMicrosoft Office Suite
Industry Keywords
Insurance RegulationsCompliance RequirementsClaims Handling StandardsQuality ControlNon-Standard Auto Insurance
About the role
Key responsibilities & impact- Conduct detailed claim file quality audits across multiple claim disciplines
- Evaluate claim handling for technical accuracy, compliance, documentation, customer service, and best practice adherence
- Perform ad hoc audits based on organizational needs and emerging trends
- Assist with calibration efforts to ensure consistency among auditors and claims leadership
- Analyze audit results and identify trends, root causes, and areas for improvement
- Measure compliance with company standards, carrier guidelines, and regulatory requirements
- Quantify impacts of non-compliance and recommend corrective actions
- Develop reports, scorecards, presentations, and performance summaries for leadership
- Assist in developing and maintaining claims procedures, workflows, and best practice guidelines
- Support initiatives focused on improving claim quality, customer satisfaction, loss control, and operational efficiency
- Identify system enhancement opportunities and partner with IT teams on process improvements
- Participate in testing claims systems, procedures, reports, and technology enhancements
- Provide coaching and training support to claims professionals regarding audit findings and technical claim handling
- Share best practices through written reports, presentations, and team meetings
- Partner with claims leadership to develop action plans and monitor performance improvement initiatives
- Collaborate with multiple business partners across the organization
- Ensure adherence to state and federal regulations, Department of Insurance requirements, carrier guidelines, and company standards
- Remain current on insurance regulations and compliance requirements across multiple jurisdictions
- Support Aspire's digital transformation and innovation initiatives through data-driven recommendations
Requirements
What you’ll need- Minimum 4+ years of Property & Casualty insurance experience
- Strong technical knowledge of Property & Casualty claims handling
- Experience handling subrogation, property damage, and bodily injury claims
- Knowledge of insurance regulations, compliance requirements, claims handling standards, and industry trends
- Experience conducting claim file reviews, audits, or quality assurance activities
- Strong analytical skills with the ability to identify trends, root causes, and compliance gaps
- Advanced proficiency in Microsoft Office Suite and claims management systems
- Excellent written, verbal, and presentation skills
- Ability to manage multiple priorities in a fast-paced, high-volume environment
- Ability to work independently while collaborating effectively across departments
- Ability to pass a background check
- Preferred: Non-Standard Auto Insurance experience
- Preferred: Prior Quality Assurance, Quality Control, or Claims Audit experience
- Preferred: Supervisory or management experience
- Preferred: Experience developing training materials, best practices, and process improvement initiatives
- Preferred: Experience creating reports, scorecards, and performance metrics
- Strong technical claims expertise
- Exceptional analytical and problem-solving skills
- Excellent presentation and communication abilities
- Strong organizational and project management skills
- Ability to influence and collaborate across all levels of the organization
- Detail-oriented approach with a focus on quality and compliance
- Self-motivated mindset with the ability to work independently
- Ability to manage multiple priorities and deadlines while maintaining accuracy
Benefits
Comp & perks- Fully remote work arrangement
- Paperless, technology-driven workplace
- Occasional travel may be required